{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T17:06:53Z","timestamp":1794330413657,"version":"4.9.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Bezoars and polyps are an uncommon cause of mechanical intestinal obstruction. There are four different kinds of bezoars: phytobezoars, made of vegetables and fibers; trichobezoars, resulting from the ingestion of hair and frequently an expression of psychiatric disorders; lactobezoars, which are formed of milk curd; and pharmacobezoars, caused by drugs and medications. Signs and symptoms classically vary from abdominal pain to constipation, nausea, vomiting, and abdominal distension. We present a rare case of impending perforation along with an intraluminal polyp near ileocecal junction due to phytobezoar impaction.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>Our patient was a 59-year-old Sindhi female with a known history of interstitial lung disease and hypertension who presented to the emergency department with complaints of abdominal pain and constipation for 1\u00a0week, vomiting for 5\u00a0days, and abdominal distension for 2\u00a0days. After a preoperative examination and her failure to respond to conservative therapy, she was taken to the operating room for exploratory laparotomy. A hard intraluminal mass was suspected to be obstructing the small bowel at the site of impending perforation. This mass was a phytobezoar along with an intraluminal polyp. Resection of the affected segment was performed, followed by ileoileal anastomosis, and a drain was left. The patient was discharged 1\u00a0week later and was found to be well with no complaints at 3\u00a0weeks follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Early diagnosis of bezoars is important for early intervention and prevention of complications. Our case is unique as phytobezoar with intraluminal polyp is a rare clinical finding. Moreover, the signs and symptoms with which the patient presented are nonspecific and can be seen with multiple surgical emergencies.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-022-03356-0","type":"journal-article","created":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T23:27:03Z","timestamp":1648596423000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impending perforation near ileocecal junction due to phytobezoar impaction and intraluminal polyp: a\u00a0case report"],"prefix":"10.1186","volume":"16","author":[{"given":"Mehwish","family":"Mooghal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asrar","family":"Ahmad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5356-481X","authenticated-orcid":false,"given":"Adnan","family":"Safi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wajiha","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveed","family":"Ahmad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"issue":"3","key":"3356_CR1","first-page":"224","volume":"32","author":"KA Paschos","year":"2019","unstructured":"Paschos KA, Chatzigeorgiadis A. Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars. Ann Gastroenterol. 2019;32(3):224\u201332.","journal-title":"Ann Gastroenterol"},{"issue":"8","key":"3356_CR2","doi-asserted-by":"publisher","first-page":"721","DOI":"10.12998\/wjcc.v3.i8.721","volume":"3","author":"E Dikicier","year":"2015","unstructured":"Dikicier E, Altintoprak F, Ozkan OV, Yagmurkaya O, Uzunoglu MY. Intestinal obstruction due to phytobezoars: an update. World J Clin Cases. 2015;3(8):721\u20136.","journal-title":"World J Clin Cases"},{"issue":"11","key":"3356_CR3","doi-asserted-by":"publisher","first-page":"1099","DOI":"10.2169\/internalmedicine.53.2114","volume":"53","author":"M Iwamuro","year":"2014","unstructured":"Iwamuro M, Tanaka S, Shiode J, Imagawa A, Mizuno M, Fujiki S, et\u00a0al. Clinical characteristics and treatment outcomes of nineteen Japanese patients with gastrointestinal bezoars. 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