Korean J Gastrointest Endosc.
2011 Jan;42(1):43-46.
A Case of Colonic Obstruction Due to Phytobezoars
- Affiliations
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- 1Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine, Seoul, Korea. dramc@hanmail.net
Abstract
- Colonic phytobezoars are defined as conglomerate masses of fruit or vegetable matter in the colon, and these have rarely reported as a cause of colon obstruction. Because it is extremely rare, its correct diagnosis might be delayed even with the aid of abdominal computed tomography. We report here on a case of diagnosed colonic obstruction due to colonic phytobezoars in a 67-year-old female with diabetic end stage renal disease and chronic constipation. Although abdomino-pelvic computed tomography did not demonstrate the presence of phytobezoars, multiple phytobezoars impacted in the colon were found and these were removed by colonoscopy. This is a rare case in that colonic obstruction due to phytobezoar was diagnosed early and it was treated by colonoscopy.