title: Laparoscopic management of intestinal obstruction due to phytobezoar.
abstract: 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.
authors.affiliation: General Surgery Division, São Rafael Hospital, Department of Surgery, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil. cirurgias@terra.com.br
authors.forename: João Eduardo Marques Tavares
authors.initials: JE
authors.lastname: de Menezes Ettinger
authors.forename: Jadson Murilo
authors.initials: JM
authors.lastname: Silva Reis
authors.forename: Elias Luciano Quinto
authors.initials: EL
authors.lastname: de Souza
authors.forename: Euler de Medeiros Azaro
authors.initials: Ede M
authors.lastname: Filho
authors.forename: Paulo Cezar
authors.initials: PC
authors.lastname: Gãlvao do Amaral
authors.forename: Eric
authors.initials: E
authors.lastname: Ettinger
authors.forename: Edvaldo
authors.initials: E
authors.lastname: Fahel
mesh_terms: 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