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KMID : 0356720110270040211
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Journal of the Korean Society of Coloproctology
2011 Volume.27 No. 4 p.211 ~ p.214
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A Case of Successful Colonoscopic Treatment of Colonic Obstruction Caused by Phytobezoar
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Yoon Sang-Seok
Kim Min-Seong
Kang Dong-Yoon
Yun Tack-Su
Jeon Jun-Ho
Lee Yong-Kyu
Choi Se-Woong
Kim Chi-Hoon
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Abstract
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A phytobezoar is the most common type of bezoar, which is a gastrointestinal mass composed of vegetable. A persimmon is a common cause of a phytobezoar. The majority of bezoars are found in the stomach, with the small intestine being the next most commonly involved site. The colon is a rare site for a bezoar. Recently, we experienced a colonic bezoar that caused colonic obstruction in a 66-year-old female patient who took persimmons regularly. The patient came to the hospital because of abdominal pain and distension. To differentiate a tumor or other problems that can cause intestinal obstruction, we performed an abdominal computed tomography scan and found an ovoid intraluminal mass with a mottled gas pattern in the distal descending colon. A large impacted bezoar was seen in the sigmoid colon, which was completely obstructed, and it was successfully removed by using colonoscopy.
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KEYWORD
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Bezoars, Intestinal obstruction, Colonoscopy
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