Small bowel phytobezoars: detection with radiography.

Verstandig, Anthony; Klin, Baruch; Bloom, Ronald A.; Hadas, Irit; Libson, Eugene

doi:10.1148/radiology.172.3.2772176

Cited by 71 publications

(56 citation statements)

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“…10 Contrast barium studies show an intraluminal filling defect that does not constant fixed to bowel wall. 11 The contrast barium study should be reserved in only partial or intermittent small bowel obstruction. 2 It is useful to use computed tomography for evaluation of small bowel obstruction.…”

Section: Discussionmentioning

confidence: 99%

An uncommon case of small bowel obstruction due to phytobezoar in a known case of tubercular abdomen: a decisional dilemma

et al. 2017

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Study report the case of middle aged male who was presented with abdomen pain and diagnosed of small bowel obstruction caused by bezoar in a case of tubercular abdomen and review the literature. The initial presentation was generalised pain with nausea and vomiting and abdominal distension. Plain abdomen film showed diffuse dilated bowel loop in upper abdomen. Patient had similar recurrent episode 12 months back when he was managed conservatively and diagnosed as tubercular abdomen and he had taken ATT for 3 months. At this time patient managed conservatively, but did not respond. Later a CECT whole abdomen was done and patient diagnosed as cocoon abdomen with mass or a foreign body impacted at distal jejunal region with proximal bowel dilatation. Later patient revealed ingestion of a large mango seed 4 months back. Later patient was explored, adhesionolysis and enterotomy was done and phytobezoar was removed. Early history of recurrent tubercular obstruction with non- specific symptoms. Later recognition of condition by typical imaging and leading questions induced history image play an important role in to come to a diagnosis, with significant delay in diagnosis; and increase the morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

An uncommon case of small bowel obstruction due to phytobezoar in a known case of tubercular abdomen: a decisional dilemma

et al. 2017

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“…Unfortunately, this triad has only been useful in accurately diagnosing 10% of preoperative cases. 16,17 On the other hand, Kement et al 13 have reported that abdominal CT was useful for accurate preoperative diagnosis in 77.7% of cases. Furthermore, another report emphasized that CT should be performed in all patients with bowel obstruction to avoid a misdiagnosis and to reduce the use of more invasive treatments.…”

Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report

Funamizu

Kumamoto

Watanabe

et al. 2015

International Surgery

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Owing to their rare occurrence, persimmon bezoars are often overlooked as a cause of small bowel obstruction. We herein report a small bowel obstruction in a 67-year-old Japanese female who regularly consumed persimmons in autumn. The patient presented to our hospital with typical complaints of abdominal distension with pain for 2 days. Based on the patient's history of a cesarean section 34 years ago, we initially diagnosed her with small bowel obstruction resulting from adhesions and placed an ileus tube. At first, the patient rejected the operation in spite of our recommendation. After 10 days, because the ileus tube was unable to relieve the obstruction, finally surgery was scheduled. Upon releasing the obstruction by partial resection of the small bowel, we found an impacted bezoar without any evidence of adhesions. After stone analysis, we first realized her regular persimmon intake. This case serves as an important reminder to obtain dietary history in order to investigate all possible causes of small bowel obstruction when intestinal obstruction is suspected.

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“…The typical mottled gas pattern of bezoar is visible in 18 % of patients on plain radiography of the abdomen [8]. The plain radiography can show also the signs of intestinal obstructions whether there are.…”

Section: Discussionmentioning

confidence: 99%

“…Phytobezoars are most common in the elderly patients with inadequate food intake and chronic constipation. Although they represent a rare cause of all intestinal obstructions (0.4-4 %) [8], the most common gastro-intestinal sites are stomach and small intestine, whereas the colon is rarely involved [9][10][11]. We present a rare case of bezoar localized in the cecum tract of the ascending colon in a child with an undefined abdominal pain and no sign of bowel obstruction.…”

Section: Introductionmentioning

confidence: 99%

A non-occlusive bezoar of caecum in a 7-year-old child: ultrasound detection and multimodality imaging management

Rossi

Zeccolini

2015

J Ultrasound

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Bezoars represent the most frequent foreign bodies of gastro-intestinal system, involving first of all the stomach and small intestine; instead the cecum tract is a very uncommon site for bezoars associated with a poor abdominal symptomatology. We report a case of a very rare localization of bezoar in the caecum tract of the ascending colon in a child affected by undefined abdominal pain. In this case, the abdominal Ultrasound examination showed characteristic imaging findings of bezoar completely comparable to that of Computed Tomography, allowing an early diagnosis of bezoar and the possibility of a conservative treatment for the young patient.Keywords Bezoar Á Gastro-intestinal foreign bodies Á Ultrasound Riassunto I bezoar rappresentano i più frequenti corpi estranei del tratto gastro-intestinale, interessando soprattutto lo stomaco ed il piccolo intestino, mentre il cieco rappresenta una localizzazione molto rara associata ad una scarsa sintomatologia addominale. Riportiamo un raro caso di bezoar localizzato a livello del tratto cecale del colon ascendente, in un bambino affetto da dolore addominale aspecifico. In questo caso, l'esame ecografico dell'addome ha mostrato reperti ultrasonografici caratteristici del bezoar completamente paragonabili a quelli evidenziati in Tomografia Computerizzata, permettendo di giungere ad una diagnosi precoce di bezoar ed alla possibilità di un trattamento conservativo per il giovane paziente. Abbreviations CT Computed tomography

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Small bowel phytobezoars: detection with radiography.

Cited by 71 publications

References 0 publications

An uncommon case of small bowel obstruction due to phytobezoar in a known case of tubercular abdomen: a decisional dilemma

An uncommon case of small bowel obstruction due to phytobezoar in a known case of tubercular abdomen: a decisional dilemma

Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report

A non-occlusive bezoar of caecum in a 7-year-old child: ultrasound detection and multimodality imaging management

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