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Colonic phytobezoar as a rare cause of large bowel obstruction.
BMJ Case Rep. 2015 Apr 09; 2015BC

Abstract

Bezoars are masses formed by the concretion of stomach contents or debris within the gastrointestinal tract. Bezoars are rare and account for only 0.4-4% of all cases of gastrointestinal obstruction and mainly occur in the stomach or small intestine. Intestinal obstruction caused by colonic bezoars is extremely rare. We report a case of a distal sigmoid obstruction caused by a phytobezoar in a 60-year-old man with no obvious precipitating causes. He presented to the emergency department acutely unwell and a subsequent abdominal CT scan showed a mass within the proximal sigmoid colon suspicious for a bezoar. He proceeded to have an urgent laparotomy and the obstructive intraluminal mass in the sigmoid colon was identified and manually broken down. Subsequent histopathological assessment reported amorphous material and plant cellular matter consistent with the diagnosis of a phytobezoar.

Authors+Show Affiliations

Division of Surgery, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.Division of Surgery, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.Division of Surgery, Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25858930

Citation

Law, Gin Way, et al. "Colonic Phytobezoar as a Rare Cause of Large Bowel Obstruction." BMJ Case Reports, vol. 2015, 2015.
Law GW, Lin D, Thomas R. Colonic phytobezoar as a rare cause of large bowel obstruction. BMJ Case Rep. 2015;2015.
Law, G. W., Lin, D., & Thomas, R. (2015). Colonic phytobezoar as a rare cause of large bowel obstruction. BMJ Case Reports, 2015. https://doi.org/10.1136/bcr-2014-208493
Law GW, Lin D, Thomas R. Colonic Phytobezoar as a Rare Cause of Large Bowel Obstruction. BMJ Case Rep. 2015 Apr 9;2015 PubMed PMID: 25858930.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Colonic phytobezoar as a rare cause of large bowel obstruction. AU - Law,Gin Way, AU - Lin,Diwei, AU - Thomas,Rebecca, Y1 - 2015/04/09/ PY - 2015/4/11/entrez PY - 2015/4/11/pubmed PY - 2016/1/20/medline JF - BMJ case reports JO - BMJ Case Rep VL - 2015 N2 - Bezoars are masses formed by the concretion of stomach contents or debris within the gastrointestinal tract. Bezoars are rare and account for only 0.4-4% of all cases of gastrointestinal obstruction and mainly occur in the stomach or small intestine. Intestinal obstruction caused by colonic bezoars is extremely rare. We report a case of a distal sigmoid obstruction caused by a phytobezoar in a 60-year-old man with no obvious precipitating causes. He presented to the emergency department acutely unwell and a subsequent abdominal CT scan showed a mass within the proximal sigmoid colon suspicious for a bezoar. He proceeded to have an urgent laparotomy and the obstructive intraluminal mass in the sigmoid colon was identified and manually broken down. Subsequent histopathological assessment reported amorphous material and plant cellular matter consistent with the diagnosis of a phytobezoar. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/25858930/Colonic_phytobezoar_as_a_rare_cause_of_large_bowel_obstruction_ L2 - https://casereports.bmj.com/lookup/pmidlookup?view=long&pmid=25858930 DB - PRIME DP - Unbound Medicine ER -