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Bowel Obstruction Caused by Persimmon Phytobezoars: A Case Report Publisher



Mohammadi A1 ; Mojtahedzadeh M2 ; Ahmadi A3 ; Imanipour MH4 ; Saghafi F5 ; Soltaninejad S6 ; Sahebnasagh A7
Authors
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Authors Affiliations
  1. 1. Faculty of Pharmacy, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  2. 2. Department of Clinical Pharmacy, Pharmaceutical Sciences Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Anesthesiology and Critical Care Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Clinical Pharmacy, Faculty of Pharmacy and Pharmaceutical Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  6. 6. Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Internal Medicine, Clinical Research Center, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran

Source: International Journal of Medical Toxicology and Forensic Medicine Published:2021


Abstract

Background: The term phytobezoar refers to a trapped mass in the gastrointestinal tract caused by the agglomeration of indigestible ingested plant materials, including fibers, skins, and seeds. A persimmon phytobezoar is formed after the frequent consumption of persimmons. The clinical manifestations of persimmon phytobezoars are similar to other phytobezoars and depend on the localization and size of the trapped mass. Case Presentation: Here, we presented a 57-year-old male with persimmon phytobezoars, which finally led to small bowel obstruction. The patient was referred to the emergency room with complaints of severe abdominal pain and frequent vomiting. The patient underwent laparotomy surgery that led to the removal of a portion of his ileum. Conclusion: Overindulgence in taking persimmon can lead to formation of phytobezoar and subsequent obstruction of small intestinal. Persimmon phytobezoars are difficult to break up into pieces because of containing tannins, cellulose, hemicellulose, and lignin. © 2021 Shahid Beheshti University of Medical Sciences. All rights reserved.