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Small bowel obstruction due to phytobezoar: CT diagnosis
1Department of Radiology, Chang Gung Medical College and Memorial Hospital, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien 833, Taiwan.
Abdominal Imaging
|September 1, 1997
Summary
We describe two cases of small bowel obstruction caused by phytobezoar impaction. Computed tomography (CT) scans revealed specific signs, enabling accurate preoperative diagnosis of this rare condition.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Pathology
Background:
- Small bowel obstruction (SBO) is a common surgical emergency.
- Phytobezoars, indigestible masses of plant material, are an uncommon cause of SBO.
Observation:
- Two cases of SBO secondary to phytobezoar impaction were analyzed.
- Computed tomography (CT) imaging was utilized for diagnosis.
Findings:
- CT revealed a distinct, oval-shaped intraluminal mass with a mottled gas pattern at the obstruction site.
- The small bowel appeared dilated proximal to the mass and abruptly collapsed distally.
Implications:
- Specific CT findings can lead to a preoperative diagnosis of phytobezoar-induced SBO.
- Early and accurate diagnosis improves patient management and surgical planning.
- Highlights the importance of considering phytobezoars in the differential diagnosis of SBO.