Small Intestinal Obstruction due to Phytobezoars: Case reports.
- Author:
Myoung Cheol KIM
1
;
Hiun Suk CHAE
;
Hyun Jung TAE
;
Sun Hee PARK
;
Jeong Won JANG
;
Kang Moon LEE
;
Sung Soo KIM
;
Choon Sang BANG
;
Chang Don LEE
;
Kyu Yong CHOI
;
In Sik CHUNG
;
Hee Sik SUN
;
Chang Hyeok AN
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. chs@cmc.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Phytobezoar;
Small bowel obstruction;
Surgery;
Colonoscopy
- MeSH:
Aged;
Bezoars;
Colonoscopy;
Dentition;
Diospyros;
Duodenal Ulcer;
Eating;
Humans;
Ileum;
Intestinal Obstruction*;
Jejunum;
Male;
Middle Aged;
Stomach;
Vagotomy
- From:Korean Journal of Gastrointestinal Endoscopy
2001;22(3):182-186
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Phytobezoars are the most common type of bezoars composed of nondigestible food material. They are usually formed in stomach and do not migrate to the other intestinal tract. Recently, we experienced two cases of small bowel phytobezoars resulting in obstruction. The first case is a 72-year-old male patient who had no previous history of surgery. He had poor dentition, and the history of eating dry persimmons 20 days before the onset of symptoms. The phytobezoar (4 X 3 cm) obstructed the terminal ileum. Colonoscopic removal was performed successfully. The second case is a 45-year-old male patient undergone previous vagotomy and pyloroplasty for duodenal ulcer perforation. He had a huge phytobezoar (10 X 6 cm) in stomach, which was treated by endoscopic removal. After incomplete endoscopic treatment, it moved into the proximal jejunum and obstructed the lumen. It was removed by operation.
