CT Findings of Patients with Small Bowel Obstruction due to Bezoar: A Descriptive Study
Purpose. The aim of this study was to present the computed tomography (CT) findings of bezoars that cause obstruction in the small bowel and to emphasize that some CT findings can be considered specific to some bezoar types. Materials and Methods. The records of 39 patients who underwent preoperati...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/298392 |
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| author | Fatih Altintoprak Bumin Degirmenci Enis Dikicier Guner Cakmak Taner Kivilcim Gokhan Akbulut Osman Nuri Dilek Yasemin Gunduz |
| author_facet | Fatih Altintoprak Bumin Degirmenci Enis Dikicier Guner Cakmak Taner Kivilcim Gokhan Akbulut Osman Nuri Dilek Yasemin Gunduz |
| author_sort | Fatih Altintoprak |
| collection | DOAJ |
| description | Purpose. The aim of this study was to present the computed tomography (CT) findings of bezoars that cause obstruction in the small bowel and to emphasize that some CT findings can be considered specific to some bezoar types.
Materials and Methods. The records of 39 patients who underwent preoperative abdominal CT and subsequent operation with a diagnosis of intestinal obstruction due to bezoars were retrospectively analyzed. Results. In total, 56 bezoars were surgically removed from 39 patients. Bezoars were most commonly located in the jejunum (n=26/56, 46.4%). Sixteen (41.0%) patients had multiple bezoar locations in the gastrointestinal tract. Common CT findings in all patients were a mottled gas pattern and a focal ovoid or round intraluminal mass with regular margins and a heterogeneous internal structure. Furthermore, some CT findings were determined to be specific to bezoars caused by persimmons. Conclusions. Preoperative CT is valuable in patients admitted with signs of intestinal obstruction in geographic regions with a high bezoar prevalence. We believe that the correct diagnosis of bezoars and the identification of their number and location provide a great advantage for all physicians and surgeons. In addition, some types of bezoars have unique CT findings, and we believe that these findings may help to establish a diagnosis. |
| format | Article |
| id | doaj-art-168c54033e0b47e984378d370a8e18b4 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-168c54033e0b47e984378d370a8e18b42025-02-03T06:01:33ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/298392298392CT Findings of Patients with Small Bowel Obstruction due to Bezoar: A Descriptive StudyFatih Altintoprak0Bumin Degirmenci1Enis Dikicier2Guner Cakmak3Taner Kivilcim4Gokhan Akbulut5Osman Nuri Dilek6Yasemin Gunduz7Department of General Surgery, Faculty of Medicine, Sakarya University, TurkeyDepartment of Radiology, Faculty of Medicine, Sakarya University, TurkeyDepartment of General Surgery, Sakarya University Research and Educational Hospital, TurkeyDepartment of General Surgery, Sakarya University Research and Educational Hospital, TurkeyDepartment of General Surgery, Sakarya University Research and Educational Hospital, TurkeyDepartment of General Surgery, Faculty of Medicine, Sakarya University, TurkeyDepartment of General Surgery, Faculty of Medicine, Sakarya University, TurkeyDepartment of Radiology, Faculty of Medicine, Sakarya University, TurkeyPurpose. The aim of this study was to present the computed tomography (CT) findings of bezoars that cause obstruction in the small bowel and to emphasize that some CT findings can be considered specific to some bezoar types. Materials and Methods. The records of 39 patients who underwent preoperative abdominal CT and subsequent operation with a diagnosis of intestinal obstruction due to bezoars were retrospectively analyzed. Results. In total, 56 bezoars were surgically removed from 39 patients. Bezoars were most commonly located in the jejunum (n=26/56, 46.4%). Sixteen (41.0%) patients had multiple bezoar locations in the gastrointestinal tract. Common CT findings in all patients were a mottled gas pattern and a focal ovoid or round intraluminal mass with regular margins and a heterogeneous internal structure. Furthermore, some CT findings were determined to be specific to bezoars caused by persimmons. Conclusions. Preoperative CT is valuable in patients admitted with signs of intestinal obstruction in geographic regions with a high bezoar prevalence. We believe that the correct diagnosis of bezoars and the identification of their number and location provide a great advantage for all physicians and surgeons. In addition, some types of bezoars have unique CT findings, and we believe that these findings may help to establish a diagnosis.http://dx.doi.org/10.1155/2013/298392 |
| spellingShingle | Fatih Altintoprak Bumin Degirmenci Enis Dikicier Guner Cakmak Taner Kivilcim Gokhan Akbulut Osman Nuri Dilek Yasemin Gunduz CT Findings of Patients with Small Bowel Obstruction due to Bezoar: A Descriptive Study The Scientific World Journal |
| title | CT Findings of Patients with Small Bowel Obstruction due to Bezoar: A Descriptive Study |
| title_full | CT Findings of Patients with Small Bowel Obstruction due to Bezoar: A Descriptive Study |
| title_fullStr | CT Findings of Patients with Small Bowel Obstruction due to Bezoar: A Descriptive Study |
| title_full_unstemmed | CT Findings of Patients with Small Bowel Obstruction due to Bezoar: A Descriptive Study |
| title_short | CT Findings of Patients with Small Bowel Obstruction due to Bezoar: A Descriptive Study |
| title_sort | ct findings of patients with small bowel obstruction due to bezoar a descriptive study |
| url | http://dx.doi.org/10.1155/2013/298392 |
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