Nettle consumption, as well as persimmon, orange, coconut etc. can lead to phytobezoar formation. Coke and cellulase-resistant phytobezoars should be removed either endoscopically or surgically, depending on their dimensions. The treatment of choice for giant phytobezoars (more than 10 cm) is gastrotomy.

A 45-year-old woman was under study for one year of abdominal pain associated with 4kg weight loss and chronic constipation. An entero magnetic resonance found a mass of 8x10cm on medium ileum suggesting a phytobezoar, with no proximal bowel dilatation. The woman was scheduled for programmed resection. Two weeks after, she presented on our emergency department with an acute abdomen. Exploratory...

There are many therapeutic modalities for managing gastric bezoars. These include nasogastric lavage or suction, enzymatic therapy, the use of prokinetic agents and gastroscopic fragmentation and extraction (1-3). If these non-operative treatments fail, a surgical approach is needed and removal of the bezoar has classically been performed by gastrotomy. To our knowledge there are few articles a...

A case of massive phytobezoar in the right colon due to psyllium seed husks causing complete gastric outlet obstruction by extrinsic compression is reported. The diagnostic dilemma of unusually large size of the bezoar and nonsurgical removal are unique features of this case.

A phytobezoar is the most common type of bezoar, which is a gastrointestinal mass composed of vegetable. A persimmon is a common cause of a phytobezoar. The majority of bezoars are found in the stomach, with the small intestine being the next most commonly involved site. The colon is a rare site for a bezoar. Recently, we experienced a colonic bezoar that caused colonic obstruction in a 66-year...

Small bowel obstruction (SBO) is a common condition encountered in surgical practice. Literature shows divers and many different etiologies for intestinal obstruction. However, bezoars are rarely reported as an etiological factor. A bezoar happens most commonly in patients with impaired gastrointestinal motility. There are four types of bezoars: phytobezoars, trichobezoars, pharmacobezoars and ...

In the Libyan Arab Jamahiriya, olibanum (frankincense) is commonly recommended as a part of the traditional popular medic cine for the treatment of some abdominal disease. Olibanum is used in Misurata as a chewing gum and is swallowed for the treatment of dyspepsia. Bezoars are large conglomerates of vegetables fibres, hairs or concretions of various substances loc cated in the stomach or small...