{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T19:48:22Z","timestamp":1781380102272,"version":"3.54.1"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T00:00:00Z","timestamp":1757548800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010227","name":"Medical Science and Technology Development Foundation, Nanjing Municipality Health Bureau","doi-asserted-by":"publisher","award":["YKK24250"],"award-info":[{"award-number":["YKK24250"]}],"id":[{"id":"10.13039\/501100010227","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>A phytobezoar is an accumulation of indigestible fruit and vegetable fibers in the gastrointestinal (GI) tract. Small bowel obstruction (SBO) caused by phytobezoars is infrequent, and pear-induced instances are extremely rare. We present a 45-year-old woman with a 5-day history of colicky abdomen discomfort, nausea, vomiting, abdominal distention, and no bowel movements. She had two cesarean sections but no prior GI issues and had eaten an extensive quantity of pears 2 days before symptom onset. A physical examination showed discomfort, distension, and decreased bowel sounds in the abdomen. Laboratory testing was normal, but computed tomography (CT) revealed dilated small intestine loops and a transition point in the right lower abdomen. Conservative treatment, which included fasting, intravenous fluids, antibiotics, and nasogastric decompression, failed. A 30 mm \u00d7 30 mm pear bezoar blocking the terminal ileum was removed through a 4-cm enterotomy during laparoscopy. The enterotomy was closed transversely, and the patient healed normally, remaining symptom-free 3 months later. This case emphasizes the value of staying aware of phytobezoar-induced SBO in individuals\u2019 patients who have not previously undergone stomach surgery. Early dietary history, imaging characteristics, and timely surgical intervention are crucial. Individualized dietary counseling can aid in preventing recurrence in at-risk patients.<\/jats:p>","DOI":"10.3389\/fmed.2025.1620356","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T05:26:08Z","timestamp":1757568368000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Pear phytobezoar as a rare cause of small bowel obstruction: a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Kuanyong","family":"Yu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjun","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liyang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuanyang","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guanghui","family":"Qiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1007\/s00423-024-03436-3","article-title":"Outcomes of patients admitted with malignant small bowel obstruction: a subgroup multicentre observational cohort analysis.","volume":"409","author":"Hupfeld","year":"2024","journal-title":"Langenbecks Arch Surg."},{"key":"B2","doi-asserted-by":"publisher","first-page":"390","DOI":"10.31729\/jnma.8134","article-title":"Adhesive small bowel obstruction: a review.","volume":"61","author":"Ghimire","year":"2023","journal-title":"JNMA J Nepal Med Assoc."},{"key":"B3","author":"Schick","year":"2025","journal-title":"Small Bowel Obstruction: StatPearls."},{"key":"B4","doi-asserted-by":"publisher","first-page":"110761","DOI":"10.1016\/j.ijscr.2024.110761","article-title":"Small intestinal obstruction caused by the gastric bezoars in elderly diabetic patients: a case report.","volume":"127","author":"Huang","year":"2025","journal-title":"Int J Surg Case Rep."},{"key":"B5","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1007\/s10620-024-08763-5","article-title":"Small Bowel obstruction by phytobezoar.","volume":"70","author":"Ying","year":"2025","journal-title":"Dig Dis Sci."},{"key":"B6","doi-asserted-by":"publisher","first-page":"rjt046","DOI":"10.1093\/jscr\/rjt046","article-title":"A case of small bowel obstruction due to phytobezoars.","volume":"2013","author":"Ali","year":"2013","journal-title":"J Surg Case Rep."},{"key":"B7","doi-asserted-by":"publisher","first-page":"omw092","DOI":"10.1093\/omcr\/omw092","article-title":"Small bowel obstruction attributable to phytobezoar.","volume":"2016","author":"Razavianzadeh","year":"2016","journal-title":"Oxf Med Case Rep."},{"key":"B8","doi-asserted-by":"publisher","first-page":"9312","DOI":"10.1186\/1752-1947-3-9312","article-title":"Small intestinal obstruction due to phytobezoar: a case report.","volume":"3","author":"Ezzat","year":"2009","journal-title":"J Med Case Rep."},{"key":"B9","doi-asserted-by":"publisher","first-page":"187","DOI":"10.4236\/ss.2021.126020","article-title":"Small bowel obstruction induced by phytobezoar: a case report in innocent abdomen and literature review.","volume":"12","author":"Traor\u00e9","year":"2021","journal-title":"Surg Sci."},{"key":"B10","doi-asserted-by":"publisher","first-page":"1871","DOI":"10.18203\/2349-2902.isj20222944","article-title":"Enlarging phytobezoar: a rare cause of small bowel obstruction seen in an elderly patient.","volume":"9","author":"Tang","year":"2022","journal-title":"Int Surg J."},{"key":"B11","doi-asserted-by":"publisher","first-page":"rjad553","DOI":"10.1093\/jscr\/rjad553","article-title":"Bezoar-induced small bowel obstruction: a rare cause of a common problem.","volume":"2023","author":"Gorgas","year":"2023","journal-title":"J Surg Case Rep."},{"key":"B12","doi-asserted-by":"publisher","first-page":"rjae564","DOI":"10.1093\/jscr\/rjae564","article-title":"Peanut phytobezoar: an unusual cause for small bowel obstruction.","volume":"2024","author":"Sealey","year":"2024","journal-title":"J Surg Case Rep."},{"key":"B13","doi-asserted-by":"publisher","first-page":"e45849","DOI":"10.7759\/cureus.45849","article-title":"Small Bowel obstruction by a phytobezoar in a patient with previous antrectomy and Billroth II reconstruction.","volume":"15","author":"Abreu da Silva","year":"2023","journal-title":"Cureus."},{"key":"B14","doi-asserted-by":"publisher","first-page":"1139","DOI":"10.1097\/MS9.0000000000001633","article-title":"Small bowel obstruction due to a meat bolus bezoar: the second case report in literature.","volume":"86","author":"Albostani","year":"2024","journal-title":"Ann Med Surg."},{"key":"B15","doi-asserted-by":"publisher","first-page":"89","DOI":"10.3393\/jksc.2012.28.2.89","article-title":"Bezoar-induced small Bowel obstruction.","volume":"28","author":"Oh","year":"2012","journal-title":"J Korean Soc Coloproctol."},{"key":"B16","doi-asserted-by":"publisher","first-page":"237","DOI":"10.4253\/wjge.v16.i5.237","article-title":"Has Coca-Cola treatment become the first-line therapy for gastric bezoars, both in general and specifically for western countries?","volume":"16","author":"Delgado Galan","year":"2024","journal-title":"World J Gastrointest Endosc."},{"key":"B17","doi-asserted-by":"publisher","first-page":"491","DOI":"10.17235\/reed.2021.8459\/2021","article-title":"Multiple bezoars causing small bowel obstruction: a unique case of resolution with upper and low GI endoscopy.","volume":"114","author":"Brito","year":"2022","journal-title":"Rev Esp Enferm Dig."},{"key":"B18","doi-asserted-by":"publisher","first-page":"102693","DOI":"10.1016\/j.epsc.2023.102693","article-title":"Laparoscopic removal of intragastric trichobezoar in a child: a case report.","volume":"96","author":"Lanfranchi","year":"2023","journal-title":"J Pediatr Surg Case Rep."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1620356\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T05:26:08Z","timestamp":1757568368000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2025.1620356\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,11]]},"references-count":18,"alternative-id":["10.3389\/fmed.2025.1620356"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2025.1620356","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,11]]},"article-number":"1620356"}}