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Multiple iniobezoars causing acute intestinal obstruction

A K Somani1, N K Malpani, V Vardhan

  • 1Department of Surgery, R N T Medical College, Udaipur.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|February 18, 1998
PubMed
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Multiple coirbezoars, a type of indigestible fiber mass, caused acute intestinal obstruction in a patient with a prior trichobezoar surgery. This case highlights unusual bezoar formation after previous gastrointestinal surgery.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Bezoars are concretions of indigestible material in the gastrointestinal tract.
  • Trichobezoars are associated with psychiatric conditions, while coirbezoars are formed from coconut fiber.
  • Previous gastrointestinal surgery is a known risk factor for bezoar formation.

Observation:

  • A patient with a history of trichobezoar surgery presented with acute intestinal obstruction.
  • Multiple coirbezoars were identified as the cause of the obstruction.

Findings:

  • The coirbezoars (iniobezoars) were the direct cause of acute intestinal obstruction.
  • This presentation is unusual, particularly the formation of multiple coirbezoars post-trichobezoar surgery.

Implications:

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  • This case underscores the potential for diverse bezoar types to form, even after prior surgical intervention for a different type.
  • Clinicians should consider bezoars, including less common types like coirbezoars, in patients with a history of bezoars and presenting with abdominal symptoms.
  • Further research into the specific mechanisms of coirbezoar formation in post-surgical patients may be warranted.