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Phytobezoar: A Brief Report with Surgical and Radiological Correlation
Sameer A Hirji1, Faith C Robertson2, Grace F Chao3
1Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Case Reports in Surgery
|May 22, 2018
Summary
Gastrointestinal bezoars, collections of undigested material, can mimic serious conditions like bowel obstruction. This case highlights a phytobezoar successfully treated with surgery, emphasizing timely diagnosis and intervention.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Gastrointestinal bezoars are masses of indigestible material in the alimentary tract.
- They can complicate the diagnosis of small bowel obstruction, ischemia, or perforation.
Observation:
- A 37-year-old male presented with abdominal pain, nausea, vomiting, and hematemesis.
- History included laparotomy for superior mesenteric artery thrombosis and partial small bowel resection.
- Abdominal CT showed small bowel dilation with a transition point in the ileum.
Findings:
- Initial nonoperative management failed.
- Exploratory laparotomy revealed a 4x3 cm phytobezoar in the midjejunum.
- The patient underwent successful surgical removal.
Implications:
- Bezoars require consideration in patients with obstructive gastrointestinal symptoms, especially post-surgery.
- Prompt diagnosis and surgical intervention are crucial for favorable outcomes.
- This case underscores the importance of considering bezoars in the differential diagnosis of small bowel obstruction.
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