Korean J Gastrointest Endosc > Volume 22(3); 2001 > Article

Korean Journal of Gastrointestinal Endoscopy 2001;22(3): 182-186.

증례 / 소장폐색을 일으킨 Phytobezoar 2예 ( Small Intestinal Obstruction due to Phytobezoars - Case reports - )

김명철(Myoung Cheol Kim),채현석(Hiun Suk Chae),태현정(Hyun Jung Tae),박선희(Sun Hee Park),장정원(Jeong Won Jang),이강문(Kang Moon Lee),김성수(Seong Soo Kim),방춘상(Chun Sang Bang),이창돈(Chang Don Lee),최규용(Kyu Yong Choi),정인식(In Sik Chung),선희식(Hee Sik Sun),안창혁(Chang Hyuk Ahn)

Abstract

Phytobezoars are the most common type of bezoars composed of nondigestible food material. They are usually formed in stomach and do not migrate to the other intestinal tract. Recently, we experienced two cases of small bowel phytobezoars resulting in obstruction. The first case is a 72-year-old male patient who had no previous history of surgery. He had poor dentition, and the history of eating dry persimmons 20 days before the onset of symptoms. The phytobezoar (4x3cm) obstructed the terminal ileum. Colonoscopic removal was performed successfully. The second case is a 45-year-old male patient undergone previous vagotomy and pyloroplasty for duodenal ulcer perforation. He had a huge phytobezoar (10 X 6 cm) in stornach, which was treated by endoscopic removal. After incomplete endoscopic treatment, it moved into the proximal jejunum and obstructed the lumen. It was removed by operation, (Korean J Gastrointest Endosc 2001;22:182 - 186)

Key Words: Phytobezoar, Small bowel obstruction, Surgery, Colonoscopy