Phytobezoar caused by ingestion of air cooler husk in a 6-year-old boy: A case report

Phytobezoar caused by ingestion of air cooler husk in a 6-year-old boy: A case report

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Introduction: Bezoars are conglomerates of indigestible material that accumulate in the gastrointestinal tract.Phytobezoars, derived from plant matter, are the most common type.Case presentation: A 6-year-old boy presented with a one-week history of severe continuous abdominal pain, projectile vomiting, and constipation.

He had experienced intermittent abdominal pain over the preceding three months, temporarily relieved by over-the-counter medications.Despite being well-developed, the child had a habit of chewing air cooler husk strips.Physical examination revealed a firm mass in the epigastrium extending to the right hypochondrium.

An erect abdominal X-ray showed a distended stomach, without any distal obstruction.Abdominal ultrasound identified a mass with posterior shadowing, suggestive of merlot redbud tree for sale a bezoar.Computerized tomography (CT) of the abdomen confirmed a mottled, heterogeneous mass in the stomach.

The patient underwent an upper gastrointestinal endoscopy that confirmed a bezoar composed of air cooler husks, extending into the lower esophagus, but endoscopic removal was serra avatar price unsuccessful.The patient underwent a laparotomy and through an anterior gastrotomy we entirely removed the bezoar.The gastric wall had no signs of pressure necrosis or ulceration.

The stomach was closed in 2 layers with running sutures.The patient recovered uneventfully.He remained nil per os (NPO) for 5 days, resumed oral feedings on the 6th postoperative day, and was discharged home on the 7th postoperative day having regular bowel movements and tolerating his diet well.

Conclusion: Phytobezoars must be included in the differential diagnosis of children with recurrent abdominal pain, particularly those with abnormal eating habits.