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Intestinal obstruction due to bezoars.

S S Goldstein, J H Lewis, R Rothstein

    The American Journal of Gastroenterology
    |April 1, 1984
    PubMed
    Summary
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    This case highlights gastric phytobezoars as a rare cause of intestinal obstruction in patients without prior surgery. Prompt diagnosis and dietary history are crucial for managing this condition.

    Area of Science:

    • Gastroenterology
    • Surgical Case Reports

    Background:

    • Gastric phytobezoars are rare concretions formed from indigestible material, primarily in patients with altered gastric anatomy or motility.
    • This case presents a unique instance of phytobezoar formation and subsequent small bowel obstruction in a patient with no history of gastric surgery.

    Observation:

    • A patient presented with acute intestinal obstruction attributed to gastric phytobezoars.
    • Surgical exploration revealed phytobezoar fragments obstructing the ileocecal valve and two fragmented bezoars within the stomach.

    Findings:

    • Phytobezoars, specifically from persimmon ingestion, can cause significant gastrointestinal obstruction even in the absence of prior abdominal surgery.
    • Successful management involved surgical removal of the bezoars via gastrotomy and laparotomy.

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    Implications:

    • Emphasizes the importance of considering phytobezoars in the differential diagnosis of small bowel obstruction, particularly when no surgical history is present.
    • Highlights the diagnostic value of a detailed dietary history in patients presenting with acute intestinal obstruction.