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Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report
Christoforos S Kosmidis1,2, Chrysi Maria Mystakidou3, Nikolaos Varsamis1
1European Interbalkan Medical Center, 10 Asklipiou Street, 55535 Pylaia, Greece.
Medicina (Kaunas, Lithuania)
|July 29, 2023
Summary
Phytobezoars, indigestible plant fiber masses, rarely cause acute mechanical ileus, particularly in the elderly. Early diagnosis and non-surgical treatment for phytobezoars can prevent surgery for intestinal obstruction.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Phytobezoars are rare causes of acute mechanical ileus, more common in the elderly and those with predisposing conditions.
- Mechanical ileus in older adults necessitates thorough etiological investigation.
Observation:
- An 81-year-old male presented with symptoms of intestinal obstruction.
- Radiological findings were inconclusive, leading to an exploratory laparotomy.
- Intraoperative findings revealed multiple phytobezoars and incipient intussusception.
Findings:
- Phytobezoars are indigestible plant fiber conglomerates.
- Diagnosis can often be made with radiological imaging.
- Clinical history may raise suspicion for phytobezoars.
Implications:
- Early detection and dissolution of phytobezoars can potentially avoid surgical intervention.
- Understanding risk factors is crucial for prompt diagnosis.
- This case highlights the importance of considering phytobezoars in elderly patients with intestinal obstruction.
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