Clinical Case of Diospyrobezoar Complicated with Acute Intestinal Obstruction

INTRODUCTION: Bezoars are foreign bodies formed in the digestive tract as a result of ingestion of some indigestible substances: plant fibers, hair and animal dander, chemical compounds. They are mainly found in animals. But although this is an extremely rare pathology of humans, it can be complicated with such threatening conditions as acute intestinal obstruction, decubitus ulcers of the digestive tract, gastrointestinal bleeding and perforation with the development of peritonitis. Bezoars are the cause of acute intestinal obstruction in only 2–4% of cases, but mortality, according to the literature, can reach 30%. Difficulties in the clinical diagnosis of bezoar disease lie in the absence of specific symptoms: it manifests itself as an abdominal syndrome, like a rather wide range of various diseases. Therefore, the importance of informing physicians of various profiles both about the factors provoking the formation of bezoars and about the methods of their diagnosis and treatment is undeniable. The article presents a case report of an 86-year-old female patient with acute intestinal obstruction caused by diospyrobezoar. CONCLUSION: The clinical interest of the presented case lies in its highly illustrative character. We could observe a combination of all predisposing factors for the formation of diospyrobezoar, compare the effectiveness of various methods of instrumental diagnostics and apply the optimal tactics of surgical intervention.