Prague Med. Rep. 2024, 125, 146-150

https://doi.org/10.14712/23362936.2024.13

Unveiling a Silent Obstructor: Phytobezoar in the Third Duodenal Segment

Ana Fernanda Muñoz Durán1, Juan Alberto Llanos Visbal2, Leidy Vanessa Aguirre Carvajal3, Juan Daniel Ayala Torres4, Nicolás Álvarez Gärtner5, Julián Andrés Muñoz Durán6

1Faculty of Medicine, Fundación Universitaria San Martin, Sabaneta, Antioquia, Colombia
2Department of Surgery, Universidad de Cartagena, Clínica Panamericana, Apartadó, Antioquia, Colombia
3Department of Emergencies, Universidad de Antioquia, Clínica Panamericana, Apartadó, Antioquia, Colombia
4Department of Radiology, Universidad de Antioquia, Antioquia, Colombia
5Department of Emergencies, Fundación Universitaria San Martin, Sabaneta, Clínica Soma, Antioquia, Colombia
6Department of Radiology, Universidad CES, Clínica Panamericana, Apartadó, Antioquia, Colombia

Received January 9, 2024
Accepted May 7, 2024

We present a case of obstruction in the third portion of the duodenum secondary to a phytobezoar in an adult patient with no surgical history and without a vegan diet. High intestinal obstruction due to a phytobezoar is rarely described in the literature, posing a diagnostic challenge when evaluating potential differentials in the emergency setting. Subsequently, we conduct a review focusing on tomographic findings and the surgical specimen, highlighting key points to consider when addressing such pathologies.

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