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Updated: Apr 27, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
How could such a wide piece of tree root pass through the narrow pyloric orifice? An extremely rare case
Arda Işik1, Y Deniz Firat1, Kemal Peker1
1Department of General Surgery, Erzincan University, Erzincan, Turkey.
Patient:
Female, 30 FINAL DIAGNOSIS: Phytobezoar Symptoms: Nausea • vomiting
Medication:
- Clinical Procedure: - Specialty: -
Objective:
Rare disease.
Background:
Phytobezoars are a common type of bezoar known to accumulate in the gastrointestinal system.
Case Report:
A 30-year-old mentally retarded woman was operated on due to small bowel obstruction. A piece of tree root was extracted from the ileum. The patient was discharged from the hospital on postoperative day 7.
Conclusions:
Due to difficulties in determining the nature of the bezoar preoperatively, small bowel obstruction due to a phytobezoar is not a common diagnosis. For bezoars, prevention is considered preferable to treatment.
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