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An Obstructing Small Bowel Phytobezoar in an Elderly Female Nigerian: A Case Report and Literature Review
O S Balogun1, A O Osinowo1, M O Afolayan1
1General Surgery Unit, Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Lagos, PMB 12003, Idi Araba, Lagos, Nigeria.
Abstract:
Small bowel obstruction secondary to phytobezoars is an unusual presentation in surgery. We present a case of an elderly female patient with an insidious onset of abdominal pain, abdominal distension, and bilious vomiting diagnosed radiologically to be small bowel obstruction. Exploratory laparotomy revealed a trapped mass of vegetable matter in the distal ileum. She had enterotomy with primary closure for removal of obstructing ileal phytobezoars. Her postoperative recovery was uneventful.
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