Phytobezoar Within Meckel’s Diverticulum Presenting With Partial Intestinal Obstruction
-
Reza Mosaddegh
,
Mohammad Hossein Ghafouri
,
Mahdi Rezai
,
Mohammad Reza Maghsoudi
,
Farzaneh Beigmohammadi
Abstract
Introduction: Meckel’s Diverticulum (MD) affects approximately 2% of the population. Phytobezoar is defined as a vegetable and fiber-based ball in the gastrointestinal tract. We report a rare case of phytobezoar within MD presenting with partial intestinal obstruction.
Case Reports: We hereby present a 20-year-old man who referred to the Emergency Department of a hospital with a two-day history of nausea, vomiting, abdominal pain, and constipation. He underwent a midline laparotomy with surgical exploration, which revealed an MD 60 cm proximal to ileocecal valve containing phytobezoar. Histopathology reported the extracted specimen as an MD without ectopic tissue.
Conclusion: Meckel’s diverticulum can be affected by bezoars as well as other parts of the gastrointestinal tract. We recommend that phytobezoar within MD be considered among differential diagnosis of bowel obstruction.
[1] Bini R, Quiriconi F, Tello A, Fusca M, Loddo F, Leli R, et al. Phytobezoar in Meckel’s diverticulum: A rare cause of small bowel obstruction. International Journal of Surgery Case Reports. 2012; 3(5):161-3. [DOI:10.1016/j.ijscr.2012.01.006] [PMID] [PMCID]
[2] Farah RH, Avala P, Khaiz D, Bensardi F, Elhattabi K, Lefriyekh R, et al. Spontaneous perforation of Meckel’s diverticulum: A case report and review of the literature. The Pan African Medical Journal. 2015; 20:319. [PMID] [PMCID]
[3] Kuru S, Kismet K. Meckel’s diverticulum: Clinical features, diagnosis and management. Revista Espanola de Enfermedades Digestivas. 2018; 110(11):726-32. [DOI:10.17235/reed.2018.5628/2018] [PMID]
[4] O’Neill Y, Soler HM. Atypical presentation of Meckel’s diverticulum in a hispanic man: A case report. Journal of Surgical Case Reports. 2018; 2018(4):rjy065. [DOI:10.1093/jscr/rjy065] [PMID] [PMCID]
[5] Hussein BA, Khammas A, Al-Ozaibi L, Abdallah A, Busharar H, Al- Mazrouei A, et al. Phytobezoar impaction in a Meckel’s diverticulum; a rare cause of bowel obstruction: Case report and review of the literature. International Journal of Surgery Case Reports. 2017; 30:165-8. [DOI:10.1016/j.ijscr.2016.10.070] [PMID] [PMCID]
[6] Sagar J, Kumar V, Shah DK. Meckel’s diverticulum: A systematic review. Journal of the Royal Society of Medicine. 2006; 99(10):501- 5. [DOI:10.1177/014107680609901011] [PMID] [PMCID]
[7] Frazzini VI Jr, English WJ, Bashist B, Moore E. Case report. Small bowel obstruction due to phytobezoar formation within Meckel diverticulum: CT findings. Journal of Computer Assisted Tomography. 1996; 20(3):390-2. [DOI:10.1097/00004728-199605000- 00012] [PMID]
[8] Hamburger SW. Phytobezoar associated With Meckel’s diverticulum: An unusual cause for intestinal obstruction. Annals of Surgery. 1960; 152(1):106-8. [DOI:10.1097/00000658-196007000- 00015] [PMID] [PMCID]
[9] Gasparella M, Marzaro M, Ferro M, Benetton C, Ghirardo V, Zanatta C, et al. [Meckel’s diverticulum and bowel obstruction due to phytobezoar: A case report (Italian)]. La Pediatria Medica e Chirurgica. 2016; 38(2):117. [DOI:10.4081/pmc.2016.117] [PMID]
[10] Bingham JR, Causey MW, Haque MI. Phytobezoar within Meckel’s diverticulum: An unusual cause of intestinal obstruction. The American Surgeon. 2014; 80(3):E94-E6. [PMID]
[11] Cantrell EF, Cohen-Shohet RN, Browning RL, Richards WT, Lottenberg L. Small bowel obstruction secondary to impacted phy- tobezoar within a Meckel’s diverticulum. The American Surgeon. 2014; 80(7):E194-E5. [PMID]
