Meckel’s diverticulum and bowel obstruction due to phytobezoar: a case report

Gasparella, Marco; Marzaro, Maurizio; Ferro, M.; Benetton, C.; Ghirardo, V.; Zanatta, Cinzia; Zoppellaro, F

doi:10.4081/pmc.2016.117

Cited by 8 publications

(9 citation statements)

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“…In the literature, Meckel's diverticulum accompanying bezoar was reported in several cases during childhood and it was reported that it was mostly of the phytobezoar type. One of them was Meckel's diverticulitis, accompanied by phytobezoar in a 12-year-old patient reported by Gasparella et al [13]. Similarly, in the present study, phytobezoar presented at the Meckel's diverticulum in one case and also accompanied Meckel's diverticulitis.…”

Section: Discussionsupporting

confidence: 82%

Bezoar types in children and etiological factors affecting bezoar formation

Dörterler

Günendi

Çakmak

et al. 2020

Preprint

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Background Bezoar is formed as a result of the accumulation of undigested food or foreign substances in the gastrointestinal tract (GIS). The present study aims to investigate the bezoar types seen in children and the etiological factors involved in bezoar formation. Methods A total of 16 patients who underwent an endoscopy and/or surgical treatment for bezoar at Harran University, Faculty of Medicine Pediatric Surgery Clinic between 2011 and 2019 were included in the study. The demographic information, laboratory and radiological findings were obtained from the patients’ file records Results A total of 10 patients (62.5%) were female with a mean age of 7.8 ± 4.9 years. Phytobezoars were detected in 10 patients, trichobezoars in 2 patients, lactobezoar in 1 patient, and other types in 3 patients. The etiological factors were determined to be congenital GIS anomaly in 6 (37.5%) patients; trichotillomania in 2 (12.5%) patients; mental retardation in 2 (12.5%) patients; ingestion of a foreign body during infancy in 2 (12.5%) patients; high intake of high-fiber fruit in 3 (18.5%) patients; and postoperative dysmotility in 2 (12.5%) patients. Conclusions Congenital GIS anomalies are mostly responsible for bezoar etiology in children and phytobezoar is the most common type of bezoar.

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Section: Discussionsupporting

confidence: 82%

Bezoar types in children and etiological factors affecting bezoar formation

Dörterler

Günendi

Çakmak

et al. 2020

Preprint

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“…More rarely, bezoars may appear primarily in the small intestine, causing intermittent or permanent intestinal obstruction. In these cases, intestinal motility is significantly disturbed by pathological entities, such as diverticuli, strictures or neoplasms [41,42].…”

Section: Predisposing Factorsmentioning

confidence: 99%

Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars

Paschos

Chatzigeorgiadis

2019

aog

106

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Bezoars are intraluminal conglomerates of indigestible foreign materials that accumulate in the gastrointestinal (GI) tract. They consist of vegetable or fruit fibers, hairs or other substances; accordingly, bezoars are classified as phytobezoars, trichobezoars, pharmacobezoars, etc. Although sometimes asymptomatic, bezoars may cause serious symptoms, such as abdominal discomfort or pain, dysphagia, hematemesis, or even life-threatening entities (GI bleeding, obstruction or perforation). Current technological applications have contributed to the diagnostic and therapeutic approach to these masses, mainly through endoscopic techniques able to diagnose, fragment and extract bezoars, as well as laparoscopic and other surgical modalities that may be used to treat serious complications. Although bezoars were described centuries ago and the term was officially introduced in the mid nineties by Quain, they are still a demanding pathological entity. Their pathophysiology, accurate and prompt diagnosis, as well as successful and minimally invasive treatment, remain under investigation and see continuous progress. Current advances in these challenging areas are discussed in this review, which attempts to present an in-depth study of bezoars along with the well-established modalities and techniques.

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“…При этом наиболее часто встречается инвагинация и заворот кишок [5]. Возникновение непроходимости тонкой кишки из-за фитобезоара в дивертикуле Меккеля является редким состоянием и описано в литературе в единичных случаях [11,12,13].…”

Section: Discussionunclassified

“…Так во всех описанных случаях ОКН из-за фитобезоара дивертикула Меккеля выполнялась резекция участка кишки с дивертиккулом и наложением межкишечного анастомоза или дивертикулэктомия [11,12,13]. Большинство случаев, описанных в литературе, были обработаны с помощью открытой лапаротомии.…”

Section: Discussionunclassified

“…Большинство случаев, описанных в литературе, были обработаны с помощью открытой лапаротомии. В единичных случаях [10], опубликованном в 2011 и 2017 году, упоминалось о лапароскопическом лечении в таких случаях, а в другом ретроспективном исследовании [11] было показано, что лапароскопический метод лечения может превосходить лапаротомию в плане восстановления пациента в раннем послеоперационном периоде.…”

Section: Discussionunclassified

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Acute small bowel obstruction caused by phytobezoar Meckel diverticula

Tarasenko

Натальский

Peskov

et al. 2019

jour

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Introduction. Meckel diverticulum-is a residue of not completely reduced yolk duct. Among the occurring complications of Meckel’s cuticle in the adult population, acute intestinal obstruction prevails. In this case, the most common intussusception and inversion of the intestines. The occurrence of small bowel obstruction due to phytobesoar in the Meckel diverticulum is a rare condition and has been described in the literature in isolated cases. Materials and methods. The patient of 29 years entered the surgical Department with complaints of abdominal pain of a permanent nature, violation of the discharge of stool and gases, vomiting up to 4 times. Sick for about 2 days. Fluoroscopy of the abdomen showed multiple arches with small bowel fluid levels, single bowl kloybera. The man was operated on urgently with a diagnosis of acute mechanical small bowel obstruction. Results. During the operation, Meckel’s phytobezoar diverticula was detected, which caused acute small bowel obstruction, for which the fragmentation of the bezoar was performed with its relegation to the cecum. The postoperative period proceeded without complications, the patient was discharged on the 10th day after surgery. After 6 weeks, the patient underwent laparoscopic diverticulectomy as planned. Discharged for 5 days. Conclusion. A clinical case of treatment of a patient with phytobezoar Meckel diverticulum complicated by acute mechanical small bowel obstruction is presented. The use of delayed diverticulectomy can reduce the risk of anastomosis failure in acute intestinal obstruction, and if proper diet is observed, it reduces the risk of recurrent intestinal obstruction before re-planned hospitalization.

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Meckel’s diverticulum and bowel obstruction due to phytobezoar: a case report

Cited by 8 publications

References 0 publications

Bezoar types in children and etiological factors affecting bezoar formation

Bezoar types in children and etiological factors affecting bezoar formation

Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars

Acute small bowel obstruction caused by phytobezoar Meckel diverticula

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