Obstruction due to small bowel bezoar
Diagnosis certain
Updates to Case Attributes
Age
changed from 58 to 60 years.
Body
was changed:
Bezoars are accumulations of indigestible contents within the gastrointestinal tract. Bezoars are known to cause small bowel obstruction and sometimes CT may demonstrate the bezoar as a mass in the obstructed segment of bowel. However, US examination can serve as follow-up for patients who were suspected of having a bezoar-induced small bowel obstruction.
-<p>Bezoars are accumulations of indigestible contents within the gastrointestinal tract. Bezoars are known to cause small bowel obstruction and sometimes CT may demonstrate the bezoar as a mass in the obstructed segment of bowel. However US examination can serve follow-up for patients who were suspected of having a bezoar-induced small bowel obstruction.</p>- +<p>Bezoars are accumulations of indigestible contents within the gastrointestinal tract. Bezoars are known to cause small bowel obstruction and sometimes CT may demonstrate the bezoar as a mass in the obstructed segment of bowel. However, US examination can serve as follow-up for patients who were suspected of having a bezoar-induced small bowel obstruction.</p>
References changed:
- 1. Tomás Ripollés, Javier García-Aguayo, María-Jesús Martínez, Pedro Gil. Gastrointestinal Bezoars. (2012) American Journal of Roentgenology. 177 (1): 65-9. <a href="https://doi.org/10.2214/ajr.177.1.1770065">doi:10.2214/ajr.177.1.1770065</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/11418400">Pubmed</a> <span class="ref_v4"></span>
- 1. Tomás Ripollés, Javier García-Aguayo, María-Jesús Martínez, Pedro Gil. Gastrointestinal Bezoars. (2012) American Journal of Roentgenology. 177 (1): 65-9. <a href="https://doi.org/10.2214/ajr.177.1.1770065">doi:10.2214/ajr.177.1.1770065</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/11418400">Pubmed</a> <span class="ref_v4"></span>
- 1. Tomás Ripollés, Javier García-Aguayo, María-Jesús Martínez, Pedro Gil. Gastrointestinal Bezoars. (2012) American Journal of Roentgenology. 177 (1): 65-9. <a href="https://doi.org/10.2214/ajr.177.1.1770065">doi:10.2214/ajr.177.1.1770065</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/11418400">Pubmed</a> <span class="ref_v4"></span>
- 2. R. R. Gorter, C. M. F. Kneepkens, E. C. J. L. Mattens, D. C. Aronson, H. A. Heij. Management of trichobezoar: case report and literature review. (2010) Pediatric Surgery International. 26 (5): 457. <a href="https://doi.org/10.1007/s00383-010-2570-0">doi:10.1007/s00383-010-2570-0</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/20213124">Pubmed</a> <span class="ref_v4"></span>
- 2. R. R. Gorter, C. M. F. Kneepkens, E. C. J. L. Mattens, D. C. Aronson, H. A. Heij. Management of trichobezoar: case report and literature review. (2010) Pediatric Surgery International. 26 (5): 457. <a href="https://doi.org/10.1007/s00383-010-2570-0">doi:10.1007/s00383-010-2570-0</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/20213124">Pubmed</a> <span class="ref_v4"></span>
- 3. Lee K, Han H, Kim H, Kim H, Lee M. Ultrasonographic Differentiation of Bezoar from Feces in Small Bowel Obstruction. Ultrasonography. 2015;34(3):211-6. <a href="https://doi.org/10.14366/usg.14070">doi:10.14366/usg.14070</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25868731">Pubmed</a>
- 3. Lee K, Han H, Kim H, Kim H, Lee M. Ultrasonographic Differentiation of Bezoar from Feces in Small Bowel Obstruction. Ultrasonography. 2015;34(3):211-6. <a href="https://doi.org/10.14366/usg.14070">doi:10.14366/usg.14070</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25868731">Pubmed</a>
- 1. Ripollés T, García-Aguayo J, Martínez MJ et-al. Gastrointestinal bezoars: sonographic and CT characteristics. AJR Am J Roentgenol. 2001;177 (1): 65-9. doi:10.2214/ajr.177.1.1770065 - Pubmed citation 2. Gorter RR, Kneepkens CM, Mattens EC et-al. Management of trichobezoar: case report and literature review. Pediatr. Surg. Int. 2010;26 (5): 457-63. doi:10.1007/s00383-010-2570-0 - Free text at pubmed - Pubmed citation 3. Kyung Hoon Lee, Hyun Young Han, Hee Jin Kim, Hee Kyung Kim, Moon Soo Lee.Ultrasonographic differentiation of bezoar from feces in small bowel obstruction. Ultrasonography 2015; 34(3): 211-216. https://doi.org/10.14366/usg.14070
- 1. Ripollés T, García-Aguayo J, Martínez MJ et-al. Gastrointestinal bezoars: sonographic and CT characteristics. AJR Am J Roentgenol. 2001;177 (1): 65-9. doi:10.2214/ajr.177.1.1770065 - Pubmed citation 3. Kyung Hoon Lee, Hyun Young Han, Hee Jin Kim, Hee Kyung Kim, Moon Soo Lee.Ultrasonographic differentiation of bezoar from feces in small bowel obstruction. Ultrasonography 2015; 34(3): 211-216. https://doi.org/10.14366/usg.14070
- 1. Ripollés T, García-Aguayo J, Martínez MJ et-al. Gastrointestinal bezoars: sonographic and CT characteristics. AJR Am J Roentgenol. 2001;177 (1): 65-9. doi:10.2214/ajr.177.1.1770065 - Pubmed citation
- 2. Gorter RR, Kneepkens CM, Mattens EC et-al. Management of trichobezoar: case report and literature review. Pediatr. Surg. Int. 2010;26 (5): 457-63. doi:10.1007/s00383-010-2570-0 - Free text at pubmed - Pubmed citation
- 3. Kyung Hoon Lee, Hyun Young Han, Hee Jin Kim, Hee Kyung Kim, Moon Soo Lee.Ultrasonographic differentiation of bezoar from feces in small bowel obstruction. Ultrasonography 2015; 34(3): 211-216. https://doi.org/10.14366/usg.14070
Tags changed:
- general surgery
Updates to Study Attributes
Findings
was changed:
CT shows a mottled gas-patterned intragastric mass suspicious of a bezoar. There is similar appearing in the fourth part duodenum. Notice the dilated stomach and duodenal loops. Jejunal and ileal loops are normallynormal.
Updates to Study Attributes
Findings
was changed:
CT shows a mottled gas-patterned intragastric mass suspicious of a bezoar (yellow arrow).
There is similar appearing in the fourth part duodenum (red arrow).
Dilated duodenal loops (blue arrow).
Updates to Study Attributes
Findings
was changed:
At follow up US examination two day after ;days later:
The first image:Gray: Gray-scale sonogram shows arc-like surfaced intragastric mass (yellow arrow) with a strong posterior acoustic shadow.Notice. Notice the dilated stomach (red arrow).
The second image: Gray-scale sonogram shows arc-like surfaced intrajejunal mass (white arrow) with a strong posterior acoustic shadow. Notice the dilated jejunal loops (black arrow). At CT examination the bezoar was in duodenum.
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