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首页> 美国卫生研究院文献>BMJ Case Reports >Case Report: Giant granadilla’s seeds phytobezoar rectal impactation: a very unusual case of intestinal obstruction
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Case Report: Giant granadilla’s seeds phytobezoar rectal impactation: a very unusual case of intestinal obstruction

机译：病例报告：巨人参种子对植物牛黄直肠的影响：肠梗阻非常罕见的情况

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A 78-year-old Caucasian man presented to the emergency department with bloody diarrhoea, diffuse abdominal pain and fever with 1-week duration. He had just returned from Angola where he had been treated for a presumed infection without improvement. He had no relevant medical or familiar history except for hypertension and prostate benign hyperplasia. He was drowsy, feverish and eupnoeic. His oxygen saturation on pulse oximetry was 92%, blood pressure was 173/99 mm Hg and pulse rate 100 beats per minute. Except for a distended, silent and painful abdomen, particularly on lower quadrants, the rest of the examination was unremarkable. A CT showed a mesh-like mass inside the rectum conditioning colonic obstruction and distention. This turned to be a giant granadilla’s seeds phytobezoar and was removed endoscopically. Five days later, the patient had a colonic perforation requiring total colectomy. He made a full recovery after rehabilitation for 3 months.
机译：一名78岁的白人男子因流血性腹泻，弥漫性腹痛和发烧出现在急诊室，持续时间为1周。他刚从安哥拉返回，在那里接受了假定的感染而没有得到改善。除高血压和前列腺良性增生外，他没有相关的医学或熟悉的病史。他昏昏欲睡，发烧和昏厥。脉搏血氧饱和度测定中的氧饱和度为92％，血压为173/99 mm Hg，脉搏率为每分钟100次。除了腹部扩张，安静无声且疼痛，特别是在下象限，其余检查均无异常。 CT显示直肠内有网状样肿块，可调节结肠梗阻和扩张。这变成了巨大的西番果种子植物牛，并在内窥镜下被移除。五天后，患者出现了结肠穿孔，需要进行全结肠切除术。康复三个月后，他完全康复。

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