Intestinal Radiation-Induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a Case

Bezoars represent the fifth most frequent cause of acute small bowel obstruction. Phytobezoar is the most common type of bezoar. It is a concretion of undigestible fibers derived from ingested vegetables and fruits. We report a case of a woman with a 1-year history of recurrent epigastric and perium...

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Main Authors: Alessandra Quercioli, Franco Dallegri, Luciano Ottonello, Fabrizio Montecucco, Giacomo Borgonovo
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2009/482039
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author Alessandra Quercioli
Franco Dallegri
Luciano Ottonello
Fabrizio Montecucco
Giacomo Borgonovo
author_facet Alessandra Quercioli
Franco Dallegri
Luciano Ottonello
Fabrizio Montecucco
Giacomo Borgonovo
author_sort Alessandra Quercioli
collection DOAJ
description Bezoars represent the fifth most frequent cause of acute small bowel obstruction. Phytobezoar is the most common type of bezoar. It is a concretion of undigestible fibers derived from ingested vegetables and fruits. We report a case of a woman with a 1-year history of recurrent epigastric and periumbilical abdominal pain with intermittent vomiting caused by phytobezoar of the terminal ileum. After careful investigation of the case and review of literature, we identified the factor involved in bezoar formation as radiation-induced ileal stenosis due to previous treatment for a pelvic tumour. This report provides evidence to consider phytobezoar as a possible cause of small bowel obstruction in patients previously treated with abdominal radiotherapy.
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institution Kabale University
issn 1687-6121
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language English
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series Gastroenterology Research and Practice
spelling doaj-art-265c7a8e9a9241d6a178a58c5e5b43e12025-02-03T01:29:00ZengWileyGastroenterology Research and Practice1687-61211687-630X2009-01-01200910.1155/2009/482039482039Intestinal Radiation-Induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a CaseAlessandra Quercioli0Franco Dallegri1Luciano Ottonello2Fabrizio Montecucco3Giacomo Borgonovo4First Clinic of Internal Medicine, Internal Medicine Department, University of Genoa, 16143 Genoa, ItalyFirst Clinic of Internal Medicine, Internal Medicine Department, University of Genoa, 16143 Genoa, ItalyFirst Clinic of Internal Medicine, Internal Medicine Department, University of Genoa, 16143 Genoa, ItalyDivision of Cardiology, Geneva University Hospital, Faculty of Medicine, Foundation for Medical Researches, 1211 Geneva, SwitzerlandDepartment of Surgical and Morphological Disciplines and Integrated Methodologies, University of Genoa, 16143 Genoa, ItalyBezoars represent the fifth most frequent cause of acute small bowel obstruction. Phytobezoar is the most common type of bezoar. It is a concretion of undigestible fibers derived from ingested vegetables and fruits. We report a case of a woman with a 1-year history of recurrent epigastric and periumbilical abdominal pain with intermittent vomiting caused by phytobezoar of the terminal ileum. After careful investigation of the case and review of literature, we identified the factor involved in bezoar formation as radiation-induced ileal stenosis due to previous treatment for a pelvic tumour. This report provides evidence to consider phytobezoar as a possible cause of small bowel obstruction in patients previously treated with abdominal radiotherapy.http://dx.doi.org/10.1155/2009/482039
spellingShingle Alessandra Quercioli
Franco Dallegri
Luciano Ottonello
Fabrizio Montecucco
Giacomo Borgonovo
Intestinal Radiation-Induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a Case
Gastroenterology Research and Practice
title Intestinal Radiation-Induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a Case
title_full Intestinal Radiation-Induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a Case
title_fullStr Intestinal Radiation-Induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a Case
title_full_unstemmed Intestinal Radiation-Induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a Case
title_short Intestinal Radiation-Induced Stricture Favours Small Bowel Obstruction by Phytobezoar: Report of a Case
title_sort intestinal radiation induced stricture favours small bowel obstruction by phytobezoar report of a case
url http://dx.doi.org/10.1155/2009/482039
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