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The article describes two observations of acquired mechanical intestinal obstruction in children that occurred due to diospyrobezoars (phytobezoars formed in a persimmon). In the first case the obstruction was removed endoscopically. