| Acute Surgical Abdomen Due to Phytobezoar-induced Ileal Obstruction. | |
| | |
MedLine Citation:
|
PMID: 22040770 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Phytobezoar-induced small bowel obstruction is an uncommon clinical entity accounting for 2-4.8% of all mechanical intestinal obstructions. In addition, presentation with features of acute surgical abdomen is extremely rare, accounting for only 1% of the patients. OBJECTIVES: The aim of this report is to present a very rare case of a phytobezoar-induced small bowel obstruction in a male patient who presented with acute surgical abdomen. A correct preoperative diagnosis was made based on the patient's history and characteristic imaging features on the emergency computed tomography (CT) scan. CASE REPORT: A 55-year-old man with previous gastrectomy presented with typical manifestations of acute abdomen. CT scan demonstrated dilatated small bowel loops and an intraluminal ileal mass with a mottled appearance. At exploratory laparotomy, a phytobezoar was found impacted in the terminal ileum and was removed through an enterotomy. CONCLUSIONS: Phytobezoar should be considered in patients with previous gastric outlet surgery who present with bowel obstruction and features of acute surgical abdomen. The presence of a well-defined intraluminal mass with a mottled gas pattern on emergency CT scan is suggestive of an intestinal phytobezoar. |
| | |
Authors:
|
Nikolaos S Salemis; Nikolaos Panagiotopoulos; Nikolaos Sdoukos; Evangelos Niakas |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-10-29 |
Journal Detail:
|
Title: The Journal of emergency medicine Volume: - ISSN: 0736-4679 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2011-11-1 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
|
Second Department of Surgery, Army General Hospital, Athens, Greece. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: AN Unusual Presentation of a Chronic Ingested Foreign Body in an Adult.
Next Document: Characteristics of Frequent Geriatric Users of an Urban Emergency Department.