A proposed diagnostic triad for a case of phytobezoar occlusion
DOI:
https://doi.org/10.35954/SM2020.39.2.6Keywords:
Bezoars; Intestinal ObstructionAbstract
Phytobezoars are persistent deposits of non-digestible plant fiber in the digestive tract, usually located in the stomach, although they can migrate to other parts of the intestine. They usually manifest as complete or incomplete intestinal occlusion. The diagnosis is difficult to make preoperatively, being most of the time an intraoperative finding. In case of intestinal topography, surgical treatment is the rule. On the basis of a case and a review of the literature on the subject, we propose a triad that can help the preoperative diagnosis.
Recibido para evaluación: Noviembre 2019 Aceptado para publicación: Junio 2020
Downloads
References
(1) Lacoma Latre EM, Sánchez Lalana E, Saudí Moro S. Fitobezoar intestinal. Imagen Diag 2017; 8(1):21-23. doi:10.1016/j.imadi.2016.02.004
(2) Rider JA, Foresti-Lorente RF, Garrido J, Puletti EJ; Rider DL, King AH, et al. Gastric bezoars: treatment and prevention. Am J Gastroenterol 1984; 79(5):357‐359. PMID: 6720657
(3) Cabo Navarro D, Fort López-Barajas JM, Mesa Manteca J, Lecube Torelló A. Fitobezoar en remanente gástrico tras cirugía bariátrica. Med Clin (Barc) 2009; 132(5):200. doi:10.1016/j.medcli.2008.09.008
(4) Toccaceli S, Donfrancesco A, Stella LP, Diana M, Dandolo R, Di Schino C. Shall bowel obstruction caused by phytobezoar. Case report. G Chir 2005; 26(5):218‐220. PMID: 16184707
(5) Soriano Pérez MJ, Serrano Carrillo de Albornoz JL, Marín Montín I, Merino Rumín MC. Obstrucción intestinal secundaria a fitobezoar. Med Clin (Barc) 2007; 129(16):640. doi:10.1016/s0025-7753(07)72949-4
(6) Quiroga S, Alvarez-Castells A, Sebastia C, Pallisa E, Barluenga E. Small bowel obstruction secondary to bezoar: CT diagnosis. Abdom Imaging 1997; 22(3):315-317. doi: 10.1007/s002619900198
(7) Martínez de Juan F, Martínez-Lapiedra C, Picazo V. Phytobezoar dissolution with Coca-Cola. Gastroenterol Hepatol 2006; 29(5):291‐293. doi:10.1157/13087468
(8) Lazarus DE, Slywotsky C, Bennett GL, Megibow AJ, Macari M. Frequency and relevance of the "small-bowel feces" sign on CT in patients with small-bowel obstruction. AJR Am J Roentgenol 2004; 183(5):1361‐1366. doi:10.2214/ajr.183.5.1831361
(9) Fernández Morató J, Ilzarbe Sánchez J, Bessa Caserras J, Mateu de Antonio J. Tratamiento con celulasa en 3 casos de fitobezoares de gran tamaño. Farm Hosp 2009; 33(2):100-3. PMID: 19480798
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Martin Varela Vega, Micaela Mandacen, Catalina González, Rodrigo Demolín, Iván Trostchansky, Santiago Cubas, Carlos Barberousse. authors retain their copyright and grant the journal the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution 4.0 International License that allows sharing the work as long as the initial publication in this journal is indicated.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Until 2024 we use the Creative Commons Attribution/NonCommercial Attribution 4.0 International License https://creativecommons.org/licenses/by-nc/4.0/deed.es. Which states that: you are free to share, copy and redistribute the material in any medium or format, as well as to adapt, remix, transform and build upon the material. Under the following terms:
Attribution: you must give proper credit , provide a link to the license, and indicate if changes have been made . You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is endorsed by the licensor.
NonCommercial: you may not use the material for commercial purposes.
As of 2025 authors retain their copyright and assign to the journal the right of first publication of their work, which shall simultaneously be subject to the license https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es that permits sharing, copying and redistribution of the material in any medium or format provided that initial publication in this journal is indicated. Adapt, remix, transform and build upon the material. If you remix, transform, or build from the material, you must distribute your contribution under the same license as the original and may not make use of the material for commercial purposes.
Under the following terms:
1. Attribution: you must give proper credit, provide a link to the license, and indicate whether changes have been made. You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is endorsed by the licensor.
2. NonCommercial: you may not use the material for commercial purposes.
3. ShareAlike: if you remix, transform or build upon the material, you must distribute your contribution under the same license as the original.
PlumX Metrics
