Right flank laparotomy and abomasotomy for removal of a phytobezoar in a standing cow.
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A 4.5-year-old Holstein-Friesian cow underwent surgery because of left abomasal displacement. Intra-operative palpation of the pyloric region revealed a phytobezoar. The abomasum containing the phytobezoar was exteriorized, and an incision was made directly over the mass in the region of the greater curvature of the pyloric part of the abomasum. (+info)
Laparoscopic intragastric removal of giant trichobezoar.
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Cutting the Gordian knot: the blockage of the jejunal tube, a rare complication of Duodopa infusion treatment.
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We present the case of a 21-year-old man with advanced refractory Parkinson's disease treated with Duodopa continuous infusion. With this therapy, the patient had a spectacular recovery but after six months, he experienced an aggravation of his symptoms. A failure of his pumping system was suspected but we discovered that the jejunal tube was blocked due to a knot around a bezoar. This is the first complication of this kind described with the Duodopa infusion technique. (+info)
Small bowel obstruction with multiple perforations due to enterolith (bezoar) formed without gastrointestinal pathology.
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An enterolith (bezoar) usually originates in an intestinal diverticulum or in a segment of bowel loculated by stricture formation. Stasis promotes its formation. This communication describes a case in which a large enterolith caused obstruction and multiple perforations of the terminal ileum in the absence of any predisposing gastrointestinal pathology. The management of this rare occurrence is discussed and the literature reviewed. (+info)
A rare cause of acute abdomen: small bowel obstruction due to phytobezoar.
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BACKGROUND: Phytobezoars are a rare cause of acute small bowel obstruction. The aim of this work was to identify the diagnostic difficulties and treatment of this rare entity. METHODS: Data of 14 patients operated between January 1999-January 2009 with small bowel phytobezoar were retrospectively studied. The patients (n=432) were treated in our clinic for small bowel obstructions. Of these, 14 (3.2%) phytobezoar-induced small bowel obstructions were included in this series. Median patient age was 57.25 years; nine (64%) of the patients were male, and five (36%) were female. RESULTS: The predisposing factor was previous gastric surgery in 12 (87.5%) patients and previous abdominal surgery and total absence of the teeth in two (14.3%) patients. A completely obstructing terminal ileal phytobezoar was found in nine (64%) patients and jejunal phytobezoar in five (36%) patients during exploration. There was no mortality. CONCLUSION: Phytobezoar-induced small bowel obstruction remains an uncommon diagnosis that poses a diagnostic and management challenge. It should be suspected in patients with an increased risk of bezoar formation, such as in the presence of previous gastric surgery, poor dentition or a history suggestive of increased fiber intake. (+info)