Phytobezoar impaction in a Meckel’s diverticulum; a rare cause of bowel obstruction: Case report and review of literature

Abstract

HighlightsComplicated Meckel’s diverticulum can have different clinical presentations and can cause bowel obstruction especially if a phytobezoar gets impacted in it.Surgical management is needed and laparoscopic approach could be an option with a better outcome for treatment of this condition.

Diagnosis of a rare pediatric case of small-bowel obstruction secondary to a phytobezoar in a Meckel’s diverticulum aided by point-of-care ultrasound

“…In conclusion, phytobezoar associated with Meckel's diverticulum causing SBO has not been published in the pediatric literature to date. In all cases reported in adult literature [3], as well as in our case, neither pre-operative CT scan nor bedside ultrasound were able to detect the underlying rare pathology, but definitive diagnosis was made intra-operatively. In our case, PoCUS was positive for the SBO based on available, albeit adult, criteria.…”

“…Phytobezoar formation within a Meckel's diverticulum is an extremely rare cause of SBO and has only been reported in ten individual adult case reports [3]. To our knowledge, no cases have been described in the pediatric population.…”

“…Due to its varied and non-specific presentation, MD can often be a diagnostic challenge, especially in children, and further imaging is typically required for diagnosis [2]. Phytobezoars are concretions of poorly digested fruit and vegetable fibers found in the alimentary tract and, rarely, can incite SBO [3].…”

Acute small bowel obstruction caused by phytobezoar Meckel diverticula

“…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.…”

Small bowel obstruction secondary to Meckel's diverticulum impacted with phytobezoar

“…In this case, obstruction from impaction of foreign material is a rare cause with only a handful of case reports thus far. Most cases have mainly reported bezoars of plant material 3 and very rarely, foreign bodies of plastic, rocks, beads and rubber 4 …”