PMC6091317_01
External CT showed:.. A. Dilation of small bowel loops with air-fluid levels.. B. Dilated and collapsed small bowel loops and impacted mottled mass.
gr1.jpg
PMC6091317_01_gr1.jpg
fig0005
External abdominal computed tomography demonstrated a dilated small bowel with air-fluid levels and collapsed loops (Fig. 1).
The impacted mass.
gr2.jpg
PMC6091317_01_gr2.jpg
fig0010
With a midline incision, the abdomen was open and the intestines were inspected and a compressible 5x3x3 cm mass was found impacted about 150 cm from the jejuno-jejunostomy anastomosis with dilated loops, and no other abnormalities (Fig. 2).
The phytobezoar.
gr3.jpg
PMC6091317_01_gr3.jpg
fig0015
We found indigestible fibers that formed a phytobezoar (Fig. 3).