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KMID : 0882420050690050536
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Korean Journal of Medicine
2005 Volume.69 No. 5 p.536 ~ p.540
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A case of small intestinal obstruction due to phytobezoar, revealed after operation in elderly
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봉종대/Bong JD
곽상혁/이태웅/양현승/류홍석/고강석/Kwak SH/Lee TW/Yang HS/Rhu HS/Koh KS
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Abstract
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The major causes of small bowel obstruction are postoperative adhesion, hernia, intussusception and malignancies. However, in cases of uncommon causes of small bowel obstruction, surgeons are in a dilemma because the preoperative diagnosis and making a decision to operate are frequently difficult and delayed. Phytobezoars are unusual cause of small bowel obstruction. They are mostly due to ingestion of stringent immature fruits following gastric surgery. They are usually formed in stomach and do not migrate to the other intestinal tract, but can lead to the serious complication of acute small bowel obstruction. We are reporting a case of acute small bowel obstruction due to phytobezoar about 2x2x3 cm3 size in a 90 year old female.
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