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Gastric Outlet Obstruction Caused by a Mushroom Impacted in a Deformed Duodenal Bulb

香菇卡在變形之十二指腸球部造成胃出口阻塞

摘要


因吞入異物或食物而引起胃腸道阻塞較常見,但十二指腸球部因食入香菇而造成阻塞,在臨床上較少被報導。我們報告一例83歲男性病患,在吃完粽子後持續兩天上腹脹及嘔吐。此病患在30年前曾因十二指腸潰瘍合併穿孔接受手術。在經鼻胃管沖洗及抽吸後,胃鏡檢查發現一4.2公分完整的香菇卡在變形之十二指腸球部上。經由胃鏡使用切片夾將阻塞之香菇移除,之後病人症狀完全改善且出院。

並列摘要


Ingested foreign bodies or foodstuffs leading to obstruction of gastrointestinal tract are common, but duodenal bulb obstruction due to an impacted mushroom is unusual. We report an 83-year-old male presenting with a 2-day duration of postprandial epigastric fullness and vomiting after eating glutinous rice tamale. The patient underwent a duodenorrhaphy with omental patching for duodenal ulcer perforation 30 years previously. An upper gastrointestinal endoscopy done after nasogastric tube irrigation and aspiration revealed a 4.2 cm intact mushroom impacted in a deformed duodenal bulb. After removal of the impacted mushroom using a biopsy forceps, the patient remained asymptomatic and was discharged on the 5th hospital day.

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