{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:28:57Z","timestamp":1787027337605,"version":"build-2736575974"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T00:00:00Z","timestamp":1650931200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Small bowel obstruction is a common surgical emergency abdominal condition in clinical practice. Fecalith is one of the rare causative factors, especially phytobezoars.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>We report the case of a 66-year-old man admitted with \u201cabdominal pain with vomiting for 1 day.\u201d Enhanced CT of the abdomen suggested incomplete small bowel obstruction. The symptomatic treatment with fasting, fluid replacement, gastrointestinal decompression, and antibiotics was conducted after the patient was admitted to the hospital. After 2 days of treatment, the patient's abdominal pain was not significantly relieved, so a decision was made to perform laparoscopic examination surgery. During surgery, a columnar foreign body was found embedded in the lumen of the small intestine about 10 cm away from the ileocecal region. Combined with the patient's preoperative history of consuming a large number of persimmons, the primary diagnosis of small intestinal fecalith obstruction was considered. We performed an enterotomy to remove the foreign body, and the procedure was uneventful. On postoperative day 7, the patient was successfully discharged.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>When we encounter a patient with intestinal obstruction without a history of surgery in our clinical work, we should take a careful history, especially about the consumption of foods that can cause phytoliths. When a patient has consumed a large amount of food that can cause phytobezoars before the abdominal pain, we should diagnostically consider it as phytobezoars intestinal obstruction, which helps to reduce the incidence of misdiagnosis and allows the patient to receive treatment timely and effectively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2022.855904","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T02:23:15Z","timestamp":1650939795000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["A Rare Cause of Small Bowel Obstruction: A Case Report"],"prefix":"10.3389","volume":"9","author":[{"given":"Piaopiao","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinfeng","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanshui","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,4,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1590\/s0102-67202013000400020","article-title":"Phytobezoar: a rare cause of acute small bowel obstruction in an innocent abdomen","volume":"26","author":"Tiwari","year":"2013","journal-title":"Arq Bras Cir 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Res"},{"key":"B8","doi-asserted-by":"publisher","first-page":"300060520962942","DOI":"10.1177\/0300060520962942","article-title":"Phytobezoar-induced small bowel obstruction in an elderly patient undergoing dialysis: a case report","volume":"48","author":"Wei","year":"2020","journal-title":"J Int Med Res"},{"key":"B9","doi-asserted-by":"publisher","first-page":"4295024","DOI":"10.1155\/2020\/4295024","article-title":"Clinical analysis of the curative effect of a transnasal ileus tube in the treatment of small bowel obstruction caused by a phytobezoar","volume":"2020","author":"Lin","year":"2020","journal-title":"Gastroenterol Res Pract"},{"key":"B10","doi-asserted-by":"publisher","first-page":"rjz296","DOI":"10.1093\/jscr\/rjz296","article-title":"An unusual case of phytobezoar-induced small bowel obstruction","volume":"2019","author":"Taha","year":"2019","journal-title":"J Surg Case 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Endosc"},{"key":"B14","doi-asserted-by":"publisher","first-page":"e21","DOI":"10.1016\/j.jemermed.2011.06.059","article-title":"Acute surgical abdomen due to phytobezoar-induced ileal obstruction","volume":"44","author":"Salemis","year":"2013","journal-title":"J Emerg Med"}],"container-title":["Frontiers in 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