Obstructing phytobezoar arising from proximal jejunal diverticulum.
The following report illustrates a rare case of small bowel obstruction which occurred when a large phytobezoar, which had formed in a proximal jejunal diverticulum, dislodged and migrated distally. Obstruction and subsequent perforation resulted when the phytobezoar passed into the narrow terminal ileum and lodged just proximal to the ileocecal valve. The images are presented for educational purposes.
Lough
Erik
E
West Virginia University School of Medicine, WV, USA.
Richmond
Bryan
B
Maxwell
Damian
D
Hayes
John David
JD
D000369:Aged, 80 and over; D001630:Bezoars / Q000150:complications*; D004240:Diverticulum / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000150:complications*; D008297:Male