• Internal medicine · Jan 2023

    Case Reports

    An Unusual Small Bowel Phytobezoar Successfully Resolved by Double-balloon Enteroscopy.

    • Naoko Mizumoto, Yu Sasaki, Yasuhiko Abe, Makoto Yagi, Yusuke Onozato, Matsuki Umehara, Shuhei Nakamura, Hidemoto Tsuchida, Minami Ito, Hiroki Goto, and Yoshiyuki Ueno.
    • Department of Gastroenterology, Faculty of Medicine, Yamagata University, Japan.
    • Intern. Med. 2023 Jan 15; 62 (2): 221226221-226.

    AbstractWe herein report a very unusual case of small bowel obstruction caused by phytobezoar in a 69-year-old woman who consumed a large amount of bracken. The patient presented with nausea and vomiting. Computed tomography revealed an air-filled foreign body in the jejunum that had likely caused the small bowel obstruction. A fibrous foreign body diagnosed as a phytobezoar was detected using double-balloon enteroscopy. The obstruction was successfully resolved by crushing the phytobezoar repeatedly using a snare. Small bowel obstructions caused by phytobezoars are often treated with surgical interventions. However, endoscopic fragmentation using a snare is a minimally invasive treatment alternative.

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