Bowel Obstruction Caused by Persimmon Phytobezoars: A Case Report

Mohammadi, Amir; Ahmadi, Arezoo; Imanipour, Mohammad Hossein; Saghafi, Fatemeh; Soltaninejad, Sareh; Sahebnasagh, Adeleh

doi:10.32598/ijmtfm.v11i3.32507

Cited by 2 publications

(3 citation statements)

References 13 publications

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“…The treatment options available for this condition should be well evaluated. The minimal benefits to patient should be considered [1]. Surgery is a difficult decision for esophageal bezoars.…”

Section: Discussionmentioning

confidence: 99%

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A case of spontaneous ovarian malignant neoplasm rupture and life-threatening massive intra-abdominal bleeding

KAPLAN

2023

J Surg Med

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Although ovarian cancer is the second most common gynecological cancer, it is the most common gynecological malignancy that causes death. Approximately 75% of the patients are diagnosed at an advanced stage, and high-grade serous-type ovarian cancer is detected in most of these patients. The final pathology result in our case was high-grade serous ovarian carcinoma. Our patient, 39 years old, applied to our emergency department with complaints of inability to urinate for three days and new onset abdominal pain. We were consulted because of detection of an 11 cm solid mass and globe vesicle in the pelvic region detected on the computed tomography (CT) taken in the emergency department. The patient's initial hemoglobin value was 11.2 g/dL and the beta-human chorionic gonadotropin (ß-HCG) value was negative. During the follow-up, the patient’s hemoglobin values were 9.2 and then decreased to 8.6, 8.1, and 6.5 g/dL after which hypotensive shock developed in the patient. The patient was taken for an emergency laparotomy. Intra-operatively, 1500 mL of intra-abdominal hemorrhagic fluid and diffuse tumor fragments were observed. In the right adnexal area, approximately 11 cm of ruptured tumor tissue, which may originate from the ovary or uterus, was observed. It was observed that the Douglas pouch and uterine, internal iliac , and some parts of the external iliac arteries were extensively invaded by the tumor and active bleeding occurred. Total Abdominal Hysterectomy + Bilateral Salpingo-Oopherectomy (TAH+BSO) was performed on the patient. Additional surgical intervention could not be performed because the patient had extensive vascular tumor invasion, heavy bleeding, and was in hypotensive shock. Six anti-bleeding sponges were placed on intra-abdominal bleeding areas. In addition, packing was applied to the patient by placing four sterile compresses and soft drains inside the abdomen. Tranexamic acid was administered to the patient, and six units of red blood cell suspension and four units of fresh frozen plasma were transfused. The patient was transferred by ambulance to a higher institution, which is a gynecological oncology center, for follow-up, treatment, and complementary surgery. In this case, we aimed to draw attention to a rare case of ovarian malignancy rupture and hypotensive shock.

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Section: Discussionmentioning

confidence: 99%

“…Peritonitis and acute abdomen findings may be caused by bleeding. The literature presents rare cases of rupture and acute abdomen caused by teratomas [1,2]. Ovarian epithelial tumors are among the leading causes of death among gynecological cancer patients [3].…”

Section: Introductionmentioning

confidence: 99%

A case of spontaneous ovarian malignant neoplasm rupture and life-threatening massive intra-abdominal bleeding

KAPLAN

2023

J Surg Med

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“…Bezoars are clusters of indigestible substances in the esophagus, stomach, and intestinal tract. They can be found anywhere from the esophagus to the rectum [1]. While most patients are asymptomatic, some patients may experience pain, early satiety, weight loss, and bloating.…”

Section: Introductionmentioning

confidence: 99%

A rare case after Nissen fundoplication: Esophageal bezoar

et al. 2023

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A 33-year-old female patient was admitted to our clinic with complaints of nausea and vomiting for two days and the inability to tolerate food. The patient had a Nissen fundoplication three years ago. Computed tomography (CT) showed a bezoar image in the distal esophagus. The patient stated that the symptoms began after he ate a persimmon two days ago. The patient underwent esophagogastroduodenoscopy. A bezoar was observed in the distal esophagus at the esophagogastric junction. No pathology was observed in the stomach and duodenum. After the bezoar was shredded with a snare and removed with a retrieval snare. Here, we further describe this case of a bezoar that caused ileus in the distal esophagus after a fundoplication operation.

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Bowel Obstruction Caused by Persimmon Phytobezoars: A Case Report

Cited by 2 publications

References 13 publications

A case of spontaneous ovarian malignant neoplasm rupture and life-threatening massive intra-abdominal bleeding

A case of spontaneous ovarian malignant neoplasm rupture and life-threatening massive intra-abdominal bleeding

A rare case after Nissen fundoplication: Esophageal bezoar

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