title: Phytobezoar impaction in a Meckel's diverticulum; a rare cause of bowel obstruction: Case report and review of literature.
abstract: BACKGROUND
  Meckel's diverticulum is the most common anomaly of the gastrointestinal tract, occurring in 1-3% of the general population. The most common complication of Meckel's diverticulum is intestinal obstruction. In this report, we describe a rare cause of intestinal obstruction due to Meckel's; the phytobezoar. After thorough literature review, the authors found about ten individual reports of the same topic. In all these cases, diagnosis was established intra-operatively.
  
  
  METHODS
  A forty-seven-year old male presented to the emergency department with a one-day history of abdominal pain associated with vomiting and constipation. Physical examination diagnostic tests revealed features of intestinal obstruction.
  
  
  CONCLUSIONS
  The lifetime risk of complications in patients with a Meckel'sdiverticulum is usually small and occurs only in up to 4%. In adults' intestinal obstruction is the most common complication (40%).
  
  
  CONCLUSIONS
  Complicated Meckel's diverticulum can have different clinical presentations and can cause bowel obstruction. An association with bezoars impaction is possible and it should be suspected in adult patients presenting with bowel obstruction of unknown causes especially those with high vegetarian diet.
authors.affiliation: General Surgery Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates. Electronic address: bassem.abouhussein@gmail.com.
authors.forename: Bassem Abou
authors.initials: BA
authors.lastname: Hussein
authors.affiliation: General Surgery Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Ali
authors.initials: A
authors.lastname: Khammas
authors.affiliation: General Surgery Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Labib
authors.initials: L
authors.lastname: Al-Ozaibi
authors.affiliation: General Surgery Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Alyaa
authors.initials: A
authors.lastname: Abdallah
authors.affiliation: General Surgery Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Hajer
authors.initials: H
authors.lastname: Busharar
authors.affiliation: General Surgery Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Alya
authors.initials: A
authors.lastname: Al-Mazrouei
authors.affiliation: General Surgery Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Faisal
authors.initials: F
authors.lastname: Badri
keywords: Laparoscopy; Meckel’s; Obstruction; Phytobezoar