[12] Ozdemir S, Gülpinar K, Leventoğlu S, Aydin S, Ozçay N. A case report of intestinal obstruction due to phytobezoar within Meckel’s diverticulum. The Turkish Journal of Gastroenterology. 2009; 20(1):76-7. [PMID]
[13] Yau KK, Siu WT, Law BKB, Cheung HYS, Ha JPY, Li MKW. Laparoscopic approach compared with conventional open approach for bezoar-induced small-bowel obstruction. Archives of Surgery. 2005; 140(10):972-5. [DOI:10.1001/archsurg.140.10.972] [PMID]
[2] Farah RH, Avala P, Khaiz D, Bensardi F, Elhattabi K, Lefriyekh R, et al. Spontaneous perforation of Meckel’s diverticulum: A case report and review of the literature. The Pan African Medical Journal. 2015; 20:319. [PMID] [PMCID]
[3] Kuru S, Kismet K. Meckel’s diverticulum: Clinical features, diagnosis and management. Revista Espanola de Enfermedades Digestivas. 2018; 110(11):726-32. [DOI:10.17235/reed.2018.5628/2018] [PMID]
[4] O’Neill Y, Soler HM. Atypical presentation of Meckel’s diverticulum in a hispanic man: A case report. Journal of Surgical Case Reports. 2018; 2018(4):rjy065. [DOI:10.1093/jscr/rjy065] [PMID] [PMCID]
[5] Hussein BA, Khammas A, Al-Ozaibi L, Abdallah A, Busharar H, Al- Mazrouei A, et al. Phytobezoar impaction in a Meckel’s diverticulum; a rare cause of bowel obstruction: Case report and review of the literature. International Journal of Surgery Case Reports. 2017; 30:165-8. [DOI:10.1016/j.ijscr.2016.10.070] [PMID] [PMCID]
[6] Sagar J, Kumar V, Shah DK. Meckel’s diverticulum: A systematic review. Journal of the Royal Society of Medicine. 2006; 99(10):501- 5. [DOI:10.1177/014107680609901011] [PMID] [PMCID]
[7] Frazzini VI Jr, English WJ, Bashist B, Moore E. Case report. Small bowel obstruction due to phytobezoar formation within Meckel diverticulum: CT findings. Journal of Computer Assisted Tomography. 1996; 20(3):390-2. [DOI:10.1097/00004728-199605000- 00012] [PMID]
[8] Hamburger SW. Phytobezoar associated With Meckel’s diverticulum: An unusual cause for intestinal obstruction. Annals of Surgery. 1960; 152(1):106-8. [DOI:10.1097/00000658-196007000- 00015] [PMID] [PMCID]
[9] Gasparella M, Marzaro M, Ferro M, Benetton C, Ghirardo V, Zanatta C, et al. [Meckel’s diverticulum and bowel obstruction due to phytobezoar: A case report (Italian)]. La Pediatria Medica e Chirurgica. 2016; 38(2):117. [DOI:10.4081/pmc.2016.117] [PMID]
[10] Bingham JR, Causey MW, Haque MI. Phytobezoar within Meckel’s diverticulum: An unusual cause of intestinal obstruction. The American Surgeon. 2014; 80(3):E94-E6. [PMID]
[11] Cantrell EF, Cohen-Shohet RN, Browning RL, Richards WT, Lottenberg L. Small bowel obstruction secondary to impacted phy- tobezoar within a Meckel’s diverticulum. The American Surgeon. 2014; 80(7):E194-E5. [PMID]
[12] Ozdemir S, Gülpinar K, Leventoğlu S, Aydin S, Ozçay N. A case report of intestinal obstruction due to phytobezoar within Meckel’s diverticulum. The Turkish Journal of Gastroenterology. 2009; 20(1):76-7. [PMID]
[13] Yau KK, Siu WT, Law BKB, Cheung HYS, Ha JPY, Li MKW. Laparoscopic approach compared with conventional open approach for bezoar-induced small-bowel obstruction. Archives of Surgery. 2005; 140(10):972-5. [DOI:10.1001/archsurg.140.10.972] [PMID]
| Files | ||
| Issue | Vol 5 No 1 (2020): Winter | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v5i1.3609 | |
| Keywords | ||
| Meckel’s diverticulum Phytobezoar Bowel obstruction | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mosaddegh R, Ghafouri MH, Rezai M, Maghsoudi MR, Beigmohammadi F. Phytobezoar Within Meckel’s Diverticulum Presenting With Partial Intestinal Obstruction. CRCP. 2020;5(1):19-22.
