Intestinal Radiation-induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a Case

Overview

Journal Gastroenterol Res Pract

Publisher Wiley

Specialty Gastroenterology

Date 2009 Jul 10

PMID 19587825

Citations 3

Authors

Alessandra Quercioli

Franco Dallegri

Luciano Ottonello

Fabrizio Montecucco

Giacomo Borgonovo

Affiliations

Soon will be listed here.

Abstract

Bezoars represent the fifth most frequent cause of acute small bowel obstruction. Phytobezoar is the most common type of bezoar. It is a concretion of undigestible fibers derived from ingested vegetables and fruits. We report a case of a woman with a 1-year history of recurrent epigastric and periumbilical abdominal pain with intermittent vomiting caused by phytobezoar of the terminal ileum. After careful investigation of the case and review of literature, we identified the factor involved in bezoar formation as radiation-induced ileal stenosis due to previous treatment for a pelvic tumour. This report provides evidence to consider phytobezoar as a possible cause of small bowel obstruction in patients previously treated with abdominal radiotherapy.

Citing Articles

Endoscopic versus Surgical Intervention for Jejunal Bezoar Formation.

Berg D, Chakinala R, Veillette G, Schorr-Lesnick B ACG Case Rep J. 2019; 5:e87.

PMID: 30775390 PMC: 6358576. DOI: 10.14309/crj.2018.87.

PhytobezoarInduced Small Bowel Obstruction in a Young Male with Virgin Abdomen.

Manning E, Vattipallly V, Niazi M, Shah A J Gastrointest Dig Syst. 2018; 5(2).

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Diospyrobezoar as a cause of small bowel obstruction.

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