rubble ileus syndrome
Introduction
Introduction to Maoshichang Obstruction Syndrome The stone intestine obstruction syndrome, Rapunzel syndrome, is intrinsically rare. As early as 1812, Jacob and Grimm first reported a case of a girl named Rapunzel, which is also reported in China. Mostly women, mostly seen in adolescents, manifested as upper abdominal pain, bloating, nausea, vomiting, due to the flap effect of the stone, vomiting is generally small, vomit may contain bile, but obstruction in the pylorus, then Does not contain bile, a small number may be associated with diarrhea and gastrointestinal bleeding, physical examination in the upper abdomen often lumps and masses, if the perforation caused by gastrointestinal wall necrosis may have symptoms and signs of diffuse abdominal inflammation. basic knowledge The proportion of illness: 0.3% Susceptible people: more common in teenagers Mode of infection: non-infectious Complications: peritonitis
Cause
Causes of Maoshichang Obstructive Syndrome
Many heterophilic or psychiatric diseases are good to chew and swallow hair, silk-like substances. These long-fiber substances can not be digested by the body after being swallowed into the stomach, but are entangled into a mass under the mechanical force of gastric peristalsis to form a stone. As the contents of the stomach advance toward the small intestine, the tail end of the stone can enter the jejunum through the pylorus. Because the fibrous material is tightly wound, the stone is difficult to continue to advance, and the upper part of the stomach and jejunum gradually increases, causing a high position. Intestinal obstruction or pyloric obstruction, the stone often presses the mesangial side of the small intestine wall, causing necrosis or even perforation. Occasionally, the tail end of the stone remains to the ileum or large intestine.
Prevention
Prevention of Maoshichang Obstruction Syndrome
Pay attention to the diet of patients with heterosexuals and mental illness. Characteristics of heterosexuality:
1. Indigestion at the beginning of the disease, gradually appearing heterosexual, swallowing wood chips, stones, bricks, rags, grass and so on.
2. When swallowing a sharp object, it may cause drooling and oral bleeding due to damage to the oral cavity. In severe cases, it may cause perforation of the esophagus, stomach, and intestine. Some swallowed plastic cloth or cloth strips, peach core, coal, etc., can cause intestinal obstruction or intussusception, the affected dogs are mostly thin due to lack of nutrition, the coat is rough.
3. Confirmation by palpation and X-ray examination.
Complication
Complications of Maoshichang Obstructive Syndrome Complications peritonitis
Necrosis of the intestinal wall, perforation of the intestine, peritonitis.
Symptom
Symptoms of Maoshichang Obstructive Syndrome Common Symptoms Abdominal Abdominal Pain Diarrhea Upper Abdominal Masses Nausea Upper Abdominal Masses and Abdominal Intestinal Necrosis Aphid Intestinal Obstruction
Mostly women, mostly seen in adolescents, manifested as upper abdominal pain, bloating, nausea, vomiting, due to the flap effect of the stone, vomiting is generally small, vomit may contain bile, but obstruction in the pylorus, then Does not contain bile, a small number may be associated with diarrhea and gastrointestinal bleeding, physical examination in the upper abdomen often lumps and masses, if the perforation caused by gastrointestinal wall necrosis may have symptoms and signs of diffuse abdominal inflammation.
Examine
Examination of hairy intestinal obstruction syndrome
Gastroscope and X-ray examination. Gastroscopic examination can directly observe the true condition of the site to be examined, and can further confirm the diagnosis by pathological biopsy and cytological examination of the suspected lesion, which is the first choice for upper gastrointestinal lesions. X-ray examination has a wide range of applications in the diagnosis of anorectal diseases, and is one of the most effective means for early detection, early diagnosis and differential diagnosis of certain diseases.
Diagnosis
Diagnosis and diagnosis of Maoshi intestinal obstruction syndrome
1. Have heterosexuality, or have a history of swallowing a lot of hair, silk.
2. There are pyloric obstruction or high intestinal obstruction.
3. The upper abdomen can touch the mass, and the tumor should be removed by gastroscopy and X-ray examination to confirm the presence of the stone.
