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Bezoar-inducted small bowel obstruction after laparoscopy-assisted distal gastrectomy treated by laparoscopic surgery : a case report Kazuhide OZAKI 1 , Yutaka NISHIOKA 1 , Masaaki NISHI 1 , Fuminori TERAISHI 1 , Toshio NAKAMURA 1 , Madoka HAMADA 1 1Department of Digestive Surgery,Kochi Health Sciences Center Keyword: 胃石 , イレウス , 腹腔鏡下手術 pp.517-522
Published Date 2012/8/15
DOI https://doi.org/10.11477/mf.4426100821
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 A 58-year-old man who had undergone laparoscopy assisted distal gastrectomy for gastric cancer 4 years ago was admitted to our hospital with the chief complaints of abdominal pain and vomiting. Computed tomography revealed a gas-containing foreign body in the remnant stomach and another one at the obstructed portion of the ileum. A diagnosis of small intestinal obstruction induced by a bezoar was made. After the treatment by ileus decompression tube, the bezoar in the remnant stomach migrated to the small intestine, and the other remained in the small intestine. A laparoscopy assisted operation was performed. Two chicken egg- sized masses were observed at50cm and 80cm oral side from the terminal ileum. A 4cm incision was made along the appendectomy scar and the section of the ileum containing the two masses was exteriorized. The bezoars were removed by enterotomy. The postoperative course was uneventful and the patient was discharged on the ninth postoperative day.


Copyright © 2012, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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