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Acute Intestinal Obstruction Due to Cordia Dichotoma Fruit Bezoar: A Case Report

因破布子所導致之急性腸阻塞併發腹膜炎

摘要


本病例因腹痛至急診室,在剖腹探查後發現是破布子形成的糞石造成腸阻塞,病患在取出糞石後一週即出院。我們提醒臨床醫師若有年紀大的素食者若有腸阻塞,需考慮植物形成糞石的可能性,若保守治療無效則需開刀取出糞石。

關鍵字

糞石 破布子 急性腸阻塞

並列摘要


In southern China and Taiwan, the fruit of cordia dichotoma is commonly used in cooking and is especially popular in the elderly and vegetarians, who are at high risk of developing a gastrointestinal bezoar. This report describes an elderly vegetarian who presented at our emergency department with persistent abdominal pain. An emergency laparotomy showed an acute intestinal obstruction caused by a bezoar of cordia dichotoma fruit. We concluded that if elderly vegetarians develop an acute intestinal obstruction, bezoars caused by vegetables should be taken into consideration. When conservative treatment fails, a laparotomy needs to be performed to remove the bezoar.

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