Phytobezoar-Induced Small Bowel Obstruction with Jejuno-Colonic Fistula: A Rare Case Report Phytobezoar Causing Jejuno-Colonic Fistula

Abstract

Bezoars are compacted masses of indigestible materials that accumulate within the gastrointestinal tract. The most common variant, phytobezoars, is formed from plant fibres such as cellulose and lignin. These masses may cause gastrointestinal symptoms, ranging from mild discomfort to bowel obstruction. Phytobezoars may occur in adult patients as a postoperative complication after gastric bypass or partial gastrectomy, especially when partial gastrectomy is accompanied by vagotomy. Once considered folklore objects, bezoars are now addressed through modern diagnostic imaging and management strategies, including enzymatic dissolution, endoscopy, or surgery, depending on their size, location, and clinical impact.