Diospyrobezoar in Jejunum Causing Intestinal Obstruction: A Rare Case Report

Abstract

Bezoars present as a mass in any part of intestine usually in the stomach. Presentation could be in the form of trichophagy followed by trichobezoar (swallowing of hair leading to formation of bezoar) and orphytobezoar (swallowing of vegetable fibres). A 36 years old housewife presented to the surgical emergency department with features of acute intestinal obstruction. A detailed history taking and physical examination were made. In the preoperative period the patient gave a history of eating persimmon. Following an abdominal ultrasonography, she undergone laparotomy with the suspicion of bezoar and enterotomy revealed a diospyrobezoar in the jejunum. She was managed by a single enterotomy of the jejunum. Presence of diospyrobezoar is rare and an intestinal bezoar in the absence of parent bezoar in the stomach is still rarer

Keywords

• Diospyrobezoar,jejunum,intestinal obstruction,persimmon

İntestinal Obstruksiyona Neden Olan Jejunumda Diospirobezoar: Nadir bir Olgu

Abstract

Bezoar sıklıkla mide olmak üzere gastrointestinal sistemin herhangi bir yerinde kitle olarak oluşabilir. Trikobezoar (saçların yutulması ile bezoar oluşumu) ve orfitobezoar (sebze liflerinin yutulması ile bezoar oluşumu) şeklinde olurlar. 36 yaşında bir ev hanımı hasta acil servise akut intestinal tıkanıklık bulguları ile başvurdu. Detaylı hikaye ve fizik muayene yapıldı. Preoperatif periyotta hastadan hurma yeme hikayesi alındı. Abdominal ultrasonu takiben hastaya bezoar şüphesi ile laparatomi yapıldı. Enterotomi ile jejunumdaki bezoar dışarı alındı. Diospirobezoar varlığı nadirdir ve intestinal bezoar midedeki bezoar yokluğunda daha nadirdir

Keywords

• Diospirobezoar,jejunum,intestinal tıkanıklık,hurma

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