男,74岁,食毛柿饼后出现左中上腹部闷胀不适月余, 解柏油样便1周,伴嗳气,返酸,于2003年1月19日就诊我院。查体:腹平软,左上腹轻压痛,似可触及一鹅蛋大包块,质中,体表淋巴结未触及。胃肠钡餐造影:胃内可见一约7.5cm×3cm的充盈缺损,形态不规则,略呈椭圆形,并随体位改变而移动。X 线诊断:胃结石(毛柿石)。经胃镜证实并予以粉碎,碎片较坚硬,呈胶质状,予以钳出。讨论:胃结石较少见,好发于中老年人,北方多见, 据国内文献报道胃结石多发生在长江以北一带,而南方少有报道,这可能与北方以粗纤维食物为主食,且盛产柿子等不易消化水果有关,而老年人胃酸分泌减少,消化能力下降是重要原因之一。胃结石摄片一般多为阴性,少数病 Male, 74 years old, after eating dried persimmons left middle and upper abdomen stuffy discomfort for more than a month, the solution of asphalt like a week, with belching, back to acid, in January 19, 2003 visit our hospital. Physical examination: abdominal soft, light tenderness left upper quadrant, seems to reach a large oval mass, mass, surface lymph nodes not touched. Gastrointestinal barium meal angiography: The stomach can be seen a about 7.5cm × 3cm filling defect, irregular shape, slightly oval, and with the position change and move. X-ray diagnosis: stomach stone (hair persimmon stone). Confirmed by the gastroscope and to be crushed, debris more hard, was plastic, to be pliers out. Discussion: Gastric stones are rare, occur in the elderly, more common in the north, according to domestic literature reported stomach stones occurred in the north of the Yangtze River area, while rarely reported in the South, which may be the staple food with the northern crude fiber foods, And rich persimmon and other non-digestible fruits, while the elderly to reduce gastric acid secretion, decreased digestion is one of the important reasons. Gastric stones are mostly negative, a small number of diseases