Phytobezoar in Meckel's diverticulum: A rare cause of small bowel obstruction |
| |
Authors: | Bini Roberto Quiriconi Fabrizio Tello Aurelio Fusca Marcella Loddo Franca Leli Renzo Addeo Alfredo |
| |
Institution: | Dept of General and Emergency Surgery, Ospedale SG Bosco, Piazza Donator di Sangue 3, Torino 10159, Italy. |
| |
Abstract: | IntroductionMeckel's diverticulum (MD) is the prevailing anomaly of the gastrointestinal tract, found in about 2% of the population; it rarely gives rise to symptoms and its discovery is usually accidental. Phytobezoar is a concretion of poorly digested fruit and vegetable fibres that is found in the alimentary tract and rarely can be the cause of small intestinal obstruction. Herein we report a rare case of intestinal obstruction due to phytobezoar formation into a MD.Presentation of caseA 50 year-old patient, was admitted to author's institution with an history of abdominal pain, nausea and multiples episodes of vomiting. Plain X-ray showed dilated small-bowel loops. Computed tomography (CT) revealed jejunal loops with air-fluid levels. The patient underwent explorative laparotomy where we found a giant Meckel's diverticulum, filled by a phytobezoar that caused small bowel compression. We performed a segmental ileal, resection, containing the MD. The histological exam confirmed Meckel's diverticulum.DiscussionBowel obstruction due to a phytobezoar in a Meckel's diverticulum is rare: only 7 cases have been reported in literature. MD complications are rare and phytobezoar is one of them with only few cases described in literature.ConclusionThe conventional x rays studies were inconclusive whereas abdominal contrast enhanced CT led to a definitive diagnosis. Explorative laparotomy or laparoscopy is mandatory in these cases. |
| |
Keywords: | Meckel''s diverticulum Phytobezoar Small bowel obstruction Acute abdomen |
本文献已被 ScienceDirect PubMed 等数据库收录! |
|