title: Biliary phytobezoar resulting in intestinal obstruction.
abstract: Phytobezoar is the most common type of bezoar. It is composed of indigestible vegetable matter and is usually found in the stomach. Biliary phytobezoar is extremely rare and difficult to diagnose preoperatively. The pathogenesis is not clear, and there have been only a few reports of biliary bezoars associated with sphincteric impairment at the ampulla of Vater. Here, we present a report of biliary bezoar that resulted in jejunal obstruction. We were unable to identify the bezoar in the extrahepatic bile duct until it obstructed the small bowel lumen. To our knowledge, this is the first report of small bowel obstruction resulting from migration of a biliary bezoar.
authors: Department of Radiology, College of Medicine, Korea University, Anam Hospital, Seoul 136-705, South Korea.
authors: Yura
authors: Y
authors: Kim
authors: Beom Jin
authors: BJ
authors: Park
authors: Min Ju
authors: MJ
authors: Kim
authors: Deuk Jae
authors: DJ
authors: Sung
authors: Dong-Sik
authors: DS
authors: Kim
authors: Young-Dong
authors: YD
authors: Yu
authors: Jeong Hyeon
authors: JH
authors: Lee
mesh_terms: D015746:Abdominal Pain; D000368:Aged; D001630:Bezoars / Q000150:complications* / Q000175:diagnosis*; D001659:Biliary Tract / Q000503:physiopathology*; D004322:Drainage; D005260:Female; D005402:Fistula / Q000175:diagnosis; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications* / Q000175:diagnosis; D007583:Jejunum / Q000503:physiopathology; D061330:Multidetector Computed Tomography; D014057:Tomography, X-Ray Computed; D014675:Vegetables
keywords: Biliary; Choledochoduodenal; Fistula; Intestinal obstruction; Multidetector-row computed tomography; Phytobezoar