Small Bowel Obstruction Secondary to a Metamucil Bezoar: Case Report and Review of the Literature
Joint Authors
Wehbe, Mohammad Rachad
Hallal, Ali H.
Abou Azar, Sara
Jamali, Sarah
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-09-20
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Bezoar-induced small bowel obstruction is a rare entity.
It should be highly suspected in patients with gastric hypomotility disorders, psychiatric conditions, prior abdominal or bariatric surgery, or improper intake of medication.
Their diagnosis is quite challenging and surgical exploration remains the best treatment of choice to ensure the viability of the small bowel tissue and relieve the obstruction.
This is a case of a 48-year-old female with no previous abdominal surgery who presented with acute abdominal pain.
The patient’s history was remarkable for the daily ingestion of 1.5 teaspoons of Metamucil with minimal amount of water.
Computed tomography scan demonstrated dilated small bowel loops and a transition zone at the level of the mid jejunum.
On laparoscopy, the patient was found to have a hard mass in the mid jejunum amenable to gentle fragmentation and breakdown.
Metamucil bezoars are due to the solidification of psyllium-based substances in the gastrointestinal tract.
The usual management of small bowel obstruction induced by a bezoar is exploratory laparotomy with enterotomy and primary anastomosis.
Laparoscopic intervention has gained popularity among surgeons with good outcome and lower morbidity.
In this unusual case, the small bowel obstruction induced by the Metamucil bezoar was safely treated with laparoscopic fragmentation alone.
American Psychological Association (APA)
Abou Azar, Sara& Wehbe, Mohammad Rachad& Jamali, Sarah& Hallal, Ali H.. 2017. Small Bowel Obstruction Secondary to a Metamucil Bezoar: Case Report and Review of the Literature. Case Reports in Surgery،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1150091
Modern Language Association (MLA)
Abou Azar, Sara…[et al.]. Small Bowel Obstruction Secondary to a Metamucil Bezoar: Case Report and Review of the Literature. Case Reports in Surgery No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1150091
American Medical Association (AMA)
Abou Azar, Sara& Wehbe, Mohammad Rachad& Jamali, Sarah& Hallal, Ali H.. Small Bowel Obstruction Secondary to a Metamucil Bezoar: Case Report and Review of the Literature. Case Reports in Surgery. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1150091
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150091