巨型胃牛黄:1例报告及文献复习

A. Anees, Shereen Fatima, Yaqoob Hassan
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引用次数: 0

摘要

牛黄是在胃肠道中发现的未消化或部分消化的食物的堆积。胃是牛黄最常见的部位,牛黄最常见于胃,可以影响任何年龄或性别的人。行为障碍、胃排空异常、胃肠道运动改变(如糖尿病)的患者易形成胃牛黄。大多数胃牛黄是无症状的,而其他胃牛黄则需要内窥镜或手术切除。胃牛黄偶尔会导致严重的并发症,如胃出口梗阻、出血和穿孔。因此,早期发现和治疗对于避免潜在的严重并发症至关重要。我们报告一个极其罕见的病例巨大的胃毛癣在一个年轻的女性是及时和成功地管理手术。25岁女性,表现为反复恶心和呕吐,尤其是餐后、早饱、间歇性腹痛、体重减轻和腹部肿块。腹部检查示上腹部肿块,延伸至右侧胁肋,大小为20cm × 14cm,硬至硬,下缘可触及。腹部超声和增强断层扫描证实胃牛黄的诊断。患者做好准备,择期行OT手术,切除胃毛粪,直径24 cm × 16 cm,重1865 g。胃造口术分两层进行,术后顺利。病人情况良好,正在定期随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Giant gastric bezoar: A case report and the review of literature
A bezoar is a packed collection of undigested or partially digested food found in the gastrointestinal (GI) tract. The stomach is the most common site of bezoars and bezoars are most commonly found in the stomach and can affect people of any age or gender. Patients with behavioral disorders, abnormal gastric emptying, altered GI motility as in diabetes disorders are predisposed to the formation of gastric bezoars. The majority of gastric bezoars are asymptomatic, whereas others require treatment in the form of endoscopic or surgical removal. Gastric bezoar can occasionally result in serious complications such as gastric outlet obstruction, bleeding, and perforation. As a result, early detection and treatment are critical to avoid potentially serious complications. We report an extremely rare case of giant gastric trichobezoar in a young female that was timely and successfully managed surgically. A 25-year-old female presented with symptoms of repetitive nausea and vomiting, especially postmeals, early satiety, intermittent abdominal pain, weight loss, and abdominal lump. An abdomen examination revealed a mass in the epigastric region extending to the right hypochondrium of 20 cm × 14 cm, firm to hard in consistency with a palpable inferior margin. Ultrasonography and contrast-enhanced tomography scan abdomen confirmed the diagnosis of gastric bezoar. The patient was prepared and Elective OT was done with the removal of a large gastric trichobezoar measuring 24 cm × 16 cm and weighing 1865 g. Gastrostomy closure was done in two layers and the postoperative period was uneventful. The patient is doing well and is on regular follow-up.
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