Phytobezoar as a cause of intestinal occlusion. Presentation of a case
Hernández- Vera, F.X.; Hugo-Guerrero, V.; Cosme-Reyes, C.; Belmonte-Montes, C.
Revista de Gastroenterologia de Mexico 75(3): 348-352
2010
ISSN/ISBN: 0375-0906 PMID: 20959190 Document Number: 645816
Eighty per cent of the intestinal occlusions in the small bowel are the result of adhesions, neoplasms or hernias. Approximately 4.3% of bowel occlusions are due to some type of bezoar. We report an 83 years old male who presented with a clinical picture of intestinal obstruction. He underwent hand-assisted laparoscopic exploration identifying an intraluminal non-fixed mass. Enterotomy was performed and a 3 x 4 cm yellowish mass was extracted. Histological analysis demonstrated a vegetal bezoar. Laparoscopic surgery is increasing its role in the management of intestinal occlusion.