Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report.
Medicina (Kaunas)
; 59(7)2023 Jun 30.
Article
em En
| MEDLINE
| ID: mdl-37512039
ABSTRACT
Phytobezoars constitute conglomerates of indigested plant fibers and are a rare cause of acute mechanical ileus. They exhibit an increased prevalence in the elderly population and people with specific predisposing conditions. Radiological imaging can often set a definitive diagnosis and dictate the optimal therapeutic approach, combined with the patient's clinical status. An 81-year-old male presented with deteriorating clinical symptoms of intestinal obstruction, and an exploratory laparotomy was performed following inconclusive radiological findings; multiple phytobezoars and incipient intussusception were revealed intraoperatively. A patient's medical history can often raise clinical suspicion of phytobezoars. However, a careful etiological investigation is imperative in all cases of mechanical ileus in advanced ages; early detection and dissolution of phytobezoars, when applicable, can reduce the need for surgical interventions.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Bezoares
/
Íleus
/
Dispepsia
/
Obstrução Intestinal
/
Intussuscepção
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
/
Risk_factors_studies
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Screening_studies
Limite:
Aged
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Aged80
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Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article