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02 September 2025 : Case report  China

Non-Surgical Resolution of Phytobezoar-Induced Bowel Obstruction Using Sodium Bicarbonate and Catheter: A Report of 2 Cases

Unusual setting of medical care

Binglong Bai ABCDEFG 1, Jingying Zhang ABC 1, Hengqing Zhu CDEF 1, Zhiyu Li CDEFG 1*

DOI: 10.12659/AJCR.949831

Am J Case Rep 2025; 26:e949831

Figure 1 Endoscopic and CT imaging findings in Case 1. (A) Gastroscopic view of the phytobezoar. (B) Initial emergency CT scan with measurements of the bezoar. (C) Follow-up abdominal CT after 6 days of sodium bicarbonate therapy, showing reduced bezoar size (measured). (D) After 10 days of treatment, the water-filled balloon tip of the intestinal obstruction catheter (white arrow) had advanced to the ascending colon.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923