Small intestinal obstruction due to phytobezoar: a case report
Identifieur interne : 002B84 ( Ncbi/Curation ); précédent : 002B83; suivant : 002B85Small intestinal obstruction due to phytobezoar: a case report
Auteurs : Rajan Fuad Ezzat [Iraq] ; Shahzad Ali Rashid [Iraq] ; Abbas Tahir Rashid [Iraq] ; Khaled Musttafa Abdullah [Iraq] ; Shyaw Mahmood Ahmed [Iraq]Source :
- Journal of Medical Case Reports [ 1752-1947 ] ; 2009.
Abstract
Patients with mechanical small-bowel obstructions usually present with abdominal pain, vomiting, absolute constipation and varying degrees of abdominal distention. Causes can be classified as benign or malignant, or as extra- or intraluminal. A bezoar occurs most commonly in patients with impaired gastrointestinal motility. In edentulous older patients with abnormal food habits, it can also be an intestinal concretion that fails to pass along the alimentary canal.
Small bowel phytobezoars are rare and almost always obstructive. In a normal stomach, vegetable fibres that cannot pass through the pylorus undergo hydrolysis within the stomach, which softens them enough to go through the small bowel.
We present an unusual case of small intestinal obstruction caused by a phytobezoar in a patient who had neither a history of gastric surgery nor of intestinal pathology.
A 70-year-old Iraqi Kurdish man was hospitalized due to abdominal pain, vomiting and dehydration. Investigations concluded small intestinal obstruction. Subsequent laparotomy revealed that the cause of the obstruction was an eggplant phytobezoar.
Many types of bezoar can be removed endoscopically, but some will require operative intervention. Subsequently, prevention of any recurrence should be emphasized.
Url:
DOI: 10.1186/1752-1947-3-9312
PubMed: 20062741
PubMed Central: 2803835
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Sulaimanyah</wicri:regionArea><wicri:noRegion>Sulaimanyah</wicri:noRegion></affiliation></author><author><name sortKey="Rashid, Shahzad Ali" sort="Rashid, Shahzad Ali" uniqKey="Rashid S" first="Shahzad Ali" last="Rashid">Shahzad Ali Rashid</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah, Iraq</nlm:aff><country xml:lang="fr">Iraq</country><wicri:regionArea>Department of Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah</wicri:regionArea><wicri:noRegion>Sulaimanyah</wicri:noRegion></affiliation></author><author><name sortKey="Rashid, Abbas Tahir" sort="Rashid, Abbas Tahir" uniqKey="Rashid A" first="Abbas Tahir" last="Rashid">Abbas Tahir Rashid</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah, Iraq</nlm:aff><country xml:lang="fr">Iraq</country><wicri:regionArea>Department of Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah</wicri:regionArea><wicri:noRegion>Sulaimanyah</wicri:noRegion></affiliation></author><author><name sortKey="Abdullah, Khaled Musttafa" sort="Abdullah, Khaled Musttafa" uniqKey="Abdullah K" first="Khaled Musttafa" last="Abdullah">Khaled Musttafa Abdullah</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah, Iraq</nlm:aff><country xml:lang="fr">Iraq</country><wicri:regionArea>Department of Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah</wicri:regionArea><wicri:noRegion>Sulaimanyah</wicri:noRegion></affiliation></author><author><name sortKey="Ahmed, Shyaw Mahmood" sort="Ahmed, Shyaw Mahmood" uniqKey="Ahmed S" first="Shyaw Mahmood" last="Ahmed">Shyaw Mahmood Ahmed</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah, Iraq</nlm:aff><country xml:lang="fr">Iraq</country><wicri:regionArea>Department of Surgery, Sulaimanyah Teaching Hospital, Sulaimanyah</wicri:regionArea><wicri:noRegion>Sulaimanyah</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Medical Case Reports</title><idno type="eISSN">1752-1947</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Introduction</title><p>Patients with mechanical small-bowel obstructions usually present with abdominal pain, vomiting, absolute constipation and varying degrees of abdominal distention. Causes can be classified as benign or malignant, or as extra- or intraluminal. A bezoar occurs most commonly in patients with impaired gastrointestinal motility. In edentulous older patients with abnormal food habits, it can also be an intestinal concretion that fails to pass along the alimentary canal.</p><p>Small bowel phytobezoars are rare and almost always obstructive. In a normal stomach, vegetable fibres that cannot pass through the pylorus undergo hydrolysis within the stomach, which softens them enough to go through the small bowel.