柿胃石が原因と考えられた腸閉塞の一例

Abstract

A case of intestinal obstruction thought to be caused by the formation of a diospyrobezoar in reported. A 70-year-old man had a previous history of undergoing distal gastrectomy and B-I anastomosis for gastric cancer about one year previously. The patient was admitted with abdominal pain and nausea suspected to be due to intestinal obstruction, and conservative treatrpent was started. However, as these symptoms were getting worse, emergent operation was performed. A hen-egg-sized foreign body was impacted near the splenic flexure in the desceding colon. It was removed through enterotomy. The postoper- ative course was uneventful and the patient was discharged from the hospital. He reported having a fondness for persimons, and that he had eaten a large quantity of thses a week before the onset of his symptoms. The foreign body contained more than 98% tannic acid. It was inferred to be gastric bezoar due to gastrectomy. Twelve cases with operation on stomach in the Japanese literature are also discussed.