RSS-Feed abonnieren
DOI: 10.1055/s-0044-1791952
Resolving Duodenal Gastric Outlet Obstruction: A Case Report of Successful Management of Phytobezoar Impaction in a Duodenal Diverticulum
Abstract
Gastric outlet obstruction (GOO) is a clinical syndrome characterized by hindrance in the passage of gastric contents into the duodenum, with various etiologies including bezoars. Phytobezoars, composed of undigested food fibers, represent a rare but significant cause of GOO. Herein, we present a case of a 34-year-old female with recurrent vomiting and early satiety, diagnosed with GOO caused by an impacted phytobezoar in the duodenum. Despite initial unsuccessful attempts at endoscopic removal, alternative techniques led to successful extraction. Postprocedure evaluation revealed a large duodenal diverticulum. Our experience underscores the complexity of managing duodenal phytobezoars and highlights the efficacy of combined therapeutic approaches. Heightened awareness among gastroenterologists regarding this condition is essential to optimize patient outcomes. Recurrence prevention strategies include dietary modifications and periodic endoscopic interventions for challenging cases.
Declarations
Authors declare there is no conflict of interest.
Publikationsverlauf
Artikel online veröffentlicht:
01. Dezember 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Lee JF, Leow CK, Lai PB, Lau WY. Food bolus intestinal obstruction in a Chinese population. Aust N Z J Surg 1997; 67 (12) 866-868
- 2 Duarte B, Nagy KK, Cintron J. Perforated duodenal diverticulum. Br J Surg 1992; 79 (09) 877-881