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Medical Science Monitor Basic Research


How could such a wide piece of tree root pass through the narrow pyloric orifice? An extremely rare case

Challenging differential diagnosis, Management of emergency care, Rare disease

Arda Isik, Y. Deniz Firat, Kemal Peker, İlyas Sayar, Oguz İdiz, Mehmet Soyturk, Ismail Demiryilmaz, Ismayil Yilmaz

Turkey Department of General Surgery, Erzincan University, Erzincan, Turkey

Am J Case Rep 2014; 15:284-287

DOI: 10.12659/AJCR.890713

Available online: 2014-06-30

Published: 2014-06-30


Background: Phytobezoars are a common type of bezoar known to accumulate in the gastrointestinal system.
Case Report: A 30-year-old mentally retarded woman was operated on due to small bowel obstruction. A piece of tree root was extracted from the ileum. The patient was discharged from the hospital on postoperative day 7.
Conclusions: Due to difficulties in determining the nature of the bezoar preoperatively, small bowel obstruction due to a phytobezoar is not a common diagnosis. For bezoars, prevention is considered preferable to treatment.

Keywords: Bezoars, general surgery, Ileus, Mentally Disabled Persons