Colonic Obstruction Induced by Phytobezoar: Report of a Case

植物糞石引起之大腸阻塞：一病例報告

張國寬(Kuo-Kuan Chang) ； 吳原大(Yeun Tarl Fresner Ng Jao) ； 曾立榮(Li-Jung Tseng) ； 牟聯瑞(Lein-Ray Mo)

《臺灣消化醫學雜誌》 22卷4期 (2005/12) Pp. 322-328

https://doi.org/10.6557/GJT.200512_22(4).0003

摘要

糞石是體內的異物，可由未消化的食物、異物塊、未消化的種籽、及水果纖維筆結塊而成，糞石塞在腸胃道，尤其以胃最爲常見。它們常導致腸阻塞、潰瘍形成、出血及穿孔。處理糞石通常以手術將糞石碎裂再依其部位和阻塞位置向頭端或尾端擠出。大腸糞石引起之腸阻塞發生機會不高，同一病例在同一部位發生兩次尤其罕見。我們報告一例因嗜嚼並吞食檳榔纖維導致大腸植物糞石復發的個案，此患者經手術治療成功。我們相信這是復發性阻塞性大腸糞石的第一個報告個案，且可能因嚼食檳榔所引起。

關鍵字

植物糞石 ； 檳榔 ； 腸阻塞

並列摘要

Bezoars are foreign that are formed by concretions of undigested food particles, masses of foreign bodies and undigested seeds and fibers of fruits that impact in the gastrointestinal tract, with the stomach being the most common site. They usually result in intestinal obstruction, ulcer formation, hemorrhage and perforation. Management of bezoars is usually surgical with fragmentation and milking it cephalad or caudad depending on its location and level of obstruction. A colonic bezoar causing bowel obstruction is a very rare occurrence. Experiencing it twice in a lifetime at the same location is even a rarer occurrence. We present a case of a recurrent colonic phytobezoar, secondary to habitual chewing and ingestion of betel nut fiber, which was successfully managed surgically. To the best of knowledge, a recurrent obstructing colonic bezoar related to betel nut chewing has never been reported before in literature.

並列關鍵字

phytobezoar ； betel nut ； intestinal obstruction