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CT findings in patients with small bowel obstruction due to phytobezoar.
Emerg Radiol. 2004 Feb; 10(4):197-200.ER

Abstract

The role of CT in evaluating patients with small bowel obstruction (SBO) has been extensively described in the current literature. We present the CT findings of SBO due to a phytobezoar, afterwards surgically confirmed, in 5 men and 1 woman (aged 32-89 years) out of 95 patients diagnosed by CT as having SBO in a 44-month period. These six patients underwent abdominal CT prior to operation and the CT findings were retrospectively reviewed. All six patients presented with clinical symptoms and signs of SBO; three of them had undergone gastric surgery 13, 17, and 22 years earlier, respectively. In all six cases, CT showed an ovoid intraluminal mass, 3 x 5 cm in size and of a mottled appearance, at the transition zone between dilated and collapsed small bowel loops. This was in contrast to feces-like material (the "small bowel feces sign"), seen within dilated small bowel loops in nine patients with SBO, and was typically longer. As CT is frequently performed for suspected SBO, an ovoid, short intraluminal mottled mass seen at the site of an obstruction may be regarded as a pathognomonic preoperative sign of an obstructing phytobezoar.

Authors+Show Affiliations

Department of Diagnostic Imaging, Sapir Medical Center, Kfar Saba, Israel. ZisinRivka@clalit.org.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15290490

Citation

Zissin, Rivka, et al. "CT Findings in Patients With Small Bowel Obstruction Due to Phytobezoar." Emergency Radiology, vol. 10, no. 4, 2004, pp. 197-200.
Zissin R, Osadchy A, Gutman V, et al. CT findings in patients with small bowel obstruction due to phytobezoar. Emerg Radiol. 2004;10(4):197-200.
Zissin, R., Osadchy, A., Gutman, V., Rathaus, V., Shapiro-Feinberg, M., & Gayer, G. (2004). CT findings in patients with small bowel obstruction due to phytobezoar. Emergency Radiology, 10(4), 197-200.
Zissin R, et al. CT Findings in Patients With Small Bowel Obstruction Due to Phytobezoar. Emerg Radiol. 2004;10(4):197-200. PubMed PMID: 15290490.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - CT findings in patients with small bowel obstruction due to phytobezoar. AU - Zissin,Rivka, AU - Osadchy,Alexandra, AU - Gutman,Vladimir, AU - Rathaus,Valeria, AU - Shapiro-Feinberg,Myra, AU - Gayer,Gabriela, Y1 - 2003/12/10/ PY - 2003/04/02/received PY - 2003/05/30/accepted PY - 2004/8/4/pubmed PY - 2004/9/4/medline PY - 2004/8/4/entrez SP - 197 EP - 200 JF - Emergency radiology JO - Emerg Radiol VL - 10 IS - 4 N2 - The role of CT in evaluating patients with small bowel obstruction (SBO) has been extensively described in the current literature. We present the CT findings of SBO due to a phytobezoar, afterwards surgically confirmed, in 5 men and 1 woman (aged 32-89 years) out of 95 patients diagnosed by CT as having SBO in a 44-month period. These six patients underwent abdominal CT prior to operation and the CT findings were retrospectively reviewed. All six patients presented with clinical symptoms and signs of SBO; three of them had undergone gastric surgery 13, 17, and 22 years earlier, respectively. In all six cases, CT showed an ovoid intraluminal mass, 3 x 5 cm in size and of a mottled appearance, at the transition zone between dilated and collapsed small bowel loops. This was in contrast to feces-like material (the "small bowel feces sign"), seen within dilated small bowel loops in nine patients with SBO, and was typically longer. As CT is frequently performed for suspected SBO, an ovoid, short intraluminal mottled mass seen at the site of an obstruction may be regarded as a pathognomonic preoperative sign of an obstructing phytobezoar. SN - 1070-3004 UR - https://www.unboundmedicine.com/medline/citation/15290490/CT_findings_in_patients_with_small_bowel_obstruction_due_to_phytobezoar_ L2 - https://dx.doi.org/10.1007/s10140-003-0297-0 DB - PRIME DP - Unbound Medicine ER -