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Case Report
Induced sepsis secondary to colonic phytobezoar: A rare case report
1 MD, General surgeon, Division of General Surgery/Laparoscopy, Centro Médico de Especialidades, Hospital General de Ciudad Juárez, Ciudad Juárez, Chihuahua, Mexico
2 MD, General physician, Centro Médico de Especialidades, Ciudad Juárez, Chihuahua, Mexico
Address correspondence to:
Danai Hernández Carreón
Vicente Guerrero 8907, Fraccionamiento Las Quintas, CP 32401, Ciudad Juárez, Chihuahua,
Mexico
Message to Corresponding Author
Article ID: 100060S05CJ2024
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Jaime CAL, Aviléz CTP, Cereceres SJR, Carreón DH. Induced sepsis secondary to colonic phytobezoar: A rare case report. Edorium J Surg 2024;10(2):5–9.ABSTRACT
Introduction: The word bezoar derives from the Persian term “padzahr” or from the Arabic term “badzehr,” both terms meaning antidote or antivenom. Bezoars are classified in trichobezoars, lactobezoars, pharmacobezoars, and phytobezoars, which constitute the most common type of bezoar. Bezoars are responsible for 0.4–4% of all cases of mechanical intestinal obstruction.
Case Report: A 55-year-old female patient, who arrived at the emergency department, presenting intestinal obstruction characterized by the absence of evacuations and being unable to channel gasses with diffuse abdominal pain, nausea, and vomiting of five days of evolution. Only important antecedent was days prior to the interrogation of profuse intake of sunflower seeds. Abdominal X-ray showed distension of colonic loops, air-fluid levels, and an image compatible with coprostasis at sigmoid colon. Preoperative tests with neutrophilic leukocytosis with a white blood count of 27,000. Abdominal tomography showed the large bowel with abundant fecal material causing dilation of intestinal loops and abundant liquid in the pouch of Douglas. The patient underwent surgery where it was found a hyperemic and slightly phlegmonous sigmoid colon with thick content inside. Resection of the affected segment and primary colorectal anastomosis were performed. The extracted piece was opened with evidence of sunflower seeds, and was sent for histopathological study, where perforation was found. The patient was discharged five days after surgery with satisfactory evolution.
Conclusion: Phytobezoars represent a very rare cause of intestinal obstruction, even more so in the large intestine. Bezoars should always be taken into account as a possible cause of intestinal obstruction.
Keywords: Bezoar, Intestinal obstruction, Phytobezoar, Sunflower seeds
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Acknowledgments
We thank the staff of Centro Medico de Especialidades for their support and constant drive to learn.
Author Contributions:Cesar Alberto López Jaime - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Carlos Tadeo Perzabal Aviléz - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Saul Jasam Ruiz Cereceres - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Danai Hernández Carreón - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2024 Cesar Alberto López Jaime et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
