For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
46
views
11
references
 Top references
cited by
16
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      134
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: not found

      How could such a wide piece of tree root pass through the narrow pyloric orifice? An extremely rare case

      research-article

      Read this article at

      ScienceOpenPublisherPMC
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Patient: Female, 30

          Final Diagnosis: Phytobezoar

          Symptoms: Nausea • vomiting

          Medication: —

          Clinical Procedure: —

          Specialty: —

          Objective:

          Rare disease

          Background:

          Phytobezoars are a common type of bezoar known to accumulate in the gastrointestinal system.

          Case Report:

          A 30-year-old mentally retarded woman was operated on due to small bowel obstruction. A piece of tree root was extracted from the ileum. The patient was discharged from the hospital on postoperative day 7.

          Conclusions:

          Due to difficulties in determining the nature of the bezoar preoperatively, small bowel obstruction due to a phytobezoar is not a common diagnosis. For bezoars, prevention is considered preferable to treatment.

          Related collections

          Most cited references11

          • Record: found
          • Abstract: found
          • Article: not found

          Gastrointestinal bezoars: sonographic and CT characteristics.

          T Ripollés, Maria J. Delgado, José Martínez … (2001)
          The purpose of this study was to assess the value of imaging studies--conventional abdominal radiographs, sonography, and CT--in the diagnosis of gastrointestinal bezoars. A review was made of the radiologic findings of 17 consecutive patients with surgically verified gastrointestinal bezoars over a period of 51 months. Twelve patients had a history of previous gastric surgery. In no patient was a bezoar clinically suspected. Phytobezoars were recorded in 16 patients and a trichobezoar in only one. A total of 33 bezoars were identified at surgery. Two patients had isolated gastric bezoars, whereas 15 patients had bezoars located in the small bowel. Among the latter group, associated gastric bezoars were found in eight patients, and five patients had multiple intestinal bezoars. Abdominal radiographs revealed bezoars in three patients, sonography revealed bezoars in 15, and CT revealed bezoars in all 17. Seven patients had associated gastric bezoars revealed at CT versus only two patients with gastric bezoars revealed at sonography. CT revealed multiple intestinal bezoars in five patients whereas sonography revealed them in only two patients. Both sonography and CT are reliable methods for diagnosing gastrointestinal bezoars. CT is more accurate, however, and exhibits a quite characteristic bezoar image; in addition, this imaging technique is able to reveal the presence of additional gastrointestinal bezoars.
          Article 0 comments Cited 57 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Bezoars: classification, pathophysiology, and treatment.

            C Andrus, J Ponsky (1988)
            Bezoars, accumulations of foreign material in the stomach, have been known to occur in animals and man for centuries. The incidence of bezoars in human patients has increased as a result of operative manipulation of the gastrointestinal tract. Composed of vegetable matter, hair, or more unusual materials like shellac or cement, they may lead to anorexia, weight loss, bleeding, obstruction, or perforation of the alimentary tract. Although this entity is often recognized radiologically, endoscopy provides the most accurate means for identification and classification. Many bezoars can be removed endoscopically, but some will require operative intervention. Once removed, emphasis must be placed upon prevention of recurrence. Physicians must learn to recognize and classify bezoars correctly in order to provide the most appropriate therapy in each instance.
            Article 0 comments Cited 55 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Diospyrobezoar as a Cause of Small Bowel Obstruction

              Andréia Padilha de Toledo, Fernanda Hurtado Rodrigues, Murilo Rocha Rodrigues … (2012)
              Phytobezoar, a concretion of indigestible fibers derived from ingested vegetables and fruits, is the most common type of bezoar. Diospyrobezoar is a subtype of phytobezoar formed after excessive intake of persimmons (Diospyros kaki). We report the case of a diabetic man with a 5-day history of abdominal pain after massive ingestion of persimmons who developed signs of complicated small bowel obstruction. The patient had a previous history of Billroth II hemigastrectomy associated with truncal vagotomy to treat a chronic duodenal ulcer 14 years earlier. Since intestinal obstruction was suspected, he underwent emergency laparotomy that revealed an ileal obstruction with small bowel perforation and local peritonitis due to a phytobezoar that was impacted 15 cm above the ileocecal valve. After segmental intestinal resection, the patient had a good recovery and was discharged on the 6th postoperative day. This report provides evidence that diospyrobezoar should be considered as a possible cause of small bowel obstruction in patients who have previously undergone gastric surgery.
              Article 0 comments Cited 12 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): Am J Case Rep
                Journal ID (iso-abbrev): Am J Case Rep
                Journal ID (publisher-id): amjcaserep
                Title: The American Journal of Case Reports
                Publisher: International Scientific Literature, Inc.
                ISSN (Electronic): 1941-5923
                Publication date Collection: 2014
                Publication date (Electronic): 30 June 2014
                Volume: 15
                Pages: 284-287
                Affiliations
                [1 ]Department of General Surgery, Erzincan University, Erzincan, Turkey
                [2 ]Department of Pathology, Erzincan University, Erzincan, Turkey
                [3 ]Department of General Surgery, Yunak State Hospital, Konya, Turkey
                [4 ]Department of Radiology, Erzincan University, Erzincan, Turkey
                Author notes

                Authors’ Contribution:

                [A]

                Study Design

                [B]

                Data Collection

                [C]

                Statistical Analysis

                [D]

                Data Interpretation

                [E]

                Manuscript Preparation

                [F]

                Literature Search

                [G]

                Funds Collection

                This manuscript was accepted as an oral presentation at WCAS 2013

                Conflict of interest: None declared

                Corresponding Author: Arda Işik, e-mail: kararda@ 123456yahoo.com
                Article
                Publisher ID: 890713
                DOI: 10.12659/AJCR.890713
                PMC ID: 4089776
                SO-VID: 7c3a4f04-623f-461c-98f9-875a76f426f2
                Copyright © © Am J Case Rep, 2014
                License:

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License

                History
                Date received : 18 March 2014
                Date accepted : 20 March 2014
                Categories
                Subject: Articles

                Keywords: bezoars,general surgery,ileus,mentally disabled persons
                Data availability:
                Keywords: bezoars, general surgery, ileus, mentally disabled persons

                Comments

                Comment on this article

                scite_

                Similar content134

                See all similar

                Cited by15

                See all cited by

                Most referenced authors86

                See all reference authors