An Unusual Cause of Duodenal Obstruction: Persimmon Phytobezoar

详细信息    查看全文

• 作者：Shengxian Fan ; Jing Wang ; Yousheng Li
• 关键词：Coca ; Cola ; Duodenal obstruction ; Endoscopic fragmentation ; Persimmon phytobezoar
• 刊名：Indian Journal of Surgery
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：78
• 期：6
• 页码：502-504
• 全文大小：
• 刊物主题：Surgery; Pediatric Surgery; Neurosurgery; Plastic Surgery; Cardiac Surgery; Thoracic Surgery;
• 出版者：Springer India
• ISSN：0973-9793
• 卷排序：78

文摘

Duodenal phytobezoar, an unusual cause of acute duodenal obstruction, is rarely seen. The most common cause of this type of bezoar is persimmon. It frequently arises from underlying gastrointestinal tract pathologies (gastric surgery, etc.). Here, we report the case of a 66-year-old man who had undergone distal gastrectomy with Billroth I reconstruction for gastric cancer and experienced severe epigastric discomfort, abdominal pain, and vomiting for a few days. The abdominal computed tomography scan showed a large-sized mass in the horizontal portion of the duodenum. On following endoscopic examination, a large phytobezoar was revealed in the duodenum. He was treated with endoscopic fragmentation combined with nasogastric Coca-Cola. The patient tolerated the procedure well and resumed a normal oral diet 3 days later.