Phytobezoar: An Unusual Condition Leading to Small Bowel Obstruction
TL;DR: Preoperative CT examination can provide invaluable information about the level of obstruction, etiology, and the existence of additional pathology and thereby help plan the type of surgical procedure required.
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Abstract: Bezoar is described as a swallowed, extraneous, and indigestible mass located in the gastrointestinal system; it accounts for 0.4-4.0% of all cases of mechanical intestinal obstruction. Intestinal obstruction is the most frequent complication of bezoar formation. Apart from intestinal obstructions, bezoars may also exhibit clinical symptoms such as abdominal pain, nausea, vomiting, weight loss, upper gastrointestinal bleeding, and gastric perforation. However, a considerable number of cases tend to be asymptomatic. Of note, its clinical symptoms cannot be differentiated easily from intestinal obstructions caused by other factors. As such, preoperative CT examination can provide invaluable information about the level of obstruction, etiology, and the existence of additional pathology and thereby help plan the type of surgical procedure required. If prompt diagnosis and timely treatment are not carried out, the condition may lead to significant morbidity and mortality.
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Citations
Evaluation of the location, number and diameter of bezoars in patients with a history of previous gastrointestinal surgery
A. Muhtaroğlu,Merve Yigit,Hakan Demir,Uğur Can Dülger,M. Doğangün,İbrahim Furkan Küçük,Fatih Altintoprak +6 more
TL;DR: The median width and length of the bezoars were significantly higher in patients with a history of previous gastric surgery and between operated and non-operated patients retrospectively, and bezoar localization was jejunum.
3
Coca-Cola consumption vs fragmentation in the management of patients with phytobezoars: A prospective randomized controlled trial
Fu-Guo Liu,De-Feng Meng,Xia Shen,Dan Meng +3 more
TL;DR: The purpose of this article is to provide an update on the influence of some of the main factors on the diagnostic efficiency of EUS-FNA as well as a rare but serious complication known as needle tract seeding.
3
Obstrução intestinal por fitobezoar: revisão integrativa
Mateus Luiz de Godoi,Bruna Cristina Mattos de Pieri,Lívia Kröger,Lucas Messias Caze Rodrigues,Italo Yago Cardoso de Oliveira,Gabriel Gurgel Silva Fernandes,Breno Augusto Rohn,Isabela Werneck da Cunha,Jose Augusto Antonio Alves Flor,Ricardo Braga Varella +9 more
TL;DR: Obstrução intestinal por fitobezoar é uma causa rara, mas potencialmente grave, de obstrução intestinal.
1
Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report
Christoforos S Kosmidis,Chrysi Maria Mystakidou,Nikolaos Varsamis,Charilaos Koulouris,Christina Sevva,Konstantina Papadopoulou,Christina Michael,Nikolaos Katsios,Vasiliki Theodorou,Konstantinos G. Papadopoulos,Konstantinos Vlassopoulos,Katerina Zarampouka,Stylianos Mantalovas +12 more
TL;DR: In this paper , an 81-year-old male presented with deteriorating clinical symptoms of intestinal obstruction, and an exploratory laparotomy was performed following inconclusive radiological findings; multiple phytobezoars and incipient intussusception were revealed intraoperatively.
“Bezoar Egg”—A Rare Cause of Small Bowel Obstruction
Stefan Milosevic,J. Kovac,Ljubica Lazic,Milica Mitrovic,K. Stosic,Dragan Basaric,Boris Tadic,Stefan Stojkovic,Slobodan Rašić,Nenad Ivanović,Ognjan Skrobic +10 more
TL;DR: A 71-year-old patient with diffuse abdominal pain caused by a small bowel obstruction due to a calcified bezoar (bezoar egg) resulting from a post-radiation intestinal stricture is presented.
References
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TL;DR: An overview of the prevalence, classification, predisposing factors, and manifestations of bezoars is provided, and diagnosis and management strategies are discussed, reviewing mainly the own case series.
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Bezoar-induced small bowel obstruction: Clinical characteristics and diagnostic value of multi-slice spiral computed tomography
TL;DR: CT planar and contrast-enhanced scanning can be applied to diagnose and observe vascular conditions in obstructed zones and BI-SBO exhibits regional and seasonal characteristics.