Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception : A Case Report
Phytobezoars constitute conglomerates of indigested plant fibers and are a rare cause of acute mechanical ileus. They exhibit an increased prevalence in the elderly population and people with specific predisposing conditions. Radiological imaging can often set a definitive diagnosis and dictate the optimal therapeutic approach, combined with the patient's clinical status. An 81-year-old male presented with deteriorating clinical symptoms of intestinal obstruction, and an exploratory laparotomy was performed following inconclusive radiological findings; multiple phytobezoars and incipient intussusception were revealed intraoperatively. A patient's medical history can often raise clinical suspicion of phytobezoars. However, a careful etiological investigation is imperative in all cases of mechanical ileus in advanced ages; early detection and dissolution of phytobezoars, when applicable, can reduce the need for surgical interventions.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:59 |
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| Enthalten in: |
Medicina (Kaunas, Lithuania) - 59(2023), 7 vom: 30. Juni |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kosmidis, Christoforos S [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Completed 31.07.2023 Date Revised 01.08.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.3390/medicina59071227 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM360119107 |
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| 520 | |a Phytobezoars constitute conglomerates of indigested plant fibers and are a rare cause of acute mechanical ileus. They exhibit an increased prevalence in the elderly population and people with specific predisposing conditions. Radiological imaging can often set a definitive diagnosis and dictate the optimal therapeutic approach, combined with the patient's clinical status. An 81-year-old male presented with deteriorating clinical symptoms of intestinal obstruction, and an exploratory laparotomy was performed following inconclusive radiological findings; multiple phytobezoars and incipient intussusception were revealed intraoperatively. A patient's medical history can often raise clinical suspicion of phytobezoars. However, a careful etiological investigation is imperative in all cases of mechanical ileus in advanced ages; early detection and dissolution of phytobezoars, when applicable, can reduce the need for surgical interventions | ||
| 650 | 4 | |a Case Reports | |
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| 700 | 1 | |a Mystakidou, Chrysi Maria |e verfasserin |4 aut | |
| 700 | 1 | |a Varsamis, Nikolaos |e verfasserin |4 aut | |
| 700 | 1 | |a Koulouris, Charilaos |e verfasserin |4 aut | |
| 700 | 1 | |a Sevva, Christina |e verfasserin |4 aut | |
| 700 | 1 | |a Papadopoulou, Konstantina |e verfasserin |4 aut | |
| 700 | 1 | |a Michael, Christina |e verfasserin |4 aut | |
| 700 | 1 | |a Katsios, Nikolaos Iason |e verfasserin |4 aut | |
| 700 | 1 | |a Theodorou, Vasiliki |e verfasserin |4 aut | |
| 700 | 1 | |a Miltiadous, Petrina |e verfasserin |4 aut | |
| 700 | 1 | |a Papadopoulos, Konstantinos |e verfasserin |4 aut | |
| 700 | 1 | |a Vlassopoulos, Konstantinos |e verfasserin |4 aut | |
| 700 | 1 | |a Zarampouka, Katerina |e verfasserin |4 aut | |
| 700 | 1 | |a Mantalovas, Stylianos |e verfasserin |4 aut | |
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