Phytobezoar in a jejunal diverticulum as a cause of small bowel obstruction: a case report

<p>Abstract</p> <p>Introduction</p> <p>Phytobezoars are concretions of poorly digested fruit and vegetable fibers found in the alimentary tract. Previous gastric resection, gastrojejunostomy, or pyloroplasty predispose people to bezoar formation. Small-bowel bezoars nor...

Full description

Bibliographic Details
Main Authors: Rauf Fozia, Khan Faiz, Tayeb Mohammad, Khan M Mumtaz
Format: Article
Language:English
Published: BMC 2011-09-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/5/1/482
_version_ 1811247994122534912
author Rauf Fozia
Khan Faiz
Tayeb Mohammad
Khan M Mumtaz
author_facet Rauf Fozia
Khan Faiz
Tayeb Mohammad
Khan M Mumtaz
author_sort Rauf Fozia
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Phytobezoars are concretions of poorly digested fruit and vegetable fibers found in the alimentary tract. Previous gastric resection, gastrojejunostomy, or pyloroplasty predispose people to bezoar formation. Small-bowel bezoars normally come from the stomach, and primary small-bowel bezoars are very rare. They are seen only in patients with underlying small-bowel diseases such as diverticula, strictures, or tumors. Primary small-bowel bezoars almost always present as intestinal obstructions, although it is a very rare cause, being responsible for less than 3% of all small-bowel obstructions in one series. Jejunal diverticula are rare, with an incidence of less than 0.5%. They are usually asymptomatic pseudodiverticula of pulsion type, and complications are reported in 10% to 30% of patients. A phytobezoar in a jejunal diverticulum is an extremely rare presentation.</p> <p>Case presentation</p> <p>A 78-year-old Pakistani man presented to our clinic with small-bowel obstruction. Upon exploration, we found a primary small-bowel bezoar originating in a jejunal diverticulum and causing jejunal obstruction. Resection and anastomosis of the jejunal segment harboring the diverticulum was performed, and our patient had an uneventful recovery.</p> <p>Conclusion</p> <p>Primary small-bowel bezoars are very rare but must be kept in mind as a possible cause of small-bowel obstruction.</p>
first_indexed 2024-04-12T15:20:21Z
format Article
id doaj.art-2586e4bdbc8f4a1b9fc8d3e5e38a12ed
institution Directory Open Access Journal
issn 1752-1947
language English
last_indexed 2024-04-12T15:20:21Z
publishDate 2011-09-01
publisher BMC
record_format Article
series Journal of Medical Case Reports
spelling doaj.art-2586e4bdbc8f4a1b9fc8d3e5e38a12ed2022-12-22T03:27:29ZengBMCJournal of Medical Case Reports1752-19472011-09-015148210.1186/1752-1947-5-482Phytobezoar in a jejunal diverticulum as a cause of small bowel obstruction: a case reportRauf FoziaKhan FaizTayeb MohammadKhan M Mumtaz<p>Abstract</p> <p>Introduction</p> <p>Phytobezoars are concretions of poorly digested fruit and vegetable fibers found in the alimentary tract. Previous gastric resection, gastrojejunostomy, or pyloroplasty predispose people to bezoar formation. Small-bowel bezoars normally come from the stomach, and primary small-bowel bezoars are very rare. They are seen only in patients with underlying small-bowel diseases such as diverticula, strictures, or tumors. Primary small-bowel bezoars almost always present as intestinal obstructions, although it is a very rare cause, being responsible for less than 3% of all small-bowel obstructions in one series. Jejunal diverticula are rare, with an incidence of less than 0.5%. They are usually asymptomatic pseudodiverticula of pulsion type, and complications are reported in 10% to 30% of patients. A phytobezoar in a jejunal diverticulum is an extremely rare presentation.</p> <p>Case presentation</p> <p>A 78-year-old Pakistani man presented to our clinic with small-bowel obstruction. Upon exploration, we found a primary small-bowel bezoar originating in a jejunal diverticulum and causing jejunal obstruction. Resection and anastomosis of the jejunal segment harboring the diverticulum was performed, and our patient had an uneventful recovery.</p> <p>Conclusion</p> <p>Primary small-bowel bezoars are very rare but must be kept in mind as a possible cause of small-bowel obstruction.</p>http://www.jmedicalcasereports.com/content/5/1/482
spellingShingle Rauf Fozia
Khan Faiz
Tayeb Mohammad
Khan M Mumtaz
Phytobezoar in a jejunal diverticulum as a cause of small bowel obstruction: a case report
Journal of Medical Case Reports
title Phytobezoar in a jejunal diverticulum as a cause of small bowel obstruction: a case report
title_full Phytobezoar in a jejunal diverticulum as a cause of small bowel obstruction: a case report
title_fullStr Phytobezoar in a jejunal diverticulum as a cause of small bowel obstruction: a case report
title_full_unstemmed Phytobezoar in a jejunal diverticulum as a cause of small bowel obstruction: a case report
title_short Phytobezoar in a jejunal diverticulum as a cause of small bowel obstruction: a case report
title_sort phytobezoar in a jejunal diverticulum as a cause of small bowel obstruction a case report
url http://www.jmedicalcasereports.com/content/5/1/482
work_keys_str_mv AT rauffozia phytobezoarinajejunaldiverticulumasacauseofsmallbowelobstructionacasereport
AT khanfaiz phytobezoarinajejunaldiverticulumasacauseofsmallbowelobstructionacasereport
AT tayebmohammad phytobezoarinajejunaldiverticulumasacauseofsmallbowelobstructionacasereport
AT khanmmumtaz phytobezoarinajejunaldiverticulumasacauseofsmallbowelobstructionacasereport