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果核梗阻。“吉祥果核”。

Fruit pit obstruction. "The propitious pit.".

作者信息

Price J E, Michel S L, Morgenstern L

出版信息

Arch Surg. 1976 Jul;111(7):773-5. doi: 10.1001/archsurg.1976.01360250049009.

DOI:10.1001/archsurg.1976.01360250049009
PMID:938222
Abstract

Ingestion of fruit pit must be a frequent and innocuous phenomenon, judging from the expected frequency of such occurrences and the relative dearth of medical reports to the contrary. Reported here are four cases in which fruit pits of varied nature completed an otherwise incomplete intestinal obstruction. On of these was in the terminal ileum, with incomplete obstruction due to regional ileitis, in which the offending pit was seen radiologically but was not recognized as such. The other three were in the transverse colon, at the site of annular carcinomatous lesions. The completion of the obstruction by the fruit pits eventuated in earlier symptoms, diagnosis, and treatment. In one case, the fruit pits were multiple; in the remainder, they were single.

摘要

从这类事件的预期发生频率以及相反的医学报告相对较少来看,摄入果核想必是一种常见且无害的现象。本文报告了4例不同性质的果核导致原本不完全性肠梗阻完全梗阻的病例。其中1例位于回肠末端,因局限性回肠炎导致不完全梗阻,在影像学上可见致病果核,但当时未被识别出来。另外3例位于横结肠,在环状癌性病变部位。果核导致梗阻完全梗阻,从而使症状、诊断和治疗出现得更早。1例果核为多个;其余病例中果核为单个。

相似文献

1
Fruit pit obstruction. "The propitious pit.".果核梗阻。“吉祥果核”。
Arch Surg. 1976 Jul;111(7):773-5. doi: 10.1001/archsurg.1976.01360250049009.
2
[Ileo-colonic invagination due to an ileo-cecal lymphosarcoma].
Rev Med Liege. 1974 May 1;29(9):269-71.
3
Fruit pit obstruction leading to the diagnosis of Crohn's disease.因果核梗阻而诊断为克罗恩病。
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[Difficulties in diagnosing cancer of the cecum and ascending colon].[盲肠和升结肠癌的诊断难点]
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Case recrods of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 43-1973.马萨诸塞州总医院病例记录。每周临床病理讨论。病例43 - 1973。
N Engl J Med. 1973 Oct 25;289(17):906-11. doi: 10.1056/NEJM197310252891709.
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Intestinal obstruction caused by ingestion of a Heidelberg capsule: report of a case.因摄入海德堡胶囊导致肠梗阻:一例报告
Am J Gastroenterol. 1985 Oct;80(10):787-9.
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Invasive endometriosis of the terminal ileum: a cause of small bowel obstruction of obscure origin.回肠末端侵袭性子宫内膜异位症:不明原因小肠梗阻的一个病因。
South Med J. 1983 Feb;76(2):253-5. doi: 10.1097/00007611-198302000-00030.
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Desiccant recovered, Crohn's disease discovered.干燥剂回收,克罗恩病发现。
Am J Gastroenterol. 1998 Dec;93(12):2595-7. doi: 10.1111/j.1572-0241.1998.00729.x.
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[Non-specific inflammatory tumors of the cecum and right colon].[盲肠和右半结肠的非特异性炎性肿瘤]
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引用本文的文献

1
Intestinal Obstruction Due to Ingested Olive Pits.误食橄榄核导致的肠梗阻
Cureus. 2024 Nov 7;16(11):e73257. doi: 10.7759/cureus.73257. eCollection 2024 Nov.
2
Crohn's disease of the terminal ileum: a cheap diagnosis.回肠末端克罗恩病:一种低成本的诊断方法。
Ir J Med Sci. 2008 Dec;177(4):401-3. doi: 10.1007/s11845-007-0080-4. Epub 2007 Aug 18.
3
Unusual case of partial large bowel obstruction.罕见的部分性大肠梗阻病例。
Can Med Assoc J. 1978 Aug 26;119(4):314-8.