A Case of Successful Colonoscopic Treatment of Colonic Obstruction Caused by Phytobezoar.
10.3393/jksc.2011.27.4.211
- Author:
Sang Seok YOON
1
;
Min Seong KIM
;
Dong Yoon KANG
;
Tack Su YUN
;
Jun Ho JEON
;
Yong Kyu LEE
;
Se Woong CHOI
;
Chi Hoon KIM
Author Information
1. Department of Internal Medicine, Good Gang-An Hospital, Busan, Korea. orga001@gmail.com
- Publication Type:Case Report
- Keywords:
Bezoars;
Intestinal obstruction;
Colonoscopy
- MeSH:
Abdominal Pain;
Aged;
Bezoars;
Colon;
Colon, Descending;
Colon, Sigmoid;
Colonoscopy;
Diospyros;
Female;
Humans;
Intestinal Obstruction;
Intestine, Small;
Porphyrins;
Stomach;
Vegetables
- From:Journal of the Korean Society of Coloproctology
2011;27(4):211-214
- CountryRepublic of Korea
- Language:English
-
Abstract:
A phytobezoar is the most common type of bezoar, which is a gastrointestinal mass composed of vegetable. A persimmon is a common cause of a phytobezoar. The majority of bezoars are found in the stomach, with the small intestine being the next most commonly involved site. The colon is a rare site for a bezoar. Recently, we experienced a colonic bezoar that caused colonic obstruction in a 66-year-old female patient who took persimmons regularly. The patient came to the hospital because of abdominal pain and distension. To differentiate a tumor or other problems that can cause intestinal obstruction, we performed an abdominal computed tomography scan and found an ovoid intraluminal mass with a mottled gas pattern in the distal descending colon. A large impacted bezoar was seen in the sigmoid colon, which was completely obstructed, and it was successfully removed by using colonoscopy.