PMC6330529_01
The abdominal CT scan that was performed with orally administered iodinated contrast medium. A) Intestinal obstruction due to an ileal phytobezoar (white arrow). B) A gastric phytobezoar impacted in the duodenal bulb (white arrow)
IJMS-44-70-g001.jpg
PMC6330529_01_IJMS-44-70-g001.jpg
IJMS-44-70-g001.tif
The CT scan revealed considerable distention of the stomach, duodenum and jejunum, and the presence of a foreign body (a solid mass with air bubbles and honeycomb appearance) in the ileum, proximally to the ileocecal valve (figure 1A).  She underwent the second CT scan, which showed another foreign body impacted in the first part of the duodenum with similar appearance to the one removed from the ileum (figure 1B).
The gastric phytobezoar was captured endoscopically and fragmented with a standard oval 30 mm polypectomy snare.
IJMS-44-70-g002.jpg
PMC6330529_01_IJMS-44-70-g002.jpg
IJMS-44-70-g002.tif
The mass was broken into four pieces, three of which were removed orally and the fourth was further fragmented and washed out with forced water lavage (figure 2 and 3).
The gastric phytobezoar in pieces following its endoscopic fragmentation. The pieces were removed orally.
IJMS-44-70-g003.jpg
PMC6330529_01_IJMS-44-70-g003.jpg
IJMS-44-70-g003.tif
The mass was broken into four pieces, three of which were removed orally and the fourth was further fragmented and washed out with forced water lavage (figure 2 and 3).