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Báo cáo y học: " Small intestinal obstruction due to phytobezoar: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Small intestinal obstruction due to phytobezoar: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Small intestinal obstruction due to phytobezoar a case report Rajan Fuad Ezzat Shahzad Ali Rashid Abbas Tahir Rashid Khaled Musttafa Abdullah and Shyaw Mahmood Ahmed Address Department of Surgery Sulaimanyah Teaching Hospital Sulaimanyah Iraq Email Rajan Fuad Ezzat - rajanfuad@yahoo.com Shahzad Ali Rashid - barznji100@hotmail.com Abbas Tahir Rashid - abbasrashid71@yahoo.com Khaled Musttafa Abdullah - khaledmusttafa@yahoo.com Shyaw Mahmood Ahmed - shiawma@hotmail.com Corresponding author Published 2 December 2009 Received 6 January 2009 Journal of Medical Case Reports 2009 3 9312 doi 10.1186 1752-1947-3-93 12 Accepted 2 December 2009 This article is available from http www.jmedicalcasereports.cOm content 3 1 9312 2009 Ezzat et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Patients with mechanical small-bowel obstructions usually present with abdominal pain vomiting absolute constipation and varying degrees of abdominal distention. Causes can be classified as benign or malignant or as extra- or intraluminal. A bezoar occurs most commonly in patients with impaired gastrointestinal motility. In edentulous older patients with abnormal food habits it can also be an intestinal concretion that fails to pass along the alimentary canal. Small bowel phytobezoars are rare and almost always obstructive. In a normal stomach vegetable fibres that cannot pass through the pylorus undergo hydrolysis within the stomach which softens them enough to go through the small bowel. We present an unusual case of small intestinal obstruction caused by a phytobezoar in a patient who had neither a history of gastric surgery nor of intestinal pathology. Case