</p><p>We present an unusual case of small intestinal obstruction caused by a phytobezoar in a patient who had neither a history of gastric surgery nor of intestinal pathology.</p></sec><sec><title>Case presentation</title><p>A 70-year-old Iraqi Kurdish man was hospitalized due to abdominal pain, vomiting and dehydration. Investigations concluded small intestinal obstruction. Subsequent laparotomy revealed that the cause of the obstruction was an eggplant phytobezoar.</p></sec><sec><title>Conclusion</title><p>Many types of bezoar can be removed endoscopically, but some will require operative intervention. Subsequently, prevention of any recurrence should be emphasized.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Acar, T" uniqKey="Acar T">T Acar</name></author><author><name sortKey="Tuncal, S" uniqKey="Tuncal S">S Tuncal</name></author><author><name sortKey="Aydin, R" uniqKey="Aydin R">R Aydin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yildirim, T" uniqKey="Yildirim T">T Yildirim</name></author><author><name sortKey="Yildirim, S" uniqKey="Yildirim S">S Yildirim</name></author><author><name sortKey="Barutcu, O" uniqKey="Barutcu O">O Barutcu</name></author><author><name sortKey="Oguzkurt, L" uniqKey="Oguzkurt L">L Oguzkurt</name></author><author><name sortKey="Noyan, T" uniqKey="Noyan T">T Noyan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Jh" uniqKey="Kim J">JH Kim</name></author><author><name sortKey="Ha, Hk" uniqKey="Ha H">HK Ha</name></author><author><name sortKey="Sohn, Mj" uniqKey="Sohn M">MJ Sohn</name></author><author><name sortKey="Kim, Ay" uniqKey="Kim A">AY Kim</name></author><author><name sortKey="Kim, Tk" uniqKey="Kim T">TK Kim</name></author><author><name sortKey="Kim, Pn" uniqKey="Kim P">PN Kim</name></author><author><name sortKey="Lee, Mg" uniqKey="Lee M">MG Lee</name></author><author><name sortKey="Myung, Sj" uniqKey="Myung S">SJ Myung</name></author><author><name sortKey="Yang, Sk" uniqKey="Yang S">SK Yang</name></author><author><name sortKey="Jung, Hy" uniqKey="Jung H">HY Jung</name></author><author><name sortKey="Kim, Jh" uniqKey="Kim J">JH Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Disantis, Dj" uniqKey="Disantis D">DJ DiSantis</name></author><author><name sortKey="Ralls, Pw" uniqKey="Ralls P">PW Ralls</name></author><author><name sortKey="Balfe, Dm" uniqKey="Balfe D">DM Balfe</name></author><author><name sortKey="Bree, Rl" uniqKey="Bree R">RL Bree</name></author><author><name sortKey="Glick, Sn" uniqKey="Glick S">SN Glick</name></author><author><name sortKey="Levine, Ms" uniqKey="Levine M">MS Levine</name></author><author><name sortKey="Megibow, Aj" uniqKey="Megibow A">AJ Megibow</name></author><author><name sortKey="Saini, S" uniqKey="Saini S">S Saini</name></author><author><name sortKey="Shuman, Wp" uniqKey="Shuman W">WP Shuman</name></author><author><name sortKey="Greene, Fl" uniqKey="Greene F">FL Greene</name></author><author><name sortKey="Laine, La" uniqKey="Laine L">LA Laine</name></author><author><name sortKey="Lillemoe, K" uniqKey="Lillemoe K">K Lillemoe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kalogeropoulou, C" uniqKey="Kalogeropoulou C">C Kalogeropoulou</name></author><author><name sortKey="Kraniotis, P" uniqKey="Kraniotis P">P Kraniotis</name></author><author><name sortKey="Zabakis, P" uniqKey="Zabakis P">P Zabakis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Andrus, Ch" uniqKey="Andrus C">CH Andrus</name></author><author><name sortKey="Ponsky, Jl" uniqKey="Ponsky J">JL Ponsky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Teo, M" uniqKey="Teo M">M Teo</name></author><author><name sortKey="Wong, Ch" uniqKey="Wong C">CH Wong</name></author><author><name sortKey="Chui, Ch" uniqKey="Chui C">CH Chui</name></author><author><name sortKey="Chow, P" uniqKey="Chow P">P Chow</name></author><author><name sortKey="Soo, Kc" uniqKey="Soo K">KC Soo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, Jf" uniqKey="Lee J">JF Lee</name></author><author><name sortKey="Leow, Ck" uniqKey="Leow C">CK Leow</name></author><author><name sortKey="Lai, Pb" uniqKey="Lai P">PB Lai</name></author><author><name sortKey="Lau, Wy" uniqKey="Lau W">WY Lau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rippoles, T" uniqKey="Rippoles T">T Rippolés</name></author><author><name sortKey="Garcia Aguayo, J" uniqKey="Garcia Aguayo J">J Garcia-Aguayo</name></author><author><name sortKey="Martinez, Mj" uniqKey="Martinez M">MJ Martinez</name></author><author><name sortKey="Gil, P" uniqKey="Gil P">P Gil</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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