Clinics in diagnostic imaging (198)

Clinics in diagnostic imaging (198)

A 60-year-old man presented with abdominal pain. He was later diagnosed on imaging to have high-grade small bowel obstruction. The patient underwent surgery, and a hard, rounded bezoar resembling the endosperm of Nypa fruticans, colloquially known as attap chee, was found at the point of obstruction...

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Bibliographic Details
Published in:Singapore medical journal Vol. 60; no. 8; pp. 397 - 402
Main Authors: Soon, YQA, Low, HM, Huey, CWT, Wansaicheong, GKL
Format: Journal Article
Language:English
Published: Singapore Singapore Medical Association 01-08-2019
Subjects:
Medical EducationT
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Summary:A 60-year-old man presented with abdominal pain. He was later diagnosed on imaging to have high-grade small bowel obstruction. The patient underwent surgery, and a hard, rounded bezoar resembling the endosperm of Nypa fruticans, colloquially known as attap chee, was found at the point of obstruction. Small bowel obstruction is a common acute surgical condition with multiple causes, including bezoars. We discuss the typical imaging features of bezoars causing small bowel obstruction as well as potential pitfalls that can mimic the appearance of a bezoar.
ISSN:0037-5675
DOI:10.11622/smedj.2019089