BEZOAR IN GASTROINTESTINAL TRACT: A CASE REPORT

腸胃道之糞石：病例報告

林瑞昌(Ruey-Chang Lin)

《秀傳醫學雜誌》 18卷2期 (2019/12) Pp. 170-173

https://doi.org/10.3966/156104972019121802012

摘要

Bezoar is undigested material usually found in the gastrointestinal tract that looks similar to feces. Small bowel obstruction caused by bezoar is rare, and is not limited to sex and age. A 61-year-old woman with a history of gastric bezoar presented with epigastric pain. The abdominal computer tomography (CT) scan showed a mottled mass, thickened bowel wall, and a large sized bezoar in the terminal ileum. The upper gastrointestinal panendoscopy examination showed reflux esophagitis. There was omentum adhesion to the distal ileum in the right adnexa which was treated by omentectomy and enterolysis with decompression to remove the bezoar. The patient was discharged from hospital days after the surgery.

關鍵字

Bezoar ； Gastrointestinal tract ； Bowel obstruction

並列摘要

糞石是未消化的物質，看起來類似於通常在胃腸道中發現的糞便，臨床案例不多，其發生經常造成腹部疼痛。糞石所造成的小腸梗阻很少見，並且不限於性別和年齡。本文中分享一個案例，一名有糞石病史的61歲女性出現上腹部疼痛。病患之處置，是透過上消化道內視鏡檢查，初步發現是胃食道逆流的現象，懷疑有胃輕癱。腹部斷層掃描發現迴腸末端有一顆大型的糞石而造成小腸阻塞以及小腸與網膜沾黏。透過網膜切除術及腸粘連分離術併減壓以去除糞石。病人在手術之後數天順利出院。

並列關鍵字

糞石 ； 腸胃道 ； 腸胃阻塞