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与缺铁性贫血相关的Sigmoid Lithobezoar:一个罕见的病例报告
Bodhisatya Das1, Mahaprasad Pal1, Kaustav Nayek1
1Department of Pediatrics, Burdwan Medical College and Hospital, Baburbag, Purba Burdwan, West Bengal, 713104, India.
Oxford medical case reports
|November 28, 2025
概括
一个患有缺铁性贫血的孩子因吃粉和土壤 (pica) 而经历了肠道阻塞. 医生手动移除了堵塞,并用铁治疗了病人. 这凸显了在儿童中缺铁查的必要性.
科学领域:
- 儿科 儿科 儿科
- 胃肠病学 胃肠病学
- 血液学 血液学 血液学
背景情况:
- 像土壤这样的非食品物品的强迫性消费,可导致严重的健康问题.
- 缺铁性贫血 (IDA) 在儿童中很常见,并与皮卡有关.
- 石化,或难以消化的异物质质量,可以导致胃肠道阻塞.
研究的目的:
- 报告一个患有胃肠道阻塞的儿科病人的病例,这种阻塞是由皮卡的次要 lithobezoar 引起的.
- 讨论皮卡,缺铁性贫血和 lithobezoar 形成之间的联系.
- 强调在儿科 lithobezoar 病例中对 IDA 的查的重要性.
主要方法:
- 一个6岁男孩的病例报告.
- 胃肠道阻塞的临床表现,诊断评估和管理.
- 评估潜在的营养缺乏,特别是缺铁.
主要成果:
- 这位患者出现了严重的胃肠道阻塞,原因是由尘和土壤组成的石灰.
- 需要手动提取阻塞材料.
- 该患者被诊断为缺铁性贫血,并接受了口服铁补充剂的治疗.
结论:
- 皮卡可以导致危及生命的并发症,例如由石虫造成的肠道阻塞.
- 常规查铁缺乏症在治疗儿科患者出现 lithobezoars 时至关重要.
- 需要进一步的研究来阐明皮卡和IDA之间的复杂关系.
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