A rare case of intestinal obstruction as a result of phytobezoar
- Authors: Bolshakov DV1, Valiullin NZ1, Burganov RR2
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Affiliations:
- Municipal Clinical Hospital №12, Kazan, Russia
- Kazan State Medical University, Kazan, Russia
- Issue: Vol 94, No 1 (2013)
- Pages: 134-135
- Section: Clinical observations
- URL: https://journals.rcsi.science/kazanmedj/article/view/1789
- DOI: https://doi.org/10.17816/KMJ1789
- ID: 1789
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Abstract
Intestinal obstruction (ileus) due to bezoar is a rare condition. Its combined prevalence among all cases of intestinal obstruction varies from 0.5 to 1%. An observed case is reported. A patient was admitted at the emergency ward with abdominal pain,nausea, bloating, and constipation. At examination - bloating, abdominal distention, moderate abdominal muscular defense at palpation, paraumbilical tenderness. Colon cleansing was started with a good effect. Gastrointestinal fluoroscopy: at 4 and 8 hours after introduction of barium contrast it is located in the dilated loops of small bowel with persisting air fluid levels. The diagnosis of unresolved intestinal obstruction was set up. The midline laparotomy, small bowel decompression by Abbott-Miller, peritoneal drainage with two tubes were performed. Final diagnosis: «Intestinal obstruction (phytobezoar), non-infected peritonitis».
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##article.viewOnOriginalSite##About the authors
D V Bolshakov
Municipal Clinical Hospital №12, Kazan, Russia
N Z Valiullin
Municipal Clinical Hospital №12, Kazan, Russia
R R Burganov
Kazan State Medical University, Kazan, Russia
Email: Ramis111@yandex.ru
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