{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:39:51Z","timestamp":1783651191733,"version":"3.55.0"},"reference-count":5,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Phytobezoars are the most common and well known type of bezoars yet one of the uncommon causes of mechanical obstruction of the small intestine. The reported prevalence rate of phytobezoars is estimated to be 0.4% despite being the 5th most common cause of acute small bowel obstruction. A previously healthy five\u2010year\u2010old girl presented to the Emergency Medicine Department with a 5\u2010day history of nonprojectile, nonbile stained vomiting, abdominal pain, and decreased urine output. Physical examinations revealed severe dehydration symptoms, and laboratory tests indicated abnormal electrolyte levels and metabolic alkalosis. The patient experienced a seizure, received medical interventions, and was diagnosed with mechanical intestinal obstruction due to a phytobezoar. After stabilization, she underwent surgical removal of the phytobezoar without complications and followed postoperative advice successfully. In cases without significant complications, surgical or aggressive medical treatment for bezoars may be unnecessary. Coca\u2010Cola, alone or combined with endoscopic methods, is effective in dissolving gastric phytobezoars, with success rates exceeding 90%. Conservative management involves proteolytic enzymes, cellulase, carbonated beverages, and endoscopic fragmentation. Clinicians should stay vigilant, as small bowel obstruction can occur up to 6\u2009weeks later. Prokinetic agents and dietary guidelines help minimize bezoar formation. Surgical intervention, unlikely to address the root cause and potentially worsening motility issues, requires careful consideration. Phytobezoars are a significant consideration in pediatric small bowel obstruction cases. Conducting a thorough dietary history, focusing on fiber\u2010rich foods, is crucial. Radiographic and endoscopic studies aid in locating the phytobezoar. Timely surgical intervention is essential to prevent complications associated with small bowel obstruction.<\/jats:p>","DOI":"10.1002\/ccr3.71809","type":"journal-article","created":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T02:31:39Z","timestamp":1767407499000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Phytobezoar\u2014An Unusual Cause of Small Bowel Obstruction in Pediatric Age Group: A Case Report and Literature Review"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6222-3498","authenticated-orcid":false,"given":"Aakash","family":"Pandit","sequence":"first","affiliation":[{"name":"Chitwan Medical College Teaching Hospital  Bharatpur Chitwan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melisha","family":"Koirala","sequence":"additional","affiliation":[{"name":"Chitwan Medical College Teaching Hospital  Bharatpur Chitwan Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashish","family":"Panta","sequence":"additional","affiliation":[{"name":"National Medical College Teaching Hospital  Birgunj Parsa Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nawadip","family":"Kandel","sequence":"additional","affiliation":[{"name":"University of Latvia  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.12141"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010007\u20109575\u20103"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-0774-8.10030-2"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119600206.ch53"},{"issue":"1","key":"e_1_2_13_6_1","first-page":"79","article-title":"Gastric Bezoars\u2014Spontaneous Resolution","volume":"70","author":"Kadian R. S.","year":"1978","journal-title":"American Journal of Gastroenterology"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71809","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.71809","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71809","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T07:18:22Z","timestamp":1769066302000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ccr3.71809"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71809","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-07-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71809"}}