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An unusual case of bowel obstruction: phytobezoar mimicking narcotic drug packs
  1. Y Freund1,
  2. X Boulanger2,
  3. B Riou1
  1. 1Emergency Department, Hopital Pitié-Salpêtrière, Paris, France
  2. 2Radiology Department, Hopital Pitié-Salpêtrière, Paris, France
  1. Correspondence to Y Freund, Service d'Accueil des Urgences, Hôpital Pitié-Salpêtrière, 83 boulevard de l'hôpital, 75013 Paris, France; yonathanfreund{at}

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A 40-year-old woman presented with a history of sudden abdominal pain. She had no medical or psychiatric history. On examination, she had diffuse abdominal pain and distension. C-Reactive protein was 4 mg/dl. Abdominal x-rays showed central air fluid levels. Abdominal CT scan revealed small bowel dilatation and a dozen foreign bodies a few centimetres in size localised in the terminal ileum. Images …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; not externally peer reviewed.