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首页> 外文期刊>International Journal of Surgery Case Reports >Case Report Giant phytobezoar; an unusual cause of gastric outlet obstruction: A case report with literature review
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Case Report Giant phytobezoar; an unusual cause of gastric outlet obstruction: A case report with literature review

机译：案例报告巨型Phytobezoar;一种不寻常的胃出口障碍原因：案例综述报告

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Introduction Phytobezoar which is described as an undigested or incompletely digested food. It is an odd cause of gastric outlet obstruction (GOO). The aim of this study is to present and discuss a case of GOO caused by multiple giant bezoars. Case report A 24-year-old female, presented with abdominal pain and vomiting (non-bilious) with negative past history. Examination and investigations revealed multiple giant bezoars requiring emergent surgical intervention. An exploratory laparotomy was conducted. Two giant bezoars were palpated in the stomach and removed through an anterior gastrotomy. Discussion Bezoars are regarded as rare benign causes of GOO. Bezoars can present with vomiting, nausea, and/or symptoms of GOO. Predisposing risk factors include delayed gastric emptying (as in case of diabetic mellitus) vagotomy, partial gastrectomy pyloroplasty, peptic ulcer disease, chronic gastritis, Crohn’s disease, and carcinoma of the gastrointestinal tract. The current case had phytobezoar without any known risk factor. Conclusion GOO caused by phytobezoar can occur in patients without history of previous gastric surgery or diabetes mellitus. Urgent laparotomy may be indicated.
机译：引言植物斑核毒素被描述为未消化或不完全消化的食物。这是胃出口梗阻（GOO）的奇怪原因。本研究的目的是展示并讨论由多个巨大跳动器引起的Goo的案例。案例报告了一名24岁的女性，患有腹痛和呕吐（非乏味），带有负面过去的历史。考试和调查显示了需要紧急外科干预的多种巨大蛇形。进行了探索性剖腹术。两只巨大的跳过在胃中触发并通过前胃膜去除。讨论Bezoars被认为是Goo的罕见良性原因。 Bezoars可以出现呕吐，恶心和/或粘性症状。易感性风险因素包括延迟胃排空（如在糖尿病MELLITUS的情况下）阴道切开术，部分胃切除幽门成形术，消化性溃疡病，慢性胃炎，克罗恩病和胃肠道癌。目前的案例有Phytobezoar，没有任何已知的风险因素。结论植物曲核毒素引起的GOO可以在毫无胃手术或糖尿病患者中发生患者。可以指出紧急的剖腹手术。

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