Small bowel obstruction due to a phytobezoar thirty years after Roux-en-Y gastrojejunostomy: A case report
| Autor: | Ruqaya Masri, Riham Moahed, Nihad Mahli, Rawan Fadilh, Majd Alobied |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Anastomosis Enterotomy Article 03 medical and health sciences 0302 clinical medicine Case report medicine business.industry Phytobezoar medicine.disease Roux-en-Y anastomosis Poor dentition Surgery Bowel obstruction Roux-en-y 030220 oncology & carcinogenesis Vomiting Bezoar 030211 gastroenterology & hepatology medicine.symptom business Gastrojejunostomy Abdominal surgery |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Phytobezoar should be considered as a cause of SBO in a patient with previous gastric surgery. • Poor dentition is an important risk factor for phytobezoar formation. • The surgical treatment is the appropriate choice for distal SBO management. Introduction We present a case of a delayed small bowel obstruction due to a phytobezoar in a patient with a previous surgical history. Presentation of case A 73-year-old male patient presented with vomiting and obstipation for a week. His past surgical history included a Roux-en-y gastrojejunostomy due to a surgical management for peptic ulcer disease 30 years ago. Abdominal computed tomography demonstrated a dilation of small bowel with air-fluid levels. He was diagnosed with acute bowel obstruction. On exploration, we found a compressible mass 150 cm from the jejunojejunostomy anastomosis. An enterotomy was performed and the mass was milked back. It was a phytobezoar. After the bezoar removal, his complaints relieved completely. Discussion Small bowel obstruction after abdominal surgery (Roux-en-y gastrojejunostomy) is a complication that may present early or late for many causes. One of the unusual underlying causes is phytobezoar. Conclusion This case aims to raise awareness of phytobezoar as a cause of small bowel obstruction even in delayed presentation. |
| Databáze: | OpenAIRE |
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