{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:28:12Z","timestamp":1773188892692,"version":"3.50.1"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,8,18]],"date-time":"2018-08-18T00:00:00Z","timestamp":1534550400000},"content-version":"vor","delay-in-days":229,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Phytobezoars are a very rare cause of large bowel obstruction. Mango seeds as a phytobezoar causing large bowel obstruction have not been reported in the English literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>We present the case of a 69 years old female who presented to us with clinical and radiological signs of acute large bowel obstruction. On laparotomy, it was noted that mango seeds as a phytobezoar was responsible for the obstruction in the descending colon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Phytobezoars are a rare but known cause of small bowel obstruction. Large bowel obstruction is even rarer. The literature has documented a few cases of small bowel obstruction caused by mango seeds but none for large bowel obstruction. The most frequent reported sites of large bowel obstruction are the sigmoid colon and recto-sigmoid junction. However, phytobezoar causing descending colonic obstruction without any pre-existing underlying pathology has not been reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The association of bezoar with acute large bowel obstruction is a very rare however; it must be entertained in the differential diagnosis of any large bowel obstruction. Early diagnosis and treatment can avoid lethal complications. Our case being the first case of mango seeds phytobezoar in descending colon with acute large bowel obstruction; signifies its importance for reporting in the English literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2018.08.028","type":"journal-article","created":{"date-parts":[[2018,8,19]],"date-time":"2018-08-19T10:18:56Z","timestamp":1534673936000},"page":"125-129","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Mango seed causing acute large bowel obstruction in descending colon-world's first reported case"],"prefix":"10.1097","volume":"51","author":[{"given":"Shariful","family":"Islam","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina","family":"Saroop","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinoo","family":"Bheem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Harnarayan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijay","family":"Naraynsingh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-32-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int. J. Surg"},{"key":"R2-32-20260114","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1055\/s-0032-1329533","article-title":"Management of colonic obstruction: a review","volume":"25","author":"Sawai","year":"2012","journal-title":"Clin. Colon Rectal Surg"},{"key":"R3-32-20260114","first-page":"476","article-title":"Bezoars: classification, pathophysiology, and treatment","volume":"83","author":"Andrus","year":"1988","journal-title":"Am. J. Gastroenterol"},{"key":"R4-32-20260114","doi-asserted-by":"crossref","first-page":"721","DOI":"10.12998\/wjcc.v3.i8.721","article-title":"Intestinal obstruction due to phytobezoars: an update","volume":"3","author":"Dikicier","year":"2015","journal-title":"World J. Clin. Cases"},{"key":"R5-32-20260114","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1016\/j.gcb.2008.01.045","article-title":"A report of 15 cases of small-bowel obstruction secondary to phytobezoars: predisposing factors and diagnostic difficulties","volume":"32","author":"Bedioui","year":"2008","journal-title":"Gastroenterol. Clin. Biol"},{"key":"R8-32-20260114","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s12262-014-1136-0","article-title":"Removal of a giant recto sigmoid phytobezoar without laparotomy","volume":"77","author":"Jao","year":"2015","journal-title":"Indian J. Surg"},{"key":"R9-32-20260114","first-page":"247","article-title":"Mechanical large bowel obstruction due to apricot seed: a rare cause of intestinal obstruction. Case report","volume":"21","author":"Midi","year":"2008","journal-title":"Marmara Med. J"},{"key":"R10-32-20260114","doi-asserted-by":"crossref","first-page":"20","DOI":"10.37549\/AR2234","article-title":"Radiological case: a rare case of left colonic obstruction\u2014cloth fiber bezoar","volume":"44","author":"Gathwal","year":"2015","journal-title":"Appl. Radiol"},{"key":"R11-32-20260114","doi-asserted-by":"crossref","first-page":"443","DOI":"10.4103\/0971-3026.195772","article-title":"An unusual sigmoid phytobezoar in a patient with a transplanted kidney: a case report","volume":"26","author":"Milillo","year":"2016","journal-title":"Indian J. Radiol. Imaging"},{"key":"R12-32-20260114","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1186\/1752-1947-1-159","article-title":"Large bowel obstruction due to sesame seed bezoar: a case report","volume":"1","author":"Shaw","year":"2007","journal-title":"J. Med. Case Rep"},{"key":"R13-32-20260114","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0196-0644(88)80510-9","article-title":"Popcorn primary colonic phytobezoar","volume":"17","author":"Roberge","year":"1988","journal-title":"Ann. Emerg. Med"},{"key":"R14-32-20260114","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1053\/jpsu.2002.32290","article-title":"A rare case of colonic obstruction by cherry tomato phytobezoar: a simple technique to avoid enterotomy","volume":"37","author":"Steinberg","year":"2002","journal-title":"J. Pediatr. Surg"},{"key":"R16-32-20260114","first-page":"641","article-title":"Mechanical small bowel obstruction due to bezoars: correlation between CT and surgical findings","volume":"83","author":"Billaud","year":"2002","journal-title":"J. Radiol"},{"key":"R17-32-20260114","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1007\/s00330-002-1432-0","article-title":"CT findings of phytobezoar associated with small bowel obstruction","volume":"13","author":"Kim","year":"2003","journal-title":"Eur. Radiol"},{"key":"R18-32-20260114","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1007\/s10140-003-0297-0","article-title":"CT findings in patients with small bowel obstruction due to phytobezoars","volume":"10","author":"Zissin","year":"2004","journal-title":"Emerg. Radiol"},{"key":"R19-32-20260114","doi-asserted-by":"crossref","first-page":"300","DOI":"10.3904\/kjim.2007.22.4.300","article-title":"Acute intestinal obstruction caused by a persimmon phytobezoar after dissolution therapy with coca-cola","volume":"22","author":"Ha","year":"2007","journal-title":"Korean J. Intern. Med"},{"key":"R21-32-20260114","first-page":"479","article-title":"Gastric foreign body: bezoars. Apropos of two cases","volume":"75","author":"Sciume","year":"2004","journal-title":"Ann. Ital. Chir"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261218303286?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261218303286?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201851000-00032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:06:48Z","timestamp":1768396008000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201851000-00032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":17,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2018.08.028","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}