An Unusual Cause of Small Bowel Obstruction

Gonzalez-Cordero, Pedro L.; Vara-Brenes, Daniel; Molina–Infante, Javier

doi:10.1053/j.gastro.2015.11.045

Cited by 4 publications

(5 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bezoars are conglomerates of indigested foreign material that accumulate in the GI tract [ 28 ]. Bezoars are commonly found in the stomach, but sometimes they move into the small intestine or can be primarily formed in the small intestine [ 17 , 23 ]. The most common type of bezoar is the phytobezoar, which consists of indigestible food residue [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…Bezoars are commonly found in the stomach, but sometimes they move into the small intestine or can be primarily formed in the small intestine [ 17 , 23 ]. The most common type of bezoar is the phytobezoar, which consists of indigestible food residue [ 17 ]. On CT scans, they vary in density and the mottled gas density can be observed [ 29–31 ].…”

Section: Discussionmentioning

confidence: 99%

“…Some experts have claimed that surgical removal might be inevitable for intestinal obstruction caused by bezoars [ 17 , 47 , 48 ]. In fact, several reports have described the effectiveness of administering Coca-Cola or traditional Chinese medicine to dissolve phytobezoars [ 49–52 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of the risk factors for severe complications and surgery of intestinal foreign bodies in adults: a single-center experience with 180 cases

Zhang

Liu

et al. 2022

Gastroenterology Report

View full text Add to dashboard Cite

Background Foreign bodies (FBs) lodged in the intestine or causing intestinal complications are uncommon in clinical practice but may pose diagnostic difficulties and prove life-threatening. This study aimed to evaluate the risk factors for severe complications and surgery to aid clinicians in the diagnosis and management of intestinal FBs. Methods We performed a retrospective analysis of patients in whom FBs were lodged in the intestine or caused complications from 2010 to 2020 in the First Affiliated Hospital of Wenzhou Medical University (Zhejiang, China). The characteristics of the patients and FBs, symptoms, imaging findings, diagnostics, treatment strategies, and clinical outcomes were analysed. Furthermore, the risk factors for complications and surgery were investigated. Results In total, 180 patients were included in our study. Most patients (76.1%) were unable to provide a history of ingestion. Bezoars were the most common FBs (35.6%). The FBs were mainly located in the duodenum (32.8%) and the ileum (27.8%). Surgical removal of FBs was successful in 89 (49.4%) patients and endoscopic removal in 54 (30.0%) patients. Eleven with perforations were treated conservatively. FBs located in the jejunum or ileum were more likely to cause severe complications than those located in the duodenum. FBs located in the jejunum, ileum, or sigmoid colon were more likely to undergo surgery, and severe complications were an independent risk factor for surgery. Conclusion Intestinal FBs, often localized in angulation, are likely to be misdiagnosed because most patients do not provide a history of FB ingestion. Surgery and endoscopic therapy are the most commonly used treatment modalities. Surgery is not mandatory in clinically stable patients with small and contained perforations. FBs located in the jejunum or ileum are risk factors for both complications and surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of the risk factors for severe complications and surgery of intestinal foreign bodies in adults: a single-center experience with 180 cases

Zhang

Liu

et al. 2022

Gastroenterology Report

View full text Add to dashboard Cite

show abstract

“…Persimmon fruit have been especially implicated. Cellulose, lignin, and tannins are the reported constituents in these food items that are difficult to digest [2]. As one may expect, underlying gastrointestinal pathology, such as previous surgery [3], adhesions, radiation, gastritis, or dysmotility, can precipitate an obstruction in the setting of bezoar formation.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic intervention is used to evaluate, treat, and remove most gastric bezoars. Surgical removal is generally needed for small-bowel obstructions secondary to bezoars [2,3], but fortunately, our patient’s foreign body was removed during endoscopic evaluation of the bowel.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Mimic of Intermittent Bowel Obstruction

Mohseni

Kruse

2019

Am J Case Rep

View full text Add to dashboard Cite

Patient: Female, 42-year-oldFinal Diagnosis: PhytobezoarSymptoms: Abdominal painMedication: —Clinical Procedure: EndoscopySpecialty: Gastroenterology and HepatologyObjective:Rare diseaseBackground:Indigestible foreign material in the bowel can develop into bezoars. Intestinal obstruction can occur secondary to these bezoars. Phytobezoars specifically refer to those which accumulate as a result of undigested plant or other food material.Case Report:A 42-year-old woman presented to the Emergency Department with a several-month history of right-sided abdominal pain associated with bouts of vomiting. She had no other significant medical history. Labs and computed tomography were unrevealing. Gastroenterology was consulted and performed endoscopy. A foreign body resembling an undigested mini bell pepper was found near the terminal ileum. This was removed, and the patient later reported significant improvement in her symptoms.Conclusions:Phytobezoars can lead to symptoms consistent with intestinal obstruction. The underlying pathology (e.g., masses, gastritis, adhesions, or dysmotility) can precipitate obstructions in the setting of bezoar formation. Surgical removal if often necessary for small-bowel obstructions secondary to bezoars, but in our case, fortunately, the foreign body was successfully removed during endoscopy.

show abstract