Phytobezoar: A Rare Cause of Small Bowel Obstruction

  • Rajiv Nakarmi Manmohan Memorial Medical College and Teaching Hospital https://orcid.org/0000-0003-2205-1784
  • Muza Shrestha Manmohan Memorial Medical College and Teaching Hospital
  • Sunder Maharjan Manmohan Memorial Medical College and Teaching Hospital
Keywords: Phytobezoar, Small Bowel Obstruction, Sepsis

Abstract

Introduction: Small bowel obstruction is a common condition encountered in surgical practice. However, obstruction due to phytobezoars is a rarity. Until recently, phytobezoars were incidental findings during surgery however advances in imaging have eased the diagnosis by precisely identifying and locating the etiology. Case: An 86-year-old lady presented to the emergency room with abdominal pain, distension, and inability to pass stool and flatus. Workup showed she had features of small bowel obstruction with features of sepsis with worsening of preexisting respiratory co-morbidity. Exploration showed a phytobezoar causing the bowel obstruction. Conclusion: Phytobezoar though uncommon should always be thought of while treating a case of intestinal obstruction in the elderly age group. Surgery is the mainstay of treatment. However preexisting co-morbid condition plays a vital role in the outcome.

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Author Biographies

Rajiv Nakarmi, Manmohan Memorial Medical College and Teaching Hospital

Junior Consultant,

Department of General and Laparoscopic Surgery.

Muza Shrestha, Manmohan Memorial Medical College and Teaching Hospital

Senior Consultant,

Department of General and Laparoscopic Surgery.

Sunder Maharjan, Manmohan Memorial Medical College and Teaching Hospital

Registrar,

Department of General and Laparoscopic Surgery.

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Published
2020-12-31
How to Cite
1.
Nakarmi R, Shrestha M, Maharjan S. Phytobezoar: A Rare Cause of Small Bowel Obstruction. J Lumbini Med Coll [Internet]. 31Dec.2020 [cited 21Jan.2021];8(2):5 pages. Available from: https://jlmc.edu.np/index.php/JLMC/article/view/364
Section
Case Report