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...
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Format: | Article |
Language: | English |
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BMC
2011-09-01
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Series: | Journal of Medical Case Reports |
Online Access: | http://www.jmedicalcasereports.com/content/5/1/482 |
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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> |
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institution | Directory Open Access Journal |
issn | 1752-1947 |
language | English |
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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 |
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