Phytobezoar: A Rare Cause of Small Bowel Obstruction
Keywords:
Phytobezoar, Small bowel obstrcution, SepsisAbstract
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 report: An 86-year-old lady presented to the emergency room with abdominal pain, distension, and inability to pass stool and flatus. Subsequent workup showed features of small bowel obstruction complicated with sepsis and worsening of preexisting respiratory co-morbidity. Exploration revealed 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 avital role in the outcome.
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Copyright (c) 2020 Rajiv Nakarmi, Muza Shrestha, Sunder Maharjan
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