Impaction of Phytobezoar at Meckel's Diveticulum

J Coll Physicians Surg Pak. 2019 Mar;29(3):276-277. doi: 10.29271/jcpsp.2019.03.276.

Abstract

Small bowel obstruction secondary to phytobezoars is a rare presentation in surgery. These are masses of undigested food and vegetables, which obstruct the narrowest part of gut. We discuss a case of a young patient presenting in emergency department with history of acute abdominal pain, distension and constipation. Diagnosis of acute intestinal obstruction was made on the basis of history, examination, and initial investigations. Exploratory laparotomy revealed a phytobezoar at the origin of Meckel's diverticulum, which was an incidental finding. He underwent wedge resection with primary closure and removal of phytobezoar. The change in dietary habits, decreased fiber intake, and psychiatric evaluation can prevent recurrence.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnosis
  • Abdominal Pain / etiology
  • Adolescent
  • Bezoars / complications
  • Bezoars / diagnostic imaging
  • Bezoars / surgery*
  • Emergency Service, Hospital
  • Follow-Up Studies
  • Humans
  • Incidental Findings
  • Intestinal Obstruction / etiology*
  • Intestinal Obstruction / surgery
  • Laparotomy / methods
  • Male
  • Meckel Diverticulum / complications*
  • Meckel Diverticulum / diagnosis
  • Treatment Outcome