PMC3015794_01
Hard intraluminal mass localized 5 cm proximal to the ileocaecal junction.
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PMC3015794_01_jsls-11-1-168-g01.jpg
F1
A mechanical obstruction due to a hard intraluminal mass was located approximately 5cm from the ileocecal junction (Figure 1).
Ileotomy was performed with a Harmonic scalpel (Ultracision, Ethicon Endo-Surgery) along the longitudinal axis.
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PMC3015794_01_jsls-11-1-168-g02.jpg
F2
An ileotomy was performed with a Harmonic scalpel (Ultracision - Ethicon Endo Surgery) along the longitudinal axis (Figure 2), which allowed the removal of a 5.0x5.0x4.0-cm phytobezoar that could not be milked towards the colon (Figure 3).
Removal of 5.0 x 5.0 x 4.0 cm phytobezoar (mango seed) from ileum.
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PMC3015794_01_jsls-11-1-168-g03.jpg
F3
An ileotomy was performed with a Harmonic scalpel (Ultracision - Ethicon Endo Surgery) along the longitudinal axis (Figure 2), which allowed the removal of a 5.0x5.0x4.0-cm phytobezoar that could not be milked towards the colon (Figure 3).
The phytobezoar was extracted in a latex bag.
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PMC3015794_01_jsls-11-1-168-g04.jpg
F4
The phytobezoar was extracted in a latex bag (Figure 4).
The ileotomy was closed along the longitudinal axis with interrupted suture using 3-0 Vicryl.
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PMC3015794_01_jsls-11-1-168-g05.jpg
F5
The ileotomy was closed along the longitudinal axis with interrupted suture using 3-0 Vicryl (Figure 5).