Laparoscopic management of intestinal obstruction due to phytobezoar.
Phytobezoars are a rare cause of small-bowel obstruction and an accurate preoperative diagnosis is very difficult. After diagnosis, the majority of patients in this study underwent surgery. The conventional management of small-bowel obstruction is done by laparotomy. Many studies have demonstrated that laparoscopy can be an alternative to laparotomy for the treatment of small-bowel obstruction in select patients, and it also brings the benefits of minimally invasive surgery. This report demonstrates the case of a patient with intestinal obstruction caused by phytobezoar (mango seed) who was treated laparoscopically. During the laparoscopy, a hard mass 5 cm proximal to the ileocaecal junction was palpable with graspers. An ileotomy was then performed. The bezoar was extracted and inserted into a bag. In this case, the intestinal obstruction management by laparoscopy was safe and feasible.
de Menezes Ettinger
João Eduardo Marques Tavares
JE
General Surgery Division, São Rafael Hospital, Department of Surgery, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil. cirurgias@terra.com.br
Silva Reis
Jadson Murilo
JM
de Souza
Elias Luciano Quinto
EL
Filho
Euler de Medeiros Azaro
Ede M
Gãlvao do Amaral
Paulo Cezar
PC
Ettinger
Eric
E
Fahel
Edvaldo
E
D000368:Aged; D001630:Bezoars / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology / Q000601:surgery*; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male