Abstract
A 60-year-old female presented complaining of epigastric pain. Gastroscopy showed an ulcer in the gastric angle and a large amount of residue and anti-ulcer therapy was initiated, but the abdominal pain increased after 5 days. Abdominal CT revealed a dilated small intestine and food masses containing air. Laparotomy revealed a hard stone (4cm) including food fibers at 150cm oral from the ileum end which had caused simple obstructive ileus, and it was removed via an intestinal incision. On the 8 postoperative day, the abdominal pain recurred. Abdominal CT showed a dilated small intestine and food masses containing air. Laparotomy was performed again at 14 days after the first procedure. The small intestinal portion around the previous suture site was adherent, forming a mass, and there were 2 hard stones (4cm) at the anal side from the suture site. The small intestinal mass was resected. We suspected that the two food masses containing air in the stomach at the first CT had been discharged from the stomach. This was an instructive case in which an intestinal obstruction needed a repeat reoperation due to the discharge into the intestine of bezoars which had been left in the stomach.
