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Case Report
 
Solitary ileal bezoar: A rare cause of acute ileal obstruction in a teenager
Sefu Juma Uledi1, Fauzia Ayubu Masumai2
1MMed. Surgery, Head of Surgery Department, Mzuzu Central Hospital, Mzuzu, Malawi.
2MB.ChB, Senior Medical Officer, Department of Obstetric and Gynaecology, Mzuzu Central Hospital, Mzuzu, Malawi.

doi: 10.5348/ijcri-2013-11-401-CR-15

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How to cite this article:
Uledi SJ, Masumai FA. Solitary ileal bezoar: A rare cause of acute ileal obstruction in a teenager. International Journal of Case Reports and Images 2013;4(11):645–649.


Abstract
Introduction: Bezoars may be described as conglomerates of partially digested or indigestible organic substances in the gastrointestinal tract. Bezoars are classified based on their composition. There are four main categories—phytobezoars, trichobezoars, pharmacobezoars, and lactobezoars. Typically, bezoars are ingested and primarily conglomerate in the stomach over time. Occasionally, they may migrate distally and cause obstruction of small bowel. Bezoar formation mainly occurs in patients with predisposing factors like altered gastrointestinal anatomy due previous surgery or impaired gastric motility. The presence of isolated bezoar in the small bowel without synchronous existence of primary gastric bezoar or any apparent predisposing factors for bezoar formation remains an exceedingly a rare presentation.
Case Report: We hereby, report a case of isolated ileal bezoar causing acute small bowel obstruction in rather a healthy 15-year-old girl.
Conclusion: Solitary bezoar induced ileal obstruction in a healthy teenager is a rarity occurrence. This report is, therefore, aimed at highlighting this atypical cause of small bowel obstruction in this age group and cautions clinicians in our environment that bezoars form an essential part of the differential diagnosis when assessing patients with small bowel obstruction.

Keywords: Isolated bezoar, Small intestinal obstruction, Enterotomy, Laparotomy


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Author Contributions
Sefu Juma Uledi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Fauzia Ayubu Masumai – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
Source of support
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© Sefu Juma Uledi et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)