Closed perforation of the small bowel secondary to a phytobezoar: imaging findings

Diagn Interv Radiol. 2007 Mar;13(1):19-22.


Small bowel perforation secondary to phytobezoars is a rare clinical entity, which is not well-documented in the radiological literature. Sonographic and computed tomography (CT) findings of a case of closed small bowel perforation secondary to phytobezoars in a patient with previous gastric surgery are presented. Both abdominal ultrasound and CT examinations revealed a collection containing air at the left lower quadrant as well as neighboring intraluminal masses suggestive of bezoars. We propose that appropriate CT examination is a very useful imaging modality for evaluating this kind of bowel perforation.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Aged
  • Bezoars / complications
  • Bezoars / diagnosis*
  • Bezoars / diagnostic imaging
  • Bezoars / pathology
  • Bezoars / surgery
  • Diagnosis, Differential
  • Humans
  • Intestinal Perforation / complications
  • Intestinal Perforation / diagnosis*
  • Intestinal Perforation / diagnostic imaging
  • Intestinal Perforation / pathology
  • Intestinal Perforation / surgery
  • Jejunal Diseases / complications
  • Jejunal Diseases / diagnosis*
  • Jejunal Diseases / diagnostic imaging
  • Jejunal Diseases / surgery
  • Jejunum*
  • Male
  • Tomography, X-Ray Computed
  • Ultrasonography