A rare cause of small bowel obstruction due to bezoar in a virgin abdomen

International Journal of Surgery Case Reports
Baongoc NasriBrian Gilchrist

Abstract

Bezoar is an unusual cause of small bowel obstruction accounting for 0.4-4% of all mechanical bowel obstruction. The common site of obstruction is terminal ileum. A 28-year-old male with no past surgical history, known to have severe mental retardation presented with anorexia. CT scan demonstrated dilated small bowel loops and intraluminal ileal mass with mottled appearance. At exploratory laparotomy, a bezoar was found impacted in the terminal ileum 5-6 inches away from the ileocecal valve and was removed through an enterotomy. Bezoars are concretions of fibers or foreign bodies in the alimentary tract. Small bowel obstruction is one of common clinical symptoms. The typical finding of well-defined intraluminal mass with mottled gas pattern in CT scan is suggestive of an intestinal bezoar. The treatment option of bezoar is surgery including manual fragmentation of bezoar and pushing it toward cecum, enterotomy or segmental bowel resection. Thorough exploration of abdominal cavity should be done to exclude the presence of concomitant bezoars. Recurrence is common unless underlying predisposing condition is corrected. Bezoar-induced small bowel obstruction remains an uncommon diagnosis. It should be suspected in patients with an ...Continue Reading

References

Nov 1, 1995·Clinical Radiology·W W Mayo-SmithP R Mueller
Mar 1, 1994·The Australian and New Zealand Journal of Surgery·C Y Lo, P W Lau
Aug 4, 2004·Emergency Radiology·Rivka ZissinGabriela Gayer
Mar 29, 2005·World Journal of Gastroenterology : WJG·Kenan ErzurumluKayhan Ozkan
Oct 23, 2008·AJR. American Journal of Roentgenology·Eric DelabrousseBruno A Kastler
Jul 1, 2005·Biomedical Imaging and Intervention Journal·Hc TengYi Yik
Nov 2, 2011·The Journal of Emergency Medicine·Nikolaos S SalemisEvangelos Niakas

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Citations

Mar 13, 2014·The Journal of Emergency Medicine·Christopher R TainterJanak K Acharya
Dec 17, 2016·Journal of Medical Case Reports·S OcchionorelliG Vasquez
Oct 11, 2017·BMJ Case Reports·Waseem AmjadShahzad Iqbal
Dec 17, 2019·ANZ Journal of Surgery·Mina SarofimMouhannad Jaber

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Methods Mentioned

BETA
secrection

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