Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report
Phytobezoars constitute conglomerates of indigested plant fibers and are a rare cause of acute mechanical ileus. They exhibit an increased prevalence in the elderly population and people with specific predisposing conditions. Radiological imaging can often set a definitive diagnosis and dictate the...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/7/1227 |
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| author | Christoforos S. Kosmidis Chrysi Maria Mystakidou Nikolaos Varsamis Charilaos Koulouris Christina Sevva Konstantina Papadopoulou Christina Michael Nikolaos Iason Katsios Vasiliki Theodorou Petrina Miltiadous Konstantinos Papadopoulos Konstantinos Vlassopoulos Katerina Zarampouka Stylianos Mantalovas |
| author_facet | Christoforos S. Kosmidis Chrysi Maria Mystakidou Nikolaos Varsamis Charilaos Koulouris Christina Sevva Konstantina Papadopoulou Christina Michael Nikolaos Iason Katsios Vasiliki Theodorou Petrina Miltiadous Konstantinos Papadopoulos Konstantinos Vlassopoulos Katerina Zarampouka Stylianos Mantalovas |
| author_sort | Christoforos S. Kosmidis |
| collection | DOAJ |
| description | Phytobezoars constitute conglomerates of indigested plant fibers and are a rare cause of acute mechanical ileus. They exhibit an increased prevalence in the elderly population and people with specific predisposing conditions. Radiological imaging can often set a definitive diagnosis and dictate the optimal therapeutic approach, combined with the patient’s clinical status. An 81-year-old male presented with deteriorating clinical symptoms of intestinal obstruction, and an exploratory laparotomy was performed following inconclusive radiological findings; multiple phytobezoars and incipient intussusception were revealed intraoperatively. A patient’s medical history can often raise clinical suspicion of phytobezoars. However, a careful etiological investigation is imperative in all cases of mechanical ileus in advanced ages; early detection and dissolution of phytobezoars, when applicable, can reduce the need for surgical interventions. |
| first_indexed | 2024-03-11T00:50:38Z |
| format | Article |
| id | doaj.art-2f40c9c569c04f19abf4cff3940ba57b |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T00:50:38Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-2f40c9c569c04f19abf4cff3940ba57b2023-11-18T20:23:38ZengMDPI AGMedicina1010-660X1648-91442023-06-01597122710.3390/medicina59071227Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case ReportChristoforos S. Kosmidis0Chrysi Maria Mystakidou1Nikolaos Varsamis2Charilaos Koulouris3Christina Sevva4Konstantina Papadopoulou5Christina Michael6Nikolaos Iason Katsios7Vasiliki Theodorou8Petrina Miltiadous9Konstantinos Papadopoulos10Konstantinos Vlassopoulos11Katerina Zarampouka12Stylianos Mantalovas13European Interbalkan Medical Center, 10 Asklipiou Street, 55535 Pylaia, GreeceMedical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceEuropean Interbalkan Medical Center, 10 Asklipiou Street, 55535 Pylaia, GreeceEuropean Interbalkan Medical Center, 10 Asklipiou Street, 55535 Pylaia, Greece3rd Surgical Department, University General Hospital of Thessaloniki “AHEPA”, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece1st Department of Internal Medicine, G. Papanikolaou General Hospital of Thessaloniki, 57010 Thessaloniki, GreeceMedical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceMedical School, Faculty of Health Sciences, University of Ioannina, 45110 Ioannina, GreeceMedical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceMedical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece3rd Surgical Department, University General Hospital of Thessaloniki “AHEPA”, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 1st St. Kiriakidi Street, 54621 Thessaloniki, GreeceMedical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreecePathology Department, Aristotle University of Thessaloniki, AHEPA University Hospital, 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece3rd Surgical Department, University General Hospital of Thessaloniki “AHEPA”, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 1st St. Kiriakidi Street, 54621 Thessaloniki, GreecePhytobezoars constitute conglomerates of indigested plant fibers and are a rare cause of acute mechanical ileus. They exhibit an increased prevalence in the elderly population and people with specific predisposing conditions. Radiological imaging can often set a definitive diagnosis and dictate the optimal therapeutic approach, combined with the patient’s clinical status. An 81-year-old male presented with deteriorating clinical symptoms of intestinal obstruction, and an exploratory laparotomy was performed following inconclusive radiological findings; multiple phytobezoars and incipient intussusception were revealed intraoperatively. A patient’s medical history can often raise clinical suspicion of phytobezoars. However, a careful etiological investigation is imperative in all cases of mechanical ileus in advanced ages; early detection and dissolution of phytobezoars, when applicable, can reduce the need for surgical interventions.https://www.mdpi.com/1648-9144/59/7/1227phytobezoarintestinal obstructionileusintussusception |
| spellingShingle | Christoforos S. Kosmidis Chrysi Maria Mystakidou Nikolaos Varsamis Charilaos Koulouris Christina Sevva Konstantina Papadopoulou Christina Michael Nikolaos Iason Katsios Vasiliki Theodorou Petrina Miltiadous Konstantinos Papadopoulos Konstantinos Vlassopoulos Katerina Zarampouka Stylianos Mantalovas Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report Medicina phytobezoar intestinal obstruction ileus intussusception |
| title | Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report |
| title_full | Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report |
| title_fullStr | Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report |
| title_full_unstemmed | Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report |
| title_short | Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report |
| title_sort | phytobezoar induced mechanical ileus and incipient intussusception a case report |
| topic | phytobezoar intestinal obstruction ileus intussusception |
| url | https://www.mdpi.com/1648-9144/59/7/1227 |
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