RESUMEN

Small bowel obstruction secondary to phytobezoars is a rare presentation in surgery. These are masses of undigested food and vegetables, which obstruct the narrowest part of gut. We discuss a case of a young patient presenting in emergency department with history of acute abdominal pain, distension and constipation. Diagnosis of acute intestinal obstruction was made on the basis of history, examination, and initial investigations. Exploratory laparotomy revealed a phytobezoar at the origin of Meckel's diverticulum, which was an incidental finding. He underwent wedge resection with primary closure and removal of phytobezoar. The change in dietary habits, decreased fiber intake, and psychiatric evaluation can prevent recurrence.

Asunto(s)

Bezoares/cirugía , Obstrucción Intestinal/etiología , Divertículo Ileal/complicaciones , Dolor Abdominal/diagnóstico , Dolor Abdominal/etiología , Adolescente , Bezoares/complicaciones , Bezoares/diagnóstico por imagen , Servicio de Urgencia en Hospital , Estudios de Seguimiento , Humanos , Hallazgos Incidentales , Obstrucción Intestinal/cirugía , Laparotomía/métodos , Masculino , Divertículo Ileal/diagnóstico , Resultado del Tratamiento