title: Closed perforation of the small bowel secondary to a phytobezoar: imaging findings.
abstract: Small bowel perforation secondary to phytobezoars is a rare clinical entity, which is not well-documented in the radiological literature. Sonographic and computed tomography (CT) findings of a case of closed small bowel perforation secondary to phytobezoars in a patient with previous gastric surgery are presented. Both abdominal ultrasound and CT examinations revealed a collection containing air at the left lower quadrant as well as neighboring intraluminal masses suggestive of bezoars. We propose that appropriate CT examination is a very useful imaging modality for evaluating this kind of bowel perforation.
authors.affiliation: Department of Radiology, Gazi University School of Medicine, Ankara, Turkey. sunaoktar@gazi.edu.tr
authors.forename: Suna Ozhan
authors.initials: SO
authors.lastname: Oktar
authors.forename: Gonca
authors.initials: G
authors.lastname: Erbaş
authors.forename: Cem
authors.initials: C
authors.lastname: Yücel
authors.forename: Esra
authors.initials: E
authors.lastname: Aslan
authors.forename: Hakan
authors.initials: H
authors.lastname: Ozdemir
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D001630:Bezoars / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D007583:Jejunum; D008297:Male; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography