Author(s)

Bréhima Traoré^1*, Djibril Traoré¹, Modibo Coulibaly², Oumar Guindo³, Abdoulaye Traoré⁴, Fodé Mory Keita⁵, Kiffery Ibrahim Keita¹, Korotimi Mallé¹, Pierre Coulibaly⁶, Aly Boubacar Diallo⁷, Dramane Cissé¹, Dramane Samaké⁸, Pierre A. Togo⁹

¹Department of General Surgery, Hôpital Sominé DOLO de Mopti, Mopti, Mali.
²Department of Biomedical Laboratory, Hôpital Sominé DOLO de Mopti, Mopti, Mali.
³Department of Public Health, Hôpital Sominé DOLO de Mopti, Mopti, Mali.
⁴Department of Anesthesia and Resuscitation, Hôpital Sominé DOLO de Mopti, Mopti, Mali.
⁵Department of Surgery, Polyclique des Armées de Kati, Koulikoro, Mali.
⁶Department of Gynecology and Obstetrics, Hôpital Sominé DOLO de Mopti, Mopti, Mali.
⁷Department of General Surgery, Hôpital Régional de Sikasso, Sikasso, Mali.
⁸Department of Medicine, Hôpital Sominé DOLO de Mopti, Mopti, Mali.
⁹Faculty of Medicine and Odonto Stomatology, University of Sciences Technics and Technologies de Bamako, Bamako, Mali.

Introduction: Small bowel obstruction (SBO) is defined as a complete and persistent cessation of the transit of materials and gases. It occurs in a segment of the digestive tract located between the pylorus and the colorectal junction. Herein, we report a case of small bowel obstruction (SBO) following excessive consumption of wild grapes with no previous abdomen medical or surgical history. Presentation of case: A 65-year-old male farmer presented with cessation of materials and gas associated with vomiting of food and then bilious. The abdomen was bloated and painful on palpation with a moving, painful mass in the left iliac fossa. The hypothesis of acute occlusion of the colon was retained and confirmed on the X-Ray which showed a dilation of small bowel with air-fluid levels. The diagnostic of acute SBO was retained. We performed urgently a median laparotomy. We found the dilation of the loops from the jejunum to the sigmoid colon with a compact mass at the sigmoid colon of 15 cm in length and 6 cm in diameter. We proceeded to crush the mass that was made up with wild grape seed fecal, and push it back to the rectum. The phytobezoar made up with wild grape seeds was extracted through the anus with the fingers after anal dilation. After extraction of the bezoar, the patient’s complaints completely subsided. Discussion: SBO is a frequent emergency surgical pathology. SBO induced by phytobezoar often occurs in patients with abdomen surgery history. However, it is particularly rare in virgin abdomen. Conclusion: This case report aims to raise awareness of phytobezoar as a cause of SBO in elderly even though without abdomen surgery history.

Small Bowel Obstruction, Phytobezoars, Innocent Abdomen

Traoré, B. , Traoré, D. , Coulibaly, M. , Guindo, O. , Traoré, A. , Keita, F. , Keita, K. , Mallé, K. , Coulibaly, P. , Diallo, A. , Cissé, D. , Samaké, D. and Togo, P. (2021) Small Bowel Obstruction Induced by Phytobezoar: A Case Report in Innocent Abdomen and Literature Review. Surgical Science, 12, 187-195. doi: 10.4236/ss.2021.126020.