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. 2013 Oct;7(10):2298-9.
doi: 10.7860/JCDR/2013/7248.3504. Epub 2013 Sep 14.

Phytobezoar: a rare cause of small bowel obstruction

Anupama Pujar K  1 , Sreekar Pai A, Bharati Hiremath V
Affiliations

Phytobezoar: a rare cause of small bowel obstruction

Anupama Pujar K et al. J Clin Diagn Res. 2013 Oct.

Abstract

Phytobezoar is an unusual cause of small bowel obstruction. It accounts for about 0.4%-4% of all mechanical bowel obstruction. However, the symptoms are not very different from those caused by usual aetiologies of small bowel obstruction. The commonest site of obstruction is terminal ileum. Treatment of small bowel obstruction due to Phytobezoar is surgery. Prevention includes avoidance of high fibre diet, prokinetics particularly in patients who have undergone gastric surgery. A 57-year-old male presented with symptoms and signs of small bowel obstruction. On exploratory laparotomy Phytobezoar in the ileum was found to be the cause of obstruction. Diagnosis was confirmed by histopathology.

Keywords: Bezoar; Intestinal obstruction; Phytobezoar.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Dilated small bowel loops withintraluminal mass being felt
[Table/Fig-2]:
[Table/Fig-2]:
Phytobezoar after being removed through enterotomy
[Table/Fig-3]:
[Table/Fig-3]:
Histopathology of faecolith showing vegetable matter
See this image and copyright information in PMC

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