Biliary phytobezoar resulting in intestinal obstruction  

作　　者：Yura Kim Beom Jin Park Min Ju Kim Deuk Jae Sung Dong-Sik Kim Young-Dong Yu Jeong Hyeon Lee 

机构地区：[1]Department of Radiology,College of Medicine,Korea University,Anam Hospital,Seoul 136-705,South Korea [2]Division of HBP Surgery and Liver Transplantation,Department of Surgery,College of Medicine,Korea University,Anam Hospital,Seoul 136-705,South Korea [3]Department of Pathology,College of Medicine,Korea University,Anam Hospital,Seoul 136-705,South Korea

出　　处：《World Journal of Gastroenterology》2013年第1期133-136,共4页世界胃肠病学杂志（英文版）

摘　　要：Phytobezoar is the most common type of bezoar.It is composed of indigestible vegetable matter and is usually found in the stomach.Biliary phytobezoar is extremely rare and difficult to diagnose preoperatively.The pathogenesis is not clear,and there have been only a few reports of biliary bezoars associated with sphincteric impairmentat the ampulla of Vater.Here,we present a report of biliary bezoar that resulted in jejunal obstruction.We were unable to identifythe bezoar in the extrahepatic bile duct until it obstructed the small bowel lumen.To our knowledge,this is the first report of small bowel obstruction resulting frommigration of a biliary bezoar.Phytobezoar is the most common type of bezoar. It is composed of indigestible vegetable matter and is usually found in the stomach. Biliary phytobezoar is extremely rare and difficult to diagnose preoperatively. The pathogenesis is not clear, and there have been only a few reports of biliary bezoars associated with sphincteric impairmentat the ampulla of Vater. Here, we present a report of biliary bezoar that resulted in jejunal obstruction. We were unable to identifythe bezoar in the extrahepatic bile duct until it obstructed the small bowel lumen. To our knowledge, this is the first report of small bowel obstruction resulting frommigration of a biliary bezoar.

关 键 词：PHYTOBEZOAR BILIARY Intestinal OBSTRUCTION Choledochoduodenal FISTULA Multidetector-row COMPUTED tomography 

分 类 号：R657.4[医药卫生—外科学]