Cotton Bezoar- a rare cause of intestinal obstruction: case reportReportar como inadecuado




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BMC Surgery

, 3:5

First Online: 04 September 2003Received: 06 June 2003Accepted: 04 September 2003

Abstract

BackgroundBezoars usually present as a mass in the stomach. The patient often has a preceding history of some psychiatric predisposition. Presentation could be in the form of trichophagy followed by trichobezoar swallowing of hair leading to formation of bezoar, orphytobezoar swallowing of vegetable fibres. Rapunzel syndrome is a condition where the parent bezoar is in the stomach and a tail of the fibres or hair extends in to the jejunum. Presentation as intestinal obstruction due to a bezoar in the intestine without a parent bezoar in the stomach is rare, therefore we report it here.

Case reportA 35 year old lady tailor with a previous history of receiving treatment for depression on account of being infertile- years after her marriage, presented to the surgical emergency department with features of acute intestinal obstruction. Exploratory laparotomy and enterotomy revealed a cotton bezoar in the terminal ileum without a parent bezoar in the stomach. She was managed by resection of the affected segment of the ileum and end-to-end anastomosis of the bowel. In the postoperative period the patient gave a history of ingesting cotton threads whenever she was depressed.

ConclusionPresence of cotton bezoar is rare and an intestinal bezoar in the absence of parent bezoar in the stomach is still rarer.

Keywordscotton bezoar ileum Electronic supplementary materialThe online version of this article doi:10.1186-1471-2482-3-5 contains supplementary material, which is available to authorized users.

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Autor: Chintamani - Rakesh Durkhure - Singh JP - Vinay Singhal

Fuente: https://link.springer.com/article/10.1186/1471-2482-3-5



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