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[Mechanical intestinal occlusion due to phytobezoars].
S Gorgone1, N Di Pietro, A G Rizzo
1Cattedra di Chirurgia Generale, Università degli Studi di Messina.
Il Giornale Di Chirurgia
|October 23, 2003
Summary
This study presents two cases of ileus caused by phytobezoars, which are indigestible masses of plant matter. The authors discuss the formation, causes, and surgical removal of these rare obstructions in the small intestine.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Phytobezoars, indigestible masses primarily composed of plant material, can cause gastrointestinal obstruction.
- Small bowel obstruction is a common surgical emergency, with phytobezoars representing an uncommon etiology.
Observation:
- Two cases of ileus secondary to phytobezoar formation in the distal jejunum and ileum are presented.
- The clinical presentation and diagnostic challenges associated with phytobezoar-induced obstruction are highlighted.
Findings:
- The pathophysiologic mechanisms leading to phytobezoar formation, including impaired gastric motility and excessive fiber intake, are discussed.
- Surgical intervention via enterotomy for phytobezoar removal is detailed as an effective treatment.
Implications:
- Understanding the etiology and clinical factors of phytobezoars is crucial for timely diagnosis and management.
- This case series contributes to the literature on rare causes of small bowel obstruction and surgical techniques for their resolution.