Öztekin ÇIKMAN, Omer Faruk OZKAN, Gurhan ADAM, Sukru TAS, Serkan ADEMOGLU, Muammer KARAAYVAZ

A Rare Reason of Mechanical Intestinal Obstruction; Phytobezoar Images for Clinicians

Mekanik barsak tıkanıklığı, sindirilmiş gıdaların gastrointestinal sistemde distal geçişinin total veya parsiel olarak engellediği durum olarak tanımlanmaktadır. Barsak tıkanıklığı uygun olarak tedavi edilmediğinde,ciddi mortalite vemorbiditeylesonuçlanbilmektedir. Etyoloji, yaşla değişmekle beraber en sık neden postoperatif adezyonlardır. Bilinen semptomları bulantı, kusma, karın ağrısı ve abdominaldistansiondur. Çalışmamızda; sepsisgelişen ,70 yaşındaki hastada intestinal obstrüksiyonun neden olduğu fitobezoar olgusu güncel literatür eşliğinde sunulmuştur

Anahtar Kelimeler:

Mekanik barsak tıkanıklığı, fitobezoar, sepsis, yaşlı

A Rare Reason of Mechanical Intestinal Obstruction; Phytobezoar Images for Clinicians

Mechanical intestinal obstruction is defined as the partial or total blockage of the passage of digested food in gastrointestinal system towards the distal. If intestinal obstruction is not treated properly it can cause high incidences of morbidity and mortality. The most frequent cause is adhesion after surgery but etiological cause changes frequently with age. Known symptoms of intestinal obstructions are nausea, vomiting, abdominal ache and distention in the abdomen. In our study we aimed to present a 70 year old patient with intestinal obstruction due to phytobezoar who developed sepsis, with the help of current literature.

Keywords:

Mechanical small bowel obstruction, phytobezoar, sepsis, elderly,

PDF

___

Ellis H. Mechanical intestinal obstruction. Br Med J 1981;283:1203-4
Destarac LA, Ely EW. Sepsis in older patients: An emerging concern in critical care. Advances in Sepsis 2002: 15-22.
Escamilla C, Robles-Campos R, Parrilla-Paricio, et al. Intestinalobstruction and bezoars. J Am Coll Surg 1994;179:285 –88.
Ripollés T, García-Aguayo J, Martínez MJ, et al. Gastrointestinal bezoars; Sonographic and CT character- istics. AJR 2001;177:65-69.
Cooper JM, Thirlby RC. Small Bowel Obstruction. Curr Treat Options Gastroenterol 2002;5(1):3-8.
Cicek Y, Ayan F, Carkman S, et al. Intestinal perfora- tion due to phytobezoar obstruction. Acta Chir Belg 1993;93(3):92-3.
Robles R, Parilla P, Escamilla C, et al.Gastrointestinal be- zoars. Br J Surg 1994; 82: 1000-1.
Campos RR, Paricio PP, Albasini JLA et al. Gastrointestinal bezoars. Presentation of 60 cases. Digestive Surgery 1990; 7:39-44.
Brady PG, Richardson R. Gastric bezoar formation second- ary to gastroparesis diabeticorum. Arch Intern Med 1977; 137: 1729.
Ladas SD, Triantafyllou K, Tzathas C, et al. Gastric phyto- bezoars may be treated by nasogastric Coca-Cola lavage. Eur J Gastroenterol Hepatol 2002;14(7):801-3.