A Rare Case of Phytobezoar Impaction in a Giant Meckel’s Diverticulum Causing Small Bowel Obstruction
Published: 2023-06-16
Page: 92-96
Issue: 2023 - Volume 6 [Issue 2]
Sopan N. Jatal *
Jatal Hospital and Research Centre, Latur, India.
Sudhir Jatal
Jatal Hospital and Research Centre, Latur, Tata Hospital, Mumbai, India.
Sachin Ingle
Department of Pathology, MIMSR Medical College, Latur, India.
*Author to whom correspondence should be addressed.
Abstract
Meckel’s Diverticulum is the most common anomaly of the gastrointestinal tract, found in almost 2% of the population, it rarely gives rise to symptoms and its discover usually incidental. Meckel’s Diverticulum size more than 5 cm are classified as Giant Meckel’s Diverticulum, are relatively rare and may be prone to complications especially for obstruction in adults. Phytobezoar is concretion of poorly digested fruits and vegetable fibres that is found in the Giant Meckel’s diverticulum can be the cause of small bowel intestinal obstruction.
Herein we report a rare case of 16 years’ adolescent boy was having Giant Meckel’s Diverticulum containing Phytobezoar causing intestinal obstruction. We did explorative laparotomy and resection of the involved segment along with Giant Meckel’s Diverticulum with ileo-ileal anastomosis was done.
Keywords: Giant Meckel’s diverticulum, phytobezoar, small bowel obstruction
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References
Xiang M, Mazer LM, Gupta A and Odom SR. Phytobezoar in a Meckel’s Diverticulum Associated with Recent Adoption of a Paleolithic Diet. Austin J Surg. 2014;1(4): 1018.
Bingham JR, Causey MW, Haque MI. Phytobezoar within Meckel’s diverticulum: an unusual cause of intestinal obstruction. Am Surg. 2014;80:E94-96.
Plath F, Brock P, Hasse N, Liebe S, Arendt T. Vegetable stalk as a nidus for gallstone formation in a patient with a juxtapapillary duodenal diverticulum. Gastrointest Endosc. 2002; 56:944-946.
Engin O, Yildirim M, Yakan S, Coskun GA. Can fruit seeds and undigested plant residuals cause acute appendicitis. Asian Pac J Trop Biomed. 2011;1: 99-101.
Bini R, Quiriconi F, Tello A, Fusca M, Loddo F, Leli R, Addeo A. Phytobezoar in Meckel's diverticulum: A rare cause of small bowel obstruction. Int J Surg Case Rep. 2012;3(5):161-3. DOI: 10.1016/j.ijscr.2012.01.006
Epub 2012 Feb 3. PMID: 22382033; PMCID: PMC3316763.
Hussein BA, Khammas A, Al-Ozaibi L, Abdallah A, Busharar H, Al-Mazrouei A, Badri F. Int J Surg Phytobezoar impaction in a Meckel's diverticulum; a rare cause of bowel obstruction: Case report and review of literature. Int J Surg Case Rep. 2017; 30:165-168. DOI: 10.1016/j.ijscr.2016.10.070. Epub 2016 Nov 3.PMID: 2801233
Zello A, Kirschner D. Diagnosis of a rare pediatric case of small-bowel obstruction secondary to a phytobezoar in a Meckel’s diverticulum aided by point-of-care ultrasound. Can. J. Emerg. Med. 2023; 25:244–247.
Available: https://doi.org/10.1007/s43678-023-00463-9
Bini, Roberto, Quiriconi, Fabrizio, Tello, Aurelio, Fusca, Marcella, Loddo, Franca, Leli, Renzo, Addeo, Alfredo. Phytobezoar in Meckel's diverticulum: A rare cause of small bowel obstruction. International Journal of Surgery Case Reports. 2012;3: 161-3. Available: 10.1016/j.ijscr.2012.01.006.
Ballapalli HP, Telsang MV, Arumalla A. Phytobezoar at the Meckel's diverticulum presenting as small bowel obstruction: A rare case. J NTR Univ Health Sci [serial online]; 2013.
[Cited 2023 May 24];2:285-7. Available:https://www.jdrntruhs.org/text.asp?2013/2/4/285/122173