Unveiling a Silent Obstructor: Phytobezoar in the Third Duodenal Segment

Prague Med Rep. 2024;125(2):146-150. doi: 10.14712/23362936.2024.13.


We present a case of obstruction in the third portion of the duodenum secondary to a phytobezoar in an adult patient with no surgical history and without a vegan diet. High intestinal obstruction due to a phytobezoar is rarely described in the literature, posing a diagnostic challenge when evaluating potential differentials in the emergency setting. Subsequently, we conduct a review focusing on tomographic findings and the surgical specimen, highlighting key points to consider when addressing such pathologies.

Keywords: Abdomen; Acute; Bezoars; Intestinal obstruction; Tomography.

Publication types

  • Case Reports

MeSH terms

  • Bezoars* / diagnosis
  • Bezoars* / surgery
  • Duodenal Obstruction / diagnosis
  • Duodenal Obstruction / etiology
  • Duodenal Obstruction / surgery
  • Duodenum
  • Female
  • Humans
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed