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

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

Affiliations
  • 1Department of Internal Medicine, Good Gang-An Hospital, Busan, Korea. orga001@gmail.com

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
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