A Case of Small Bowel Obstruction Caused by Bezoars Diagnosed with Double Balloon Enteroscopy
Primary small bowel bezoars are rare and cause acute abdomen due to small bowel obstruction (SBO). A 69-year-old Japanese man presented with epigastric pain associated with fullness. Physical examination of the abdomen showed no marked signs of peritoneal irritation. An erect X-ray film of the abdom...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/185489 |
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| author | Masayuki Saita Hiroshi Maekawa Koichi Sato Hajime Orita Mutsumi Sakurada Tomoaki Ito Kunihiro Sinjoh Yoshihiro Komatsu Shigeo Nohara |
| author_facet | Masayuki Saita Hiroshi Maekawa Koichi Sato Hajime Orita Mutsumi Sakurada Tomoaki Ito Kunihiro Sinjoh Yoshihiro Komatsu Shigeo Nohara |
| author_sort | Masayuki Saita |
| collection | DOAJ |
| description | Primary small bowel bezoars are rare and cause acute abdomen due to small bowel obstruction (SBO). A 69-year-old Japanese man presented with epigastric pain associated with fullness. Physical examination of the abdomen showed no marked signs of peritoneal irritation. An erect X-ray film of the abdomen showed small bowel obstruction. Computed tomography (CT) showed a dilated small bowel loop proximal to the site of the obstruction. Retrograde double balloon enteroscopy (DBE) was performed and showed yellow, hard bezoars blocking the distal ileum. At surgery, a bezoar was found impacted in the distal ileum, and enterotomy with extraction was performed. After 9 days, the patient was discharged from our hospital in satisfactory condition. DBE also appears to be a safe and useful diagnostic tool in patients with SBO, and the findings of DBE influence the strategy of therapy in patients in whom the cause of SBO could not be determined by conventional radiography. |
| format | Article |
| id | doaj-art-87bdae1b4d6d41b2b8b5ccbe1246ad02 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-87bdae1b4d6d41b2b8b5ccbe1246ad022025-02-03T01:21:41ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362012-01-01201210.1155/2012/185489185489A Case of Small Bowel Obstruction Caused by Bezoars Diagnosed with Double Balloon EnteroscopyMasayuki Saita0Hiroshi Maekawa1Koichi Sato2Hajime Orita3Mutsumi Sakurada4Tomoaki Ito5Kunihiro Sinjoh6Yoshihiro Komatsu7Shigeo Nohara8Department of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, Nagaoka, Izunokuni-Shi, Shizuoka 410-2295, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, Nagaoka, Izunokuni-Shi, Shizuoka 410-2295, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, Nagaoka, Izunokuni-Shi, Shizuoka 410-2295, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, Nagaoka, Izunokuni-Shi, Shizuoka 410-2295, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, Nagaoka, Izunokuni-Shi, Shizuoka 410-2295, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, Nagaoka, Izunokuni-Shi, Shizuoka 410-2295, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, Nagaoka, Izunokuni-Shi, Shizuoka 410-2295, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, Nagaoka, Izunokuni-Shi, Shizuoka 410-2295, JapanDepartment of Surgery, Juntendo Shizuoka Hospital, Juntendo University School of Medicine, Nagaoka, Izunokuni-Shi, Shizuoka 410-2295, JapanPrimary small bowel bezoars are rare and cause acute abdomen due to small bowel obstruction (SBO). A 69-year-old Japanese man presented with epigastric pain associated with fullness. Physical examination of the abdomen showed no marked signs of peritoneal irritation. An erect X-ray film of the abdomen showed small bowel obstruction. Computed tomography (CT) showed a dilated small bowel loop proximal to the site of the obstruction. Retrograde double balloon enteroscopy (DBE) was performed and showed yellow, hard bezoars blocking the distal ileum. At surgery, a bezoar was found impacted in the distal ileum, and enterotomy with extraction was performed. After 9 days, the patient was discharged from our hospital in satisfactory condition. DBE also appears to be a safe and useful diagnostic tool in patients with SBO, and the findings of DBE influence the strategy of therapy in patients in whom the cause of SBO could not be determined by conventional radiography.http://dx.doi.org/10.1155/2012/185489 |
| spellingShingle | Masayuki Saita Hiroshi Maekawa Koichi Sato Hajime Orita Mutsumi Sakurada Tomoaki Ito Kunihiro Sinjoh Yoshihiro Komatsu Shigeo Nohara A Case of Small Bowel Obstruction Caused by Bezoars Diagnosed with Double Balloon Enteroscopy Case Reports in Gastrointestinal Medicine |
| title | A Case of Small Bowel Obstruction Caused by Bezoars Diagnosed with Double Balloon Enteroscopy |
| title_full | A Case of Small Bowel Obstruction Caused by Bezoars Diagnosed with Double Balloon Enteroscopy |
| title_fullStr | A Case of Small Bowel Obstruction Caused by Bezoars Diagnosed with Double Balloon Enteroscopy |
| title_full_unstemmed | A Case of Small Bowel Obstruction Caused by Bezoars Diagnosed with Double Balloon Enteroscopy |
| title_short | A Case of Small Bowel Obstruction Caused by Bezoars Diagnosed with Double Balloon Enteroscopy |
| title_sort | case of small bowel obstruction caused by bezoars diagnosed with double balloon enteroscopy |
| url | http://dx.doi.org/10.1155/2012/185489 |
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