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Related Concept Videos

Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
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Updated: May 15, 2026

Ileectomy-induced Bile Overaccumulation in Mouse Intestine
06:55

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Published on: August 21, 2017

Biliary phytobezoar resulting in intestinal obstruction

Yura Kim1, Beom Jin Park, Min Ju Kim

  • 1Department of Radiology, College of Medicine, Korea University, Anam Hospital, Seoul 136-705, South Korea.

World Journal of Gastroenterology
|January 18, 2013
PubMed
Summary

A rare biliary phytobezoar, a mass of indigestible vegetable matter, caused small bowel obstruction. This case highlights the diagnostic challenges and unusual presentation of biliary phytobezoars.

Keywords:
BiliaryCholedochoduodenalFistulaIntestinal obstructionMultidetector-row computed tomographyPhytobezoar

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Ileectomy-induced Bile Overaccumulation in Mouse Intestine
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Area of Science:

  • Gastroenterology
  • Hepatology
  • Surgical Pathology

Background:

  • Phytobezoars, masses of indigestible vegetable fibers, are the most common type of bezoar, typically found in the stomach.
  • Biliary phytobezoars are exceptionally rare, posing significant diagnostic challenges due to their unusual location and infrequent occurrence.

Observation:

  • This report details an extremely rare case of a biliary phytobezoar.
  • The phytobezoar migrated and caused a small bowel obstruction, a previously undocumented complication.

Findings:

  • The biliary phytobezoar was not identified in the extrahepatic bile duct until it led to mechanical small bowel obstruction.
  • This represents the first documented instance of small bowel obstruction caused by the migration of a biliary phytobezoar.

Implications:

  • This case underscores the importance of considering rare etiologies, such as biliary phytobezoars, in patients presenting with small bowel obstruction.
  • Further research into the pathogenesis of biliary phytobezoars, particularly in relation to ampullary dysfunction, is warranted to improve diagnostic and therapeutic strategies.