Fitobezoar associado à endometriose intestinal: uma rara causa de obstrução intestinal

Carlos Roberto Amorim, Diogo Melgaço Faria, Dilmar de Castro Filho, Rogério Mendes Grande, Virgínio Cândido Tosta de Souza
In: Revista Brasileira de Coloproctologia · 2009 · vol. 29(4) , pp. 501–504 · doi:10.1590/s0101-98802009000400012 · W2025736392
article OA: diamond CC0
📄 Open PDF View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

A 29-year-old patient presented with intestinal obstruction caused by a phytobezoar and intestinal endometriosis at the ileocecal junction.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This case report describes a 29-year-old woman with diffuse colicky abdominal pain, nausea, and vomiting, whose workup for intestinal obstruction showed distended small-bowel loops and a radiopaque mass on X-ray, with CT demonstrating a heterogeneous mass in the ileocecal valve region. Exploratory laparotomy found obstruction of the ileocecal valve by an intraluminal phytobezoar composed of incompletely digested citrus/mango fibers and seeds from papaya, and subsequent careful evaluation revealed an ileocecal valve stenosis requiring resection of the ileocecal-colic segment. Pathology of the resected segment demonstrated intestinal endometriosis with endometrioid tissue in the submucosa and muscular layers of the terminal ileum and ileocecal valve, and the patient was discharged three days postoperatively after an uncomplicated course. The paper is a single rare-case report without follow-up beyond the immediate postoperative period, and it does not establish causality or prevalence. This paper is centrally about endometriosis — intestinal endometriosis at the ileocecal valve coexisting with a phytobezoar causing bowel obstruction.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

A endometriose intestinal é uma patologia benigna que afeta preferencialmente a porção retossigmóidea, sendo pouco frequente a localização em íleo terminal. Trata-se de um caso de uma paciente de 29 anos que foi admitida com dor abdominal difusa, náuseas e vômitos. Na propedêutica da obstrução intestinal a tomografia computadorizada revelou massa heterogênea em topografia ileocecal. Submetida a laparotomia exploradora onde foi feita a remoção de fibras vegetais mal digeridas aglomeradas em íleo terminal e ressecção de segmento íleoceco cólico devido a presença de estenose na válvula ileocecal. O exame anátomo patológico revelou endometriose intestinal e fitobezoar. A paciente evoluiu bem com alta no terceiro dia de pós operatório.

My notes (saved in your browser only)

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (9)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK