Small bowel obstruction caused by a bezoar following an adult simultaneous liver-kidney transplantation:A case report
作者机构：Department of SurgeryDivision of Transplantation and Advanced Hepatobiliary SurgeryUniversity of Utah School of MedicineSalt LakeUT 84132United States
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2020年第8卷第18期
页 面：4109-4113页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Case report Liver transplantation Liver-kidney transplantation Small bowel obstruction Post-transplant complications Transplantation
摘 要：BACKGROUND Small bowel obstructions(SBOs)are common following a large intra-abdominal operation;however,SBOs caused by bezoars are unreported in patients following liver-kidney transplantation procedures,particularly in *** SUMMARY A 65-year-old Caucasian female presented with nausea and nonbilious emesis during her postoperative course following a simultaneous liver-kidney *** developed worsening nausea and vomiting with significant abdominal distension and *** tomography imaging showed a marked abnormal dilation of multiple small bowel loops with a distinct transition point that was suggestive of a small bowel *** exploratory laparotomy revealed a foreign body in the intestinal track approximately 30 cm from the ileocecal *** foreign body was extracted and identified as a bezoar with hair follicles and old digestive *** the operation,the patient demonstrated rapid clinical improvement with resolution of nausea,emesis,and progress in bowel *** SBOs caused by bezoars can occur immediately following a liver-kidney transplantation and should not be discounted as a diagnosis.
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