Removal of a Giant Rectosigmoid Phytobezoar without Laparoto
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Abstract :
Bezoars are the uncommon result of ingestion of indigestible or poorly digestible substances. Phytobezoars are the most common bezoars in children. Small bowel obstruction, especially of the terminal ileum, is the most common complication. Colonic obstruction is rare. Most reviewed intestinal phytobezoars with obstruction necessitate laparotomy with enterotomy.

Here, we report a rare case of giant rectosigmoid phytobezoar with near-total colonic obstruction. Successfully, removal of this bezoar by an alternative way of fragmentation with colonoscopy, not conventional enterotomy is needed. The patient recovered well and then discharged without any morbidity 2 days later.

Case Report :
A 53-year-old man presented to the emergency department with a 2-week history of a palpable abdominal mass, abdominal distension, and cramping in the lower left quadrant of the abdomen. The patient also reported consuming 2 kg of shelled pumpkin seeds, approximately 2 months earlier, subsequently developing an abdominal mass in the left lower abdomen that he could palpate. Two weeks prior to coming to the emergency department, the patient developed decreased oral intake (liquids only), abdominal distension, and left lower abdominal pain......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4425755/
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Dr. K●●●l C●●●●●●a
Dr. K●●●l C●●●●●●a General Surgery
Grt work ........
Apr 20, 2017Like