Tags

Type your tag names separated by a space and hit enter

A rare case of a double phytobezoar causing gastric and jejunum obstruction in an adult man: a case report.
J Med Case Rep. 2016 Dec 15; 10(1):350.JM

Abstract

BACKGROUND

Bezoars are an uncommon cause of mechanical intestinal occlusion. There are four different kinds of bezoars: phytobezoars, made of vegetables and fibers; trichobezoars, resulting from the ingestion of hair and frequently an expression of psychiatric disorders; lactobezoars, which are formed of milk curd; and pharmacobezoars, caused by drugs and medications. Symptoms are classically indistinguishable from one another and from more common causes of intestinal occlusion, so it can be difficult to establish a correct diagnosis in order to apply the correct treatment. We present a rare case of two different phytobezoars causing intestinal occlusion (gastric and jejunal). We also describe the correct techniques for making a correct and fast diagnosis of occlusion caused by phytobezoars, and the possible conservative and operative treatments.

CASE PRESENTATION

We present the case of a double phytobezoar that was surgically treated with a double enterotomy. Our patient was a 68-year-old Caucasian man with a medical history of hypertension, a previous open appendectomy, and open repair of a perforated gastric ulcer. He was admitted with a 5-day history of abdominal pain located in his upper quadrants along with vomiting. After a preoperative examination, he was taken to the operating room. He was discharged in a good clinical condition 11 days after surgical intervention. A physical examination at 6 months demonstrated our patient was in good health.

CONCLUSIONS

Diagnosing bezoars is difficult because of their rarity. However, they must be taken into consideration in a differential diagnosis because their treatment is not always surgical. In fact, it may be conservative in many cases and a correct diagnosis will guide towards the correct therapy.

Authors+Show Affiliations

Department of Morphology, Surgery and Experimental Medicine, University of Ferrara and Sant' Anna Universitary Hospital of Ferrara, Ferrara, Italy.Department of Morphology, Surgery and Experimental Medicine, University of Ferrara and Sant' Anna Universitary Hospital of Ferrara, Ferrara, Italy. zsemnc@unife.it.Department of Morphology, Surgery and Experimental Medicine, University of Ferrara and Sant' Anna Universitary Hospital of Ferrara, Ferrara, Italy.Department of Surgery, Emergency Surgery Service, Sant'Anna University Hospital, Ferrara, Italy.Department of Surgery, Emergency Surgery Service, Sant'Anna University Hospital, Ferrara, Italy.Department of Surgery, Emergency Surgery Service, Sant'Anna University Hospital, Ferrara, Italy.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

27978851

Citation

Occhionorelli, S, et al. "A Rare Case of a Double Phytobezoar Causing Gastric and Jejunum Obstruction in an Adult Man: a Case Report." Journal of Medical Case Reports, vol. 10, no. 1, 2016, p. 350.
Occhionorelli S, Zese M, Targa S, et al. A rare case of a double phytobezoar causing gastric and jejunum obstruction in an adult man: a case report. J Med Case Rep. 2016;10(1):350.
Occhionorelli, S., Zese, M., Targa, S., Cappellari, L., Stano, R., & Vasquez, G. (2016). A rare case of a double phytobezoar causing gastric and jejunum obstruction in an adult man: a case report. Journal of Medical Case Reports, 10(1), 350.
Occhionorelli S, et al. A Rare Case of a Double Phytobezoar Causing Gastric and Jejunum Obstruction in an Adult Man: a Case Report. J Med Case Rep. 2016 Dec 15;10(1):350. PubMed PMID: 27978851.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A rare case of a double phytobezoar causing gastric and jejunum obstruction in an adult man: a case report. AU - Occhionorelli,S, AU - Zese,M, AU - Targa,S, AU - Cappellari,L, AU - Stano,R, AU - Vasquez,G, Y1 - 2016/12/15/ PY - 2016/06/08/received PY - 2016/11/08/accepted PY - 2016/12/17/entrez PY - 2016/12/17/pubmed PY - 2017/5/11/medline KW - Bezoars KW - Enterotomy KW - Gastrostomy KW - Phytobezoars KW - Small bowel obstruction SP - 350 EP - 350 JF - Journal of medical case reports JO - J Med Case Rep VL - 10 IS - 1 N2 - BACKGROUND: Bezoars are an uncommon cause of mechanical intestinal occlusion. There are four different kinds of bezoars: phytobezoars, made of vegetables and fibers; trichobezoars, resulting from the ingestion of hair and frequently an expression of psychiatric disorders; lactobezoars, which are formed of milk curd; and pharmacobezoars, caused by drugs and medications. Symptoms are classically indistinguishable from one another and from more common causes of intestinal occlusion, so it can be difficult to establish a correct diagnosis in order to apply the correct treatment. We present a rare case of two different phytobezoars causing intestinal occlusion (gastric and jejunal). We also describe the correct techniques for making a correct and fast diagnosis of occlusion caused by phytobezoars, and the possible conservative and operative treatments. CASE PRESENTATION: We present the case of a double phytobezoar that was surgically treated with a double enterotomy. Our patient was a 68-year-old Caucasian man with a medical history of hypertension, a previous open appendectomy, and open repair of a perforated gastric ulcer. He was admitted with a 5-day history of abdominal pain located in his upper quadrants along with vomiting. After a preoperative examination, he was taken to the operating room. He was discharged in a good clinical condition 11 days after surgical intervention. A physical examination at 6 months demonstrated our patient was in good health. CONCLUSIONS: Diagnosing bezoars is difficult because of their rarity. However, they must be taken into consideration in a differential diagnosis because their treatment is not always surgical. In fact, it may be conservative in many cases and a correct diagnosis will guide towards the correct therapy. SN - 1752-1947 UR - https://www.unboundmedicine.com/medline/citation/27978851/A_rare_case_of_a_double_phytobezoar_causing_gastric_and_jejunum_obstruction_in_an_adult_man:_a_case_report_ L2 - https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-016-1137-7 DB - PRIME DP - Unbound Medicine ER -