Small bowel obstruction caused by a bezoar following an adult simultaneous liver-kidney transplantation:A case report  

作　　者：Gilbert Pan Robin D Kim Jeffrey Campsen George Rofaiel 

机构地区：[1]Department of Surgery,Division of Transplantation and Advanced Hepatobiliary Surgery,University of Utah School of Medicine,Salt Lake,UT 84132,United States

出　　处：《World Journal of Clinical Cases》2020年第18期4109-4113,共5页世界临床病例杂志

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 adults.CASE SUMMARY A 65-year-old Caucasian female presented with nausea and nonbilious emesis during her postoperative course following a simultaneous liver-kidney transplantation.She developed worsening nausea and vomiting with significant abdominal distension and obstipation.Computed tomography imaging showed a marked abnormal dilation of multiple small bowel loops with a distinct transition point that was suggestive of a small bowel obstruction.An exploratory laparotomy revealed a foreign body in the intestinal track approximately 30 cm from the ileocecal valve.The foreign body was extracted and identified as a bezoar with hair follicles and old digestive contents.Following the operation,the patient demonstrated rapid clinical improvement with resolution of nausea,emesis,and progress in bowel motility.CONCLUSION SBOs caused by bezoars can occur immediately following a liver-kidney transplantation and should not be discounted as a diagnosis.

关 键 词：Case report Liver transplantation Liver-kidney transplantation Small bowel obstruction Post-transplant complications TRANSPLANTATION 

分 类 号：R657.3[医药卫生—外科学] R699.2[医药卫生—临床医学]