Head and Neck Imaging

MSCT Diagnosis of Small Bowel Obstruction Due to Phytobezoars

Author:TANG Ling, ZHONG Jian-quan, FENG Hao, et al.

affiliation:Department of Radiology, The First People's Hospital of Zigong City, Zigong 643000, Sichuan Province, China

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Abstract

Objective To explore the MSCT characteristics of small bowel obstruction which due to the phytobezoars. Methods The MSCT imaging data of 13 patients of small bowel obstruction confirmed by clinical surgery and pathology were analysis retrospectively. Results In all 13 patients, 9 cases were complete small bowel obstruction and 4 cases were incomplete small bowel obstruction. 1 case of duodenal obstruction (8%), 4 cases of jejunum obstruction accounted for 31%, and 8 cases of ileum obstruction accounted for 61%. 1 case of ileum obstruction, complicated ileum perforation, acute peritonitis. The size of phytobezoars was about 2.4cm to 4.1cm. Conclusion There is typical characteristic of the small bowel obstruction which due to phytobezoars, and MSCT has important clinical value in preoperative diagnosis and evaluation.

【Keyword】Phytobezoars; Small-bowel Obstruction; Computed Tomography; X-ray

【Chart number】R57;R73

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2019.01.033