{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T20:53:28Z","timestamp":1789419208956,"version":"build-2803163510"},"reference-count":28,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Phytobezoars constitute conglomerates of indigested plant fibers and are a rare cause of acute mechanical ileus. They exhibit an increased prevalence in the elderly population and people with specific predisposing conditions. Radiological imaging can often set a definitive diagnosis and dictate the optimal therapeutic approach, combined with the patient\u2019s clinical status. An 81-year-old male presented with deteriorating clinical symptoms of intestinal obstruction, and an exploratory laparotomy was performed following inconclusive radiological findings; multiple phytobezoars and incipient intussusception were revealed intraoperatively. A patient\u2019s medical history can often raise clinical suspicion of phytobezoars. However, a careful etiological investigation is imperative in all cases of mechanical ileus in advanced ages; early detection and dissolution of phytobezoars, when applicable, can reduce the need for surgical interventions.<\/jats:p>","DOI":"10.3390\/medicina59071227","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:51:06Z","timestamp":1688086266000},"page":"1227","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Phytobezoar-Induced Mechanical Ileus and Incipient Intussusception: A Case Report"],"prefix":"10.3390","volume":"59","author":[{"given":"Christoforos S.","family":"Kosmidis","sequence":"first","affiliation":[{"name":"European Interbalkan Medical Center, 10 Asklipiou Street, 55535 Pylaia, Greece"},{"name":"3rd Surgical Department, University General Hospital of Thessaloniki \u201cAHEPA\u201d, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6674-7500","authenticated-orcid":false,"given":"Chrysi Maria","family":"Mystakidou","sequence":"additional","affiliation":[{"name":"Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5849-5515","authenticated-orcid":false,"given":"Nikolaos","family":"Varsamis","sequence":"additional","affiliation":[{"name":"European Interbalkan Medical Center, 10 Asklipiou Street, 55535 Pylaia, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charilaos","family":"Koulouris","sequence":"additional","affiliation":[{"name":"European Interbalkan Medical Center, 10 Asklipiou Street, 55535 Pylaia, Greece"},{"name":"3rd Surgical Department, University General Hospital of Thessaloniki \u201cAHEPA\u201d, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9869-7835","authenticated-orcid":false,"given":"Christina","family":"Sevva","sequence":"additional","affiliation":[{"name":"3rd Surgical Department, University General Hospital of Thessaloniki \u201cAHEPA\u201d, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantina","family":"Papadopoulou","sequence":"additional","affiliation":[{"name":"1st Department of Internal Medicine, G. Papanikolaou General Hospital of Thessaloniki, 57010 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6380-8187","authenticated-orcid":false,"given":"Christina","family":"Michael","sequence":"additional","affiliation":[{"name":"Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaos Iason","family":"Katsios","sequence":"additional","affiliation":[{"name":"Medical School, Faculty of Health Sciences, University of Ioannina, 45110 Ioannina, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasiliki","family":"Theodorou","sequence":"additional","affiliation":[{"name":"Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petrina","family":"Miltiadous","sequence":"additional","affiliation":[{"name":"Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantinos","family":"Papadopoulos","sequence":"additional","affiliation":[{"name":"3rd Surgical Department, University General Hospital of Thessaloniki \u201cAHEPA\u201d, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1105-2679","authenticated-orcid":false,"given":"Konstantinos","family":"Vlassopoulos","sequence":"additional","affiliation":[{"name":"Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katerina","family":"Zarampouka","sequence":"additional","affiliation":[{"name":"Pathology Department, Aristotle University of Thessaloniki, AHEPA University Hospital, 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stylianos","family":"Mantalovas","sequence":"additional","affiliation":[{"name":"3rd Surgical Department, University General Hospital of Thessaloniki \u201cAHEPA\u201d, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,30]]},"reference":[{"key":"ref_1","first-page":"224","article-title":"Pathophysiological and clinical aspects of the diagnosis and treatment of bezoars","volume":"32","author":"Paschos","year":"2019","journal-title":"Ann. 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