Phytobezoar Causing Terminal Ileal Obstruction– Can Enterotomy be Avoided?
نویسنده
چکیده
Phytobezoar presenting as acute intestinal obstruction is extremely rare in clinical practice and causing terminal ileum obstruction is still rarer. We report a case of middle aged female who presented with intestinal obstruction due to impacted phytobezoar in terminal ileum. Emergency exploratory laparotomy was performed and large phytobezoar found impacted in terminal ileum, which was compressed manually, tried to break and narrowed, subsequently milked to caecum. Though most of the time enterotomy is required for the removal of impacted bezoars, compression and milking of the content to caecum should be tried first. This will release the intestinal obstruction without peritoneal contamination. Enterotomy should be reserved for failed cases only.
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