Phytobezoar: A Brief Report with Surgical and Radiological Correlation
Gastrointestinal bezoars, collections of incompletely digested material within the alimentary tract, can present as a diagnostic challenge and should be considered in the differential diagnosis and management of small bowel obstruction, ischemic bowel, or bowel perforation. We present a case of a 37...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/5253162 |
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| author | Sameer A. Hirji Faith C. Robertson Grace F. Chao Bharti Khurana Jonathan D. Gates |
| author_facet | Sameer A. Hirji Faith C. Robertson Grace F. Chao Bharti Khurana Jonathan D. Gates |
| author_sort | Sameer A. Hirji |
| collection | DOAJ |
| description | Gastrointestinal bezoars, collections of incompletely digested material within the alimentary tract, can present as a diagnostic challenge and should be considered in the differential diagnosis and management of small bowel obstruction, ischemic bowel, or bowel perforation. We present a case of a 37-year-old man with a distant history of laparotomy for superior mesenteric artery thrombosis requiring partial small bowel resection of the jejunum who presented with worsening abdominal pain, nausea, vomiting, and hematemesis. An abdominal computed tomography revealed dilated loops of small bowel with a transition point at the ileum, distal to his prior bowel anastomosis. He was managed initially nonoperatively, but persistent vomiting and worsening distention necessitated urgent exploratory laparotomy. During the procedure, a 4 cm by 3 cm phytobezoar was discovered at the midjejunum. The patient had an unremarkable postoperative course with no further symptoms at 1-year follow-up. Timely diagnosis and treatment of bezoar is essential to minimize patient complications. |
| format | Article |
| id | doaj-art-439568aa46974a30ae31acbb0d3a58a6 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-439568aa46974a30ae31acbb0d3a58a62025-02-03T01:10:56ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/52531625253162Phytobezoar: A Brief Report with Surgical and Radiological CorrelationSameer A. Hirji0Faith C. Robertson1Grace F. Chao2Bharti Khurana3Jonathan D. Gates4Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USAHarvard Medical School, Boston, MA, USADepartment of Surgery, Yale-New Haven Hospital, Yale School of Medicine, New Haven, CT, USADepartment of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USADepartment of Surgery, Hartford Hospital, University of Connecticut, Hartford, CT, USAGastrointestinal bezoars, collections of incompletely digested material within the alimentary tract, can present as a diagnostic challenge and should be considered in the differential diagnosis and management of small bowel obstruction, ischemic bowel, or bowel perforation. We present a case of a 37-year-old man with a distant history of laparotomy for superior mesenteric artery thrombosis requiring partial small bowel resection of the jejunum who presented with worsening abdominal pain, nausea, vomiting, and hematemesis. An abdominal computed tomography revealed dilated loops of small bowel with a transition point at the ileum, distal to his prior bowel anastomosis. He was managed initially nonoperatively, but persistent vomiting and worsening distention necessitated urgent exploratory laparotomy. During the procedure, a 4 cm by 3 cm phytobezoar was discovered at the midjejunum. The patient had an unremarkable postoperative course with no further symptoms at 1-year follow-up. Timely diagnosis and treatment of bezoar is essential to minimize patient complications.http://dx.doi.org/10.1155/2018/5253162 |
| spellingShingle | Sameer A. Hirji Faith C. Robertson Grace F. Chao Bharti Khurana Jonathan D. Gates Phytobezoar: A Brief Report with Surgical and Radiological Correlation Case Reports in Surgery |
| title | Phytobezoar: A Brief Report with Surgical and Radiological Correlation |
| title_full | Phytobezoar: A Brief Report with Surgical and Radiological Correlation |
| title_fullStr | Phytobezoar: A Brief Report with Surgical and Radiological Correlation |
| title_full_unstemmed | Phytobezoar: A Brief Report with Surgical and Radiological Correlation |
| title_short | Phytobezoar: A Brief Report with Surgical and Radiological Correlation |
| title_sort | phytobezoar a brief report with surgical and radiological correlation |
| url | http://dx.doi.org/10.1155/2018/5253162 |
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