{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T01:26:04Z","timestamp":1762651564675,"version":"build-2065373602"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Small bowel obstruction is a common surgical problem with a wide variety of causes, although bezoars are a rare etiology. Among them, phytobezoars, composed of undigested vegetable or fruit fibers, are the most frequent type. Their clinical presentation often mimics more common causes of intestinal obstruction, making accurate diagnosis challenging. We report the case of a 78-year-old woman who presented with an 8-day history of abdominal pain, nausea, and vomiting. Imaging revealed both gastric outlet and small bowel obstruction. At laparotomy, two phytobezoars were identified and successfully removed from the stomach and ileum. The patient recovered well and was discharged on postoperative day 6. This case highlights the importance of considering bezoars as a differential diagnosis in intestinal obstruction, as management may be surgical or conservative depending on the circumstances.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf873","type":"journal-article","created":{"date-parts":[[2025,11,9]],"date-time":"2025-11-09T01:20:59Z","timestamp":1762651259000},"source":"Crossref","is-referenced-by-count":0,"title":["Simultaneous gastric outlet and small bowel obstruction due to phytobezoar: a rare case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Nuradin Mohamed","family":"Nur","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology , Digfer Street, Hodan District, Mogadishu ,","place":["Somalia"]},{"name":"General Surgery Department, Mogadishu Somali-T\u00fcrkiye Recep Tayyip Erdo\u011fan Training and Research Hospital , Digfer Street, Hodan District, Mogadishu ,","place":["Somalia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0596-1106","authenticated-orcid":false,"given":"Abdisalam Ismail","family":"Hassan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology , Digfer Street, Hodan District, Mogadishu ,","place":["Somalia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdinasir Artan","family":"Jubur","sequence":"additional","affiliation":[{"name":"General Surgery Department, Mogadishu Somali-T\u00fcrkiye Recep Tayyip Erdo\u011fan Training and Research Hospital , Digfer Street, Hodan District, Mogadishu ,","place":["Somalia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Rage","family":"Ahmed","sequence":"additional","affiliation":[{"name":"General Surgery Department, Mogadishu Somali-T\u00fcrkiye Recep Tayyip Erdo\u011fan Training and Research Hospital , Digfer Street, Hodan District, Mogadishu ,","place":["Somalia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuayb Moallim Ali","family":"Jama","sequence":"additional","affiliation":[{"name":"Radiology Department, Mogadishu Somali-T\u00fcrkiye Recep Tayyip Erdo\u011fan Training and Research Hospital , Digfer Street, Hodan District, Mogadishu ,","place":["Somalia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"2025110820205177500_ref1","doi-asserted-by":"publisher","first-page":"9774","DOI":"10.3748\/wjg.v21.i33.9774","article-title":"Bezoar-induced small bowel obstruction: clinical characteristics and diagnostic value of multi-slice spiral computer tomography","volume":"21","author":"Wang","year":"2015","journal-title":"World J Gastroenterol"},{"key":"2025110820205177500_ref2","first-page":"459","article-title":"A rare cause of acute abdomen: small bowel obstruction due to phytobezoar","volume":"16","author":"Yakan","year":"2010","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"key":"2025110820205177500_ref3","first-page":"U422","article-title":"An unusual cause of gastrointestinal obstruction: bezoar","volume":"116","author":"Acar","year":"2003","journal-title":"N Z Med J"},{"key":"2025110820205177500_ref4","doi-asserted-by":"publisher","first-page":"592","DOI":"10.4293\/108680810X12924466008682","article-title":"Jejunal bezoar causing obstruction after laparoscopic Roux-en-Y gastric bypass","volume":"14","author":"Sarhan","year":"2010","journal-title":"JSLS"},{"key":"2025110820205177500_ref5","doi-asserted-by":"publisher","first-page":"336","DOI":"10.4253\/wjge.v7.i4.336","article-title":"Review of the diagnosis and management of gastrointestinal bezoars","volume":"7","author":"Wamuro","year":"2015","journal-title":"World J Gastrointest 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is cola for dissolution of gastric phytobezoars?","volume":"15","author":"Lee","year":"2009","journal-title":"World J Gastroenterol"},{"key":"2025110820205177500_ref14","doi-asserted-by":"publisher","first-page":"152","DOI":"10.3748\/wjg.14.152","article-title":"Huge gastric disopyrobezoar: a case report and review of literatures","volume":"14","author":"Zhang","year":"2008","journal-title":"World J Gastroenterol"},{"key":"2025110820205177500_ref15","doi-asserted-by":"publisher","first-page":"e23885","DOI":"10.7759\/cureus.23885","article-title":"Phytobezoar: an unusual condition leading to small bowel obstruction","volume":"14","author":"Aydin","year":"2022","journal-title":"Cureus"}],"container-title":["Journal of Surgical Case 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