• bezoar
• gastric outlet obstruction
• intestinal obstruction
• lithobezoar
• phytobezoar
• stricture

• Bezoars
• Bowel obstruction
• Case report
• Colonic lithobezoars
• Laparotomy
• Pica

• bezoars
• case report
• children
• cocoa seed
• ghana
• intestinal obstruction
• komfo anokye teaching hospital
• phytobezoar

Colonic bezoar is a rare condition of accumulation of foreign bodies or non-nutritious material in the large intestine, usually presenting with symptoms of obstruction. Colonic lithobezoar is an even more rare type of condition with only 12 cases reported in the literature to date. We present a case of a young, intellectually disabled kid, who was diagnosed incidentally with lithobezoar after a road traffic accident. The first-line treatment for uncomplicated non-obstructed bezoar is a medical treatment with laxatives and fluids. For acutely obstructed bezoars, the treatment of choice is evacuation under general anesthesia. Surgical evacuation may be considered a last resort in complicated or refractory cases. Moreover, regardless of obstruction, all cases must be treated as inpatients and must receive a psychiatric and hematologic evaluation.

Intestinal obstruction considered to be one of the most common surgical presentation. Adhesions secondary to previous operations, hernias, neoplasms, inflammatory bowel disease, intussusception, or volvulus are the usual causes of intestinal obstruction but bezoar can presents in 0.4-4%. Bezoar can be trapped in different locations throughout the gastrointestinal tract and it can be solitary or multiple lesions.

This is a 37-year-old male, known case of diabetes mellitus, Presented to the Emergency Department complaining of generalized abdominal pain for 2 days duration. Associated with abdominal distention, fever, nausea, vomiting and obstipation. There was a history of persimmon intake. Unremarkable past surgical history. On examination, He was tachycardic, other vital signs were within normal. Abdominal examination showed abdominal distention and Sluggish bowel sound. Abdominal X-ray revealed multiple air-fluid levels. An abdominal CT scan with IV contrast revealed an intra-luminal mass in the ileum and intra-gastric mass with suspicious of bezoars. He underwent exploratory laparotomy, gastrostomy to remove intra-gastric bezoar, and enterotomy to remove the ileal bezoar.

Intestinal obstruction is considered to be the most common complication of this entity; other possible complications include gastric ulcer, gastritis, and gastric perforation. Due to limitations of endoscopy and barium enema in the diagnosis of bezoar, Abdominal CT-scan is considered to be the gold standard in the diagnosis. The management of phytobezoar can be either conservative or surgical, depends on the lesion size and location.

Although intestinal obstruction secondary to bezoar is rare, multiple levels of gastrointestinal obstruction should raise the suspicion of bezoar.

•

Bezoar can be trapped in different locations throughout the gastrointestinal tract and it can be solitary or multiple lesions.

• Bezoar
• Enterotomy
• Gastrostomy
• Persimmon
• Phytobezoars

• Bezoar
• earth-eating
• eating disorder
• obsessive-compulsive disorder
• pica

Bezoar is defined as the accumulation of undigested foreign bodies or nutrients in the gastrointestinal tract. Lithobezoar, the accumulation of stones in the digestive tract, is commonly seen in the stomach. We report a case of giant colonic lithobezoar in a child.

• Bezoar
• colorectal
• lithobezoar
• pica

• child
• intestinal obstruction
• iron-deficiency anemia
• lithobezoar

A bezoar is a collection of indigestible material found in the alimentary canal, which can cause mechanical obstruction of the gastrointestinal tract. Phytobezoar is a variant composed of mostly plant material and indigestible fiber. Phytobezoar is a rare cause of small bowel obstruction (SBO) and happens more commonly in patients with risk factors predisposing to impaired gastrointestinal motility. We present a rare case of SBO secondary to phytobezoar in a 60-year-old female patient with type 2 diabetes. There was no prior history of any abdominal surgery. The abdominal computed tomography (CT) scan was inconclusive. Laparoscopy was found to be an effective diagnostic and therapeutic procedure in this patient.

• abdominal surgery
• acute abdomen
• computer tomography
• intestinal obstruction
• laparoscopy
• laparotomy
• phytobezoar

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.

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.

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.

• Bezoars
• Enterotomy
• Gastrostomy
• Phytobezoars
• Small bowel obstruction

The term bezoar refers to an intraluminal mass in the gastrointestinal system caused by the accumulation of indigestible ingested materials, such as vegetables, fruits, and hair. Bezoars are responsible for 0.4%-4% of cases of mechanical intestinal obstruction. The clinical findings of bezoar-induced ileus do not differ from those of mechanical intestinal obstruction due to other causes. The appearance and localization of bezoars can be established with various imaging methods. Treatment of choice depends on the localization of the bezoar which makes the clinical findings.

• Phytobezoar
• Intestinal obstruction
• Ileus