Phytobezoar: A Rare Cause of Small Bowel Obstruction

Introduction: Small bowel obstruction is a common condition encountered in surgical practice. However, obstruction due to phytobezoars is a rarity. Until recently, phytobezoars were incidental findings during surgery however advances in imaging have eased the diagnosis by precisely identifying and locating the etiology. Case: An 86-year-old lady presented to the emergency room with abdominal pain, distension, and inability to pass stool and flatus. Workup showed she had features of small bowel obstruction with features of sepsis with worsening of preexisting respiratory co-morbidity. Exploration showed a phytobezoar causing the bowel obstruction. Conclusion: Phytobezoar though uncommon should always be thought of while treating a case of intestinal obstruction in the elderly age group. Surgery is the mainstay of treatment. However preexisting co-morbid condition plays a vital role in the outcome

Adenomyoma As A Lead Point For Jejunal Intussusception In An Adult: A Rare Case

Adenomyoma of small intestine causing intussusception in adults is a rare condition. The small intestine is the second most frequent location, usually in the periampullary area, but the lesion also occurs in the jejunum and ileum.We present a case of 76 years old female who presented with pain abdomen and was diagnosed to have jejunal intussusception. She underwent surgery with segmental resection and anastomosis of jejunum and the histopathological examination revealed jejunal adenomyoma as the pathological lead point. Adenomyoma of jejunum as a lead point should be taken into consideration while dealing with a patient with jejunal intussusception