tailieunhanh - Báo cáo y học: "An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding a case report Abdulzahra Hussain Hind Mahmood Tarun Singhal and Shamsi El-Hasani Address General Surgery Department Princess Royal University Hospital Kent UK Email Abdulzahra Hussain - azahrahussain@ Hind Mahmood - hindkass@ Tarun Singhal - tasneemtarun@ Shamsi El-Hasani - Corresponding author Published II June 2008 Received 6 November 2007 Journal of Medical Case Reports 2008 2 199 doi 1752-1947-2-199 Accepted 11 June 2008 This article is available from http content 2 I I99 2008 Hussain et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction The differential diagnoses of acute abdomen in children include common and rare pathologies. Within this list different types of bezoars causing gastrointestinal obstruction have been reported in the literature and different methods of management have been described. The aim of this article is to highlight a rare presentation of lactobezoars following prolonged percutaneous endoscopic gastrostomy feeding and its successful surgical management. Case presentation A 16-year-old boy was admitted to a paediatric ward with abdominal distension and high output from his permanent gastrostomy feeding tube with drainage of bilious fluids. The clinical radiological and endoscopical examinations were suggestive of partial duodenal obstruction with multiple bezoars in the stomach and duodenum. Gastrojejunostomy was performed after the removal of 14 bezoars. The child had an uneventful postoperative course and was .