title: Removal of a Giant Rectosigmoid Phytobezoar without Laparotomy.
abstract: Bezoars are the uncommon result of ingestion of indigestible or poorly digestible substances. Phytobezoars are the most common bezoars in children. Small bowel obstruction, especially of the terminal ileum, is the most common complication. Colonic obstruction is rare. Most reviewed intestinal phytobezoars with obstruction necessitate laparotomy with enterotomy. Here, we report a rare case of giant rectosigmoid phytobezoar with near-total colonic obstruction. Successfully, removal of this bezoar by an alternative way of fragmentation with colonoscopy, not conventional enterotomy is needed. The patient recovered well and then discharged without any morbidity 2 days later.
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan Republic of China.
authors.forename: Shu-Wen
authors.initials: SW
authors.lastname: Jao
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital Penghu Branch, National Defense Medical Center, Penghu, Taiwan Republic of China.
authors.forename: Liang-Tsai
authors.initials: LT
authors.lastname: Wang
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan Republic of China.
authors.forename: Chang-Chieh
authors.initials: CC
authors.lastname: Wu
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan Republic of China.
authors.forename: Cheng-Wen
authors.initials: CW
authors.lastname: Hsiao
keywords: Colonoscopy; Intestinal obstruction; Laparotomy; Phytobezoar