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  • Title: Laparoscopic management of intestinal obstruction due to phytobezoar.
    Author: de Menezes Ettinger JE, Silva Reis JM, de Souza EL, Filho Ede M, Gãlvao do Amaral PC, Ettinger E, Fahel E.
    Journal: JSLS; 2007; 11(1):168-71. PubMed ID: 17651584.
    Abstract:
    Phytobezoars are a rare cause of small-bowel obstruction and an accurate preoperative diagnosis is very difficult. After diagnosis, the majority of patients in this study underwent surgery. The conventional management of small-bowel obstruction is done by laparotomy. Many studies have demonstrated that laparoscopy can be an alternative to laparotomy for the treatment of small-bowel obstruction in select patients, and it also brings the benefits of minimally invasive surgery. This report demonstrates the case of a patient with intestinal obstruction caused by phytobezoar (mango seed) who was treated laparoscopically. During the laparoscopy, a hard mass 5 cm proximal to the ileocaecal junction was palpable with graspers. An ileotomy was then performed. The bezoar was extracted and inserted into a bag. In this case, the intestinal obstruction management by laparoscopy was safe and feasible.
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