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[Phytobezoar as a cause of intestinal occlusion. Presentation of a case]

F X Hernández- Vera1, V Hugo-Guerrero, C Cosme-Reyes

  • 1Cirugía Centro Médico ABC, México, D.F., Mexico. fxhv@hotmail.com

Revista De Gastroenterologia De Mexico
|October 21, 2010
PubMed

Insights

A rare case of intestinal obstruction caused by a vegetal bezoar in an 83-year-old male is presented. Surgical removal via laparoscopy highlights minimally invasive techniques for bezoar management.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Surgery

Background:

  • Intestinal occlusions commonly result from adhesions, neoplasms, or hernias, accounting for 80% of cases.
  • Bezoars represent a less common but significant cause of bowel obstruction, occurring in approximately 4.3% of instances.

Observation:

  • An 83-year-old male presented with symptoms indicative of intestinal obstruction.
  • Diagnostic exploration revealed an intraluminal, non-fixed mass within the small bowel.

Findings:

  • A yellowish mass, measuring 3 x 4 cm, was successfully extracted through enterotomy.
  • Histological examination confirmed the mass to be a vegetal bezoar.

Implications:

  • This case underscores the importance of considering bezoars in the differential diagnosis of intestinal obstruction, even in elderly patients.
  • The successful laparoscopic removal demonstrates the increasing utility and efficacy of minimally invasive surgical approaches in managing complex gastrointestinal conditions like bezoar-induced obstruction.

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