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

邱信輝(Hsin-Hui Chiu) ； 許友國(Joe Hergens Li) ； 何民康(Man-Hong Ho)

《南臺灣醫學雜誌》 4卷1期 (2008/03) Pp. 27-30

https://doi.org/10.6726/MJST.200803_4(1).0005

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。

關鍵字

胃出口阻塞 ； 香菇 ； 十二指腸潰瘍

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.

並列關鍵字

Gastric outlet obstruction ； mushroom ； duodenal ulcer