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CT findings of patients with small bowel obstruction due to bezoar: a descriptive study.
ScientificWorldJournal. 2013; 2013:298392.S

Abstract

PURPOSE.

The aim of this study was to present the computed tomography (CT) findings of bezoars that cause obstruction in the small bowel and to emphasize that some CT findings can be considered specific to some bezoar types. MATERIALS AND

METHODS.

The records of 39 patients who underwent preoperative abdominal CT and subsequent operation with a diagnosis of intestinal obstruction due to bezoars were retrospectively analyzed.

RESULTS.

In total, 56 bezoars were surgically removed from 39 patients. Bezoars were most commonly located in the jejunum (n = 26/56, 46.4%). Sixteen (41.0%) patients had multiple bezoar locations in the gastrointestinal tract. Common CT findings in all patients were a mottled gas pattern and a focal ovoid or round intraluminal mass with regular margins and a heterogeneous internal structure. Furthermore, some CT findings were determined to be specific to bezoars caused by persimmons.

CONCLUSIONS.

Preoperative CT is valuable in patients admitted with signs of intestinal obstruction in geographic regions with a high bezoar prevalence. We believe that the correct diagnosis of bezoars and the identification of their number and location provide a great advantage for all physicians and surgeons. In addition, some types of bezoars have unique CT findings, and we believe that these findings may help to establish a diagnosis.

Authors+Show Affiliations

Department of General Surgery, Faculty of Medicine, Sakarya University, Turkey. fatihaltintoprak@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23690741

Citation

Altintoprak, Fatih, et al. "CT Findings of Patients With Small Bowel Obstruction Due to Bezoar: a Descriptive Study." TheScientificWorldJournal, vol. 2013, 2013, p. 298392.
Altintoprak F, Degirmenci B, Dikicier E, et al. CT findings of patients with small bowel obstruction due to bezoar: a descriptive study. ScientificWorldJournal. 2013;2013:298392.
Altintoprak, F., Degirmenci, B., Dikicier, E., Cakmak, G., Kivilcim, T., Akbulut, G., Dilek, O. N., & Gunduz, Y. (2013). CT findings of patients with small bowel obstruction due to bezoar: a descriptive study. TheScientificWorldJournal, 2013, 298392. https://doi.org/10.1155/2013/298392
Altintoprak F, et al. CT Findings of Patients With Small Bowel Obstruction Due to Bezoar: a Descriptive Study. ScientificWorldJournal. 2013;2013:298392. PubMed PMID: 23690741.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - CT findings of patients with small bowel obstruction due to bezoar: a descriptive study. AU - Altintoprak,Fatih, AU - Degirmenci,Bumin, AU - Dikicier,Enis, AU - Cakmak,Guner, AU - Kivilcim,Taner, AU - Akbulut,Gokhan, AU - Dilek,Osman Nuri, AU - Gunduz,Yasemin, Y1 - 2013/04/18/ PY - 2013/02/19/received PY - 2013/04/01/accepted PY - 2013/5/22/entrez PY - 2013/5/22/pubmed PY - 2013/10/1/medline SP - 298392 EP - 298392 JF - TheScientificWorldJournal JO - ScientificWorldJournal VL - 2013 N2 - PURPOSE. The aim of this study was to present the computed tomography (CT) findings of bezoars that cause obstruction in the small bowel and to emphasize that some CT findings can be considered specific to some bezoar types. MATERIALS AND METHODS. The records of 39 patients who underwent preoperative abdominal CT and subsequent operation with a diagnosis of intestinal obstruction due to bezoars were retrospectively analyzed. RESULTS. In total, 56 bezoars were surgically removed from 39 patients. Bezoars were most commonly located in the jejunum (n = 26/56, 46.4%). Sixteen (41.0%) patients had multiple bezoar locations in the gastrointestinal tract. Common CT findings in all patients were a mottled gas pattern and a focal ovoid or round intraluminal mass with regular margins and a heterogeneous internal structure. Furthermore, some CT findings were determined to be specific to bezoars caused by persimmons. CONCLUSIONS. Preoperative CT is valuable in patients admitted with signs of intestinal obstruction in geographic regions with a high bezoar prevalence. We believe that the correct diagnosis of bezoars and the identification of their number and location provide a great advantage for all physicians and surgeons. In addition, some types of bezoars have unique CT findings, and we believe that these findings may help to establish a diagnosis. SN - 1537-744X UR - https://www.unboundmedicine.com/medline/citation/23690741/CT_findings_of_patients_with_small_bowel_obstruction_due_to_bezoar:_a_descriptive_study_ L2 - https://dx.doi.org/10.1155/2013/298392 DB - PRIME DP - Unbound Medicine ER -