Small Bowel Obstruction Induced by Phytobezoar: A Case Report in Innocent Abdomen and Literature Review

作     者：Bréhima Traoré Djibril Traoré Modibo Coulibaly Oumar Guindo Abdoulaye Traoré Fodé Mory Keita Kiffery Ibrahim Keita Korotimi Mallé Pierre Coulibaly Aly Boubacar Diallo Dramane Cissé Dramane Samaké Pierre A. Togo Bréhima Traoré;Djibril Traoré;Modibo Coulibaly;Oumar Guindo;Abdoulaye Traoré;Fodé Mory Keita;Kiffery Ibrahim Keita;Korotimi Mallé;Pierre Coulibaly;Aly Boubacar Diallo;Dramane Cissé;Dramane Samaké;Pierre A. Togo

作者机构：Department of General Surgery Hô pital Sominé DOLO de Mopti Mopti Mali Department of Biomedical Laboratory Hô pital Sominé DOLO de Mopti Mopti Mali Department of Public Health Hô pital Sominé DOLO de Mopti Mopti Mali Department of Anesthesia and Resuscitation Hô pital Sominé DOLO de Mopti Mopti Mali Department of Surgery Polyclique des Armées de Kati Koulikoro Mali Department of Gynecology and Obstetrics Hô pital Sominé DOLO de Mopti Mopti Mali Department of General Surgery Hô pital Régional de Sikasso Sikasso Mali Department of Medicine Hô pital Sominé DOLO de Mopti Mopti Mali Faculty of Medicine and Odonto Stomatology University of Sciences Technics and Technologies de Bamako Bamako Mali 

出 版 物：《Surgical Science》 (外科学（英文）)

年 卷 期：2021年第12卷第6期

页      面：187-195页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Small Bowel Obstruction Phytobezoars Innocent Abdomen 

摘      要：Introduction: Small bowel obstruction (SBO) is defined as a complete and persistent cessation of the transit of materials and gases. It occurs in a segment of the digestive tract located between the pylorus and the colorectal junction. Herein, we report a case of small bowel obstruction (SBO) following excessive consumption of wild grapes with no previous abdomen medical or surgical history. Presentation of case: A 65-year-old male farmer presented with cessation of materials and gas associated with vomiting of food and then bilious. The abdomen was bloated and painful on palpation with a moving, painful mass in the left iliac fossa. The hypothesis of acute occlusion of the colon was retained and confirmed on the X-Ray which showed a dilation of small bowel with air-fluid levels. The diagnostic of acute SBO was retained. We performed urgently a median laparotomy. We found the dilation of the loops from the jejunum to the sigmoid colon with a compact mass at the sigmoid colon of 15 cm in length and 6 cm in diameter. We proceeded to crush the mass that was made up with wild grape seed fecal, and push it back to the rectum. The phytobezoar made up with wild grape seeds was extracted through the anus with the fingers after anal dilation. After extraction of the bezoar, the patient’s complaints completely subsided. Discussion: SBO is a frequent emergency surgical pathology. SBO induced by phytobezoar often occurs in patients with abdomen surgery history. However, it is particularly rare in virgin abdomen. Conclusion: This case report aims to raise awareness of phytobezoar as a cause of SBO in elderly even though without abdomen surgery history.