Ileal Tricho-phytobezoar a rare cause of intestinal obstruction : a case report
Journal Title: Journal of the Indian Medical Association - Year 2019, Vol 117, Issue 4
Abstract
A bezoar is a ball of swallowed foreign material that collects in the gastrointestinal tract and usually fails to passs through. Trichobezoar (hair) and phytobezoar (vegetable fibres) are the most frequent forms. Rarely even their combination have also been seen as tricophytobezoar which is in our case. Stomach is the commonest site of occurrence. However it may also occur in the small bowel. Intestinal obstruction due to trichophytobezoar is an extremely rare entity, which should also be kept in mind while considering various differential causes of obstruction. A female patient of 26 years of age presented with complains of pain in abdomen, vomiting, abdominal distension and constipation since 8 to 10 days. Clinically she had tachycardia, abdominal findings were suggestive of distension along with tenderness, and guarding. On emergency exploration she was found to have a single ileal intraluminal mass, mobile in nature, which was removed through enterotomy. This mass was than identified as Tricho-phytobezoar. She was also consulted and treated by a psychiatrist. Primary smallbowel bezoars themselves are very rare but must be kept in mind as a possible cause of small bowel obstruction.
Authors and Affiliations
GN Vaghasiya, JP Dave, SG Parikh, VS Parmar
Keywords
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