Format

Send to:

Choose Destination
See comment in PubMed Commons below

Laparoscopic-assisted management of small bowel obstruction due to phytobezoar.

Author information

  • 1Department of Surgery, National University Hospital, Singapore 119074. surv25@nus.edu.sg

Abstract

Laparoscopy is gaining increasing acceptance for diagnosis and treatment of selected cases of small bowel obstruction. We describe a laparoscopic-assisted procedure used for the treatment of small bowel obstruction caused by a bezoar. A 51-year-old man presented with acute small intestinal obstruction. He had no history of previous abdominal surgery. Diagnostic laparoscopy confirmed a distal ileal obstruction due to an enterolith (bezoar). A limited abdominal incision allowed enterotomy and removal of the obstructing bezoar. Gastroscopy performed a month later showed gastric bezoars which could not be removed endoscopically. Instead, cellulase, a hydrolytic enzyme, was used successfully to treat the condition.

PMID:
15714154
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Write to the Help Desk