J Korean Soc Coloproctol.  2011 Aug;27(4):211-214.

A Case of Successful Colonoscopic Treatment of Colonic Obstruction Caused by Phytobezoar

• Yoon SS
• Kim MS
• Kang DY
• Yun TS
• Jeon JH
• Lee YK
• Choi SW
• Kim CH

Abstract

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-old female patient who took persimmons regularly. The patient came to the hospital because of abdominal pain and distension. To differentiate a tumor or other problems that can cause intestinal obstruction, we performed an abdominal computed tomography scan and found an ovoid intraluminal mass with a mottled gas pattern in the distal descending colon. A large impacted bezoar was seen in the sigmoid colon, which was completely obstructed, and it was successfully removed by using colonoscopy.

Keyword

Bezoars; Intestinal obstruction; Colonoscopy

MeSH Terms

Abdominal Pain
Aged
Bezoars
Colon
Colon, Descending
Colon, Sigmoid
Colonoscopy
Diospyros
Female
Humans
Intestinal Obstruction
Intestine, Small
Porphyrins
Stomach
Vegetables
Porphyrins