Indian Journal of Radiology Indian Journal of Radiology  

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ABDOMINAL IMAGING Table of Contents   
Year : 2016  |  Volume : 26  |  Issue : 4  |  Page : 443-445
An unusual sigmoid phytobezoar in a patient with a transplanted kidney: A case report

Department of Radiology, University of Foggia, Foggia, Italy

Correspondence Address:
Dr. Paola Milillo
Department of Radiology, University of Foggia, Viale Luigi Pinto 1, 71122 Foggia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-3026.195772

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Bezoars are masses formed by the concretion of stomach contents or debris within the gastrointestinal tract. Bezoars are rare and account for only 0.4–4% of all cases of gastrointestinal obstruction and mainly occur in the stomach or small intestine. Intestinal obstruction caused by colonic bezoars is extremely rare. A 39-year-old man with a transplanted kidney came to the hospital because of abdominal pain, constipation, and distension. We performed an abdominal computed tomography scan and found an ovoid intraluminal mass with a mottled gas pattern in the distal sigmoid colon. Subsequently, the patient underwent laparotomic surgery and removal of the bezoar. We report a rare case of large bowel obstruction due to colonic phytobezoar, which was confirmed intraoperatively.

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