E-ISSN 2534-9821
 

Case Report 


Seaweed food bolus: A rare cause for small bowel obstruction

William McGahan , Bianca Kwan, Jayson Moloney.

Abstract
Introduction: Small bowel obstruction is a common acute general surgical presentation. A bezoar is a concretion found within the lumen of the gastrointestinal tract, composed of partially digested or indigestible material. We present a rare case of a small bowel obstruction caused by seaweed phytobezoar.

Presentation of Case: A young woman with a virgin abdomen presented to our facility with 3-day history of abdominal pain and vomiting. Computed tomography of the abdomen and pelvis was consistent with small bowel obstruction. At laparoscopy a soft intraluminal obstructing mass was seen. After conversion to mini-laparotomy, an obstructing food bolus consisting of seaweed was found and removed via enterotomy.

Conclusion: Bezoars are an uncommon cause of small bowel obstruction because objects able to traverse the pylorus will usually migrate through to the rectum without impaction. Diagnosis is dependent on a thorough history as findings on computed tomography are nonspecific. Treatment options range from chemical dissolution to endoscopic or surgical intervention depending on the size, location, and substance of the bezoar. It is important to consider food bolus and bezoar in the differential diagnosis for intestinal obstruction, and seaweed is among the food substances that should be asked about.

Key words: Small bowel obstruction; seaweed; food bolus; phytobezoar; bezoar


 
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How to Cite this Article
Pubmed Style

WM, Kwan B, Moloney J, . Seaweed food bolus: A rare cause for small bowel obstruction. doi:10.5455/IJMRCR.Seaweed-food-bolus-bowel


Web Style

WM, Kwan B, Moloney J, . Seaweed food bolus: A rare cause for small bowel obstruction. http://www.mdpub.net/?mno=60167 [Access: June 12, 2021]. doi:10.5455/IJMRCR.Seaweed-food-bolus-bowel


AMA (American Medical Association) Style

WM, Kwan B, Moloney J, . Seaweed food bolus: A rare cause for small bowel obstruction. doi:10.5455/IJMRCR.Seaweed-food-bolus-bowel



Vancouver/ICMJE Style

WM, Kwan B, Moloney J, . Seaweed food bolus: A rare cause for small bowel obstruction. doi:10.5455/IJMRCR.Seaweed-food-bolus-bowel



Harvard Style

, W. M., Kwan, B., Moloney, J. & (0) Seaweed food bolus: A rare cause for small bowel obstruction. doi:10.5455/IJMRCR.Seaweed-food-bolus-bowel



Turabian Style

, William McGahan, Bianca Kwan, Jayson Moloney, and . 0. Seaweed food bolus: A rare cause for small bowel obstruction. doi:10.5455/IJMRCR.Seaweed-food-bolus-bowel



Chicago Style

, William McGahan, Bianca Kwan, Jayson Moloney, and . "Seaweed food bolus: A rare cause for small bowel obstruction." doi:10.5455/IJMRCR.Seaweed-food-bolus-bowel



MLA (The Modern Language Association) Style

, William McGahan, Bianca Kwan, Jayson Moloney, and . "Seaweed food bolus: A rare cause for small bowel obstruction." doi:10.5455/IJMRCR.Seaweed-food-bolus-bowel



APA (American Psychological Association) Style

, W. M., Kwan, B., Moloney, J. & (0) Seaweed food bolus: A rare cause for small bowel obstruction. doi:10.5455/IJMRCR.Seaweed-food-bolus-bowel