Clinical Case of a Patient with Small Bowel Obstruction and Multiple Diospirobesoaras of the Gastrointestinal Tract
https://doi.org/10.23934/2223-9022-2020-9-2-281-291
Abstract
Abstract Small bowel obstruction (SBO) is 3-4% of all abdominal acute diseases. Small bowel obstruction due to bezoars is rare (2-4%), and is detected mainly in patients with predisposing risk factors: gastrointestinal motility disorders, psychiatric diseases, enzymatic insufficiency, previous bariatric surgery, diabetes mellitus and hypothyroidism complicated by gastroparesis. The leading role in the verification of small bowel obstruction in patients without surgical interventions on the abdominal organs should be given to computed tomography. According to the literature, the mortality from SBO due to bezoar may reach 30%. We present an unusual clinical case of recurrent small bowel obstruction with severe intestinal disease and septic shock induced by multiple phytobezoars and complicated with severe pseudomembranous colitis. Moreover, in our opinion, laparoscopic access can be used both for diagnostic and therapeutic purposes in patients with acute small bowel obstruction.
About the Authors
A. S. Harutyunyan
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department; Russian Medical Academy of Continuing Postgraduate Education of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Angelika Sergeyevna Harutyunyan, Surgeon of the Surgical Department No.1 Health Depatment, postgraduate student of the Department of General and Emergency Surgery
3 B. Sukharevskaya Sq., Moscow 129090
2/1, b. 1 Barrikadnaya St., Moscow 125993
V. D. Levitsky
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department
Russian Federation
Russian Federation
Cand. Med. Sci., Leading Researcher of the Department of Emergency Surgery, Endoscopy and Intensive Care
3 B. Sukharevskaya Sq., Moscow 129090
V. V. Kiselev
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department
Russian Federation
Russian Federation
Cand. Med. Sci., Leading Researcher of the Department of Emergency Surgery, Intensive Care and Endoscopy
3 B. Sukharevskaya Sq., Moscow 129090
P. A. Yartsev
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department; Russian Medical Academy of Continuing Postgraduate Education of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
TProfessor, Head of the Department of Emergency Surgery, Intensive Care and Endoscopy
3 B. Sukharevskaya Sq., Moscow 129090
2/1, b. 1 Barrikadnaya St., Moscow 125993
A. V. Vodyasov
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department
Russian Federation
Russian Federation
Surgeon of the Surgical Department No.1
3 B. Sukharevskaya Sq., Moscow 129090
N. V. Shavrina
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department
Russian Federation
Russian Federation
Researcher of the Department of Emergency Surgery, Intensive Care and Endoscopy
3 B. Sukharevskaya Sq., Moscow 129090
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Review
For citations:
Harutyunyan A.S., Levitsky V.D., Kiselev V.V., Yartsev P.A., Vodyasov A.V., Shavrina N.V. Clinical Case of a Patient with Small Bowel Obstruction and Multiple Diospirobesoaras of the Gastrointestinal Tract. Russian Sklifosovsky Journal "Emergency Medical Care". 2020;9(2):281-291. https://doi.org/10.23934/2223-9022-2020-9-2-281-291
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