An Obstructing Small Bowel Phytobezoar in an Elderly Female Nigerian: A Case Report and Literature Review

Balogun, Olanrewaju Samuel; Osinowo, Adedapo Olumide; Afolayan, Michael; Adesanya, AA

doi:10.1155/2017/6962876

Cited by 6 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ingestion of hair or non-digestible material, or excessive consumption of poorly digestible foods can also lead to the formation of bezoars. These are rare events, more common in the small intestine than in the stomach [ 6 ]. Clinical presentation in patients with phytobezoars depends on the type, location within the gastrointestinal tract, and presence of predisposing factors.…”

Section: Discussionmentioning

confidence: 99%

Phytobezoar: An unusual cause of small bowel obstruction

Bouali

Ballati

Bakouri

et al. 2021

Annals of Medicine and Surgery

View full text Add to dashboard Cite

Phytobezoars are concretions of indigested fruit and vegetables fibers in the gastrointestinal tract. The past of gastric surgery is most common risk factor of phytobezoar. We present the case of a 39-year-old female was admitted to the emergency department and who presented with small bowel obstruction due to phytobezoar, her past medical history was marqued by truncal vagotomy and simple suture recurrent perforated gastric ulcer 15 years earlier. Her postoperative recovery was uneventful.

show abstract

Section: Discussionmentioning

confidence: 99%

Phytobezoar: An unusual cause of small bowel obstruction

Bouali

Ballati

Bakouri

et al. 2021

Annals of Medicine and Surgery

View full text Add to dashboard Cite

show abstract

“…However, phytobezoar is a rarely reported aetiological factor, representing the 0.4-4% of all mechanical SBO. [1][2][3][4][5] Phytobezoars are accumulations of insufficient digested fruit and/or vegetable fibres that are found in alimentary track mostly composed of cellulose, tannin and lignin. 6 The primary small bowel bezoars are very rare and are usually seen in patients with underlying small bowel diseases (e.g.…”

Section: Discussionmentioning

confidence: 99%

Phytobezoar induced small bowel obstruction: an uncommon cause of intestinal occlusion

et al. 2020

View full text Add to dashboard Cite

A case of a 42-year-old female patient with a two-days diffuse colicky abdominal pain, nausea and three episodes of vomiting is presented. Furthermore, patient complained for inability to eat for almost a week. In addition, patient had a history of subtotal gastrectomy Billroth II-type, due to gastric ulcer six years ago. There were no other known co-morbidities. Except for a distended, somewhat painful abdomen and sluggish bowel sounds, the rest clinical examination was unremarkable. Plain abdominal X-ray and ultrasound findings agreed with the clinical suspicion of sub-acute small bowel obstruction probably due to post-operative adhesions. A conservative management was decided. However, the patient after an initial clinical improvement, had a relapse of symptoms with the first feeding attempt. A followed computed tomography of the abdomen revealed a well define, oval, mass-like containing mostly air bubbles lesion, occupying for approximately six centimeters long the jejunum lumen. The diagnosis of jejunal phytobezoar was set. In accordance of computed tomography diagnosis were the intra-operative findings and the post-operative histopathology.

show abstract

“…plant products that are undigested or partially digested, such as seeds, Fibers from fruits and vegetables [ 1 ]. Bezoars are classified into four types: phytobezoars, trichobezoars, pharmacobezoars, and lactobezoars [ 2 ].Although the exact incidence of phytobezoars is uncertain, they may account for 0,4-4% of cases of acute mechanical bowel obstructions [ 3 ].They are a well-known etiology of intraluminal bowel obstruction in humans, despite their rarity. Swain was the first to report a postmortem human bezoar in 1854 [ 4 ].…”

Section: İntroductionmentioning

confidence: 99%