How could such a wide piece of tree root pass through the narrow pyloric orifice? An extremely rare case

Patient: Female, 30 Final Diagnosis: Phytobezoar Symptoms: Nausea • vomiting Medication: — Clinical Procedure: — Specialty: — OBJECTIVE: Rare disease BACKGROUND: Phytobezoars are a common type of bezoar known to accumulate in the gastrointestinal system. CASE REPORT: A 30-year-old mentally retarded woman was operated on due to small bowel obstruction. A piece of tree root was extracted from the ileum. The patient was discharged from the hospital on postoperative day 7. CONCLUSIONS: Due to difficulties in determining the nature of the bezoar preoperatively, small bowel obstruction due to a phytobezoar is not a common diagnosis. For bezoars, prevention is considered preferable to treatment.