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Year : 2021  |  Volume : 14  |  Issue : 4  |  Page : 196-198

Bezoar: An unusual cause of acute surgical abdomen

Department of General and Minimal Access Surgery, Government Medical College, Jammu and Kashmir, India

Correspondence Address:
Yaqoob Hassan
Skims Medical College, Department of General Surgery, Boys Hostel, Room NO. F7, Srinagar, Kashmir
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/hmj.hmj_45_21

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Rationale: Small bowel obstruction by bezoars is an infrequent entity encountered in general surgical practice. Early diagnosis and management are paramount to prevent the development of drastic complications. Patient concerns: Bezoar in general and rubber-band-bezoar in particular is an extremely rare case of mechanical small bowel obstruction. We report two cases of bezoar presented as acute surgical emergency in children. A brief review in the context is also presented. Diagnosis: Clinical examination, biochemical parameters and imaging studies showed features of compete small bowel obstruction. Interventions: One patient had bezoar of rubber-bands in the distal ileum and removed via enterotomy. The second had two trichobezoars one in ileum and another in stomach and underwent enterotomy and gastrotomy. Outcomes: Both our patients had uneventful intra-operative period and post-operative recovery and are on regular follow-up. Lessons: Bezoar-induced small bowel obstruction with acute presentation remains a rare diagnosis particularly in children. Accurate pre-operative diagnosis is notoriously difficult and operative intervention remains a rule. High clinical suspicion and proper radiological work-up is necessary to reach a definitive diagnosis.

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