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Title of Journal: Clin J Gastroenterol

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Abbravation: Clinical Journal of Gastroenterology

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Springer Japan

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DOI

10.1007/s12630-011-9556-9

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1865-7265

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Impacted foreign body in the sigmoid colon present

Authors: Jaime Ramos Dorothy E Dean Elias Tarakji Jeremy Rich
Publish Date: 2011/03/03
Volume: 4, Issue: 2, Pages: 104-107
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Abstract

We report on a patient with leftsided abdominal pain thought to be caused by recurring diverticulitis Computed tomography of the sigmoid colon revealed diverticulosis without the presence of a foreign body During colonoscopy a phytobezoar in the form of a vegetable stem was discovered transversely impacted within two diverticular openings in the lumen of the sigmoid colon A localized inflammatory reaction was present without obstruction or perforation After endoscopic removal of the phytobezoar the abdominal pain resolved The patient’s presumed diverticulitis was an inflammatory reaction caused by the phytobezoar This case highlights the importance of early detection and endoscopic removal of a colonic foreign body to prevent abscess formation fistulas obstruction perforation or peritonitis Foreign bodies masquerading as colonic diverticulitis should be considered in the absence of more common diseases

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