Isolated Adult Hypoganglionosis Presenting as Sigmoid Phytobezoar: A Case Report
Keywords:
Bezoar radiology, Focal hypoganglionosis, Large bowel obstruction, Sigmoid colon phytobezoar
Abstract
Bezoars are the mass found trapped in the gastrointestinal system. They can also be termed as Gastrolith. The word “bezoar”
is derived from the Persian pād-zahr, which means “antidote.” Trichobezoars and phytobezoars are the most frequent and usual
form in the stomach and can pass into the small bowel where they occasionally cause obstruction. Most bezoars are found in
patients with a history of previous gastric surgery. Here, we report an interesting rare case of isolated adult hypoganglionosis
presented as sigmoid phytobezoar causing chronic progressive abdominal pain with distension. Computed tomography showed
the air mottled intraluminal mass with dilated sigmoid colon and rectosigmoid focal smooth narrowing.
References
1. Agha FP, Nostrant TT, Fiddian-Green RG. “Giant colonic
bezoar:” A medication bezoar due to psyllium seed husks.
Am J Gastroenterol 1984;79:319-21.
2. Qadir I, Salick MM, Barakzai A, Zafar H. Isolated adult hypoganglionosis
presenting as sigmoid volvulus: A case report. J Med Case Rep 2011 8;5:445.
3. Ali WA, Gondal ZI, Yammahi AA, Hushki SF, Badri F, ElTayeb YH.
A case of small bowel obstruction due to phytobezoars.
J Surg Case Rep 2013;2013. pii: rjt046.
4. Arvind B, Sachin K, Mathews VV, Telisinghe PU. Colonic obstruction
secondary to phytobezoar. Brunei Int Med J 2010;6:100-4.
5. Bala M, Appelbaum L, Almogy G. Unexpected cause of large bowel
obstruction: colonic bezoar. Isr Med Assoc J 2008;10:829-30.
6. Ripollés T, García-Aguayo J, Martínez MJ, Gil P. Gastrointestinal bezoars:
Sonographic and CT characteristics. AJR Am J Roentgenol 2001;177:65-9.
7. Wang LT, Hsiao CW. Clinical spectrum and treatment of bezoars in
adults: Experience of 20 cases in a single institute. J Soc Colon Rectal Surg
Taiwan 2008;19:9-15.
bezoar:” A medication bezoar due to psyllium seed husks.
Am J Gastroenterol 1984;79:319-21.
2. Qadir I, Salick MM, Barakzai A, Zafar H. Isolated adult hypoganglionosis
presenting as sigmoid volvulus: A case report. J Med Case Rep 2011 8;5:445.
3. Ali WA, Gondal ZI, Yammahi AA, Hushki SF, Badri F, ElTayeb YH.
A case of small bowel obstruction due to phytobezoars.
J Surg Case Rep 2013;2013. pii: rjt046.
4. Arvind B, Sachin K, Mathews VV, Telisinghe PU. Colonic obstruction
secondary to phytobezoar. Brunei Int Med J 2010;6:100-4.
5. Bala M, Appelbaum L, Almogy G. Unexpected cause of large bowel
obstruction: colonic bezoar. Isr Med Assoc J 2008;10:829-30.
6. Ripollés T, García-Aguayo J, Martínez MJ, Gil P. Gastrointestinal bezoars:
Sonographic and CT characteristics. AJR Am J Roentgenol 2001;177:65-9.
7. Wang LT, Hsiao CW. Clinical spectrum and treatment of bezoars in
adults: Experience of 20 cases in a single institute. J Soc Colon Rectal Surg
Taiwan 2008;19:9-15.
Published
2021-10-11
Section
Original Articles
Publisher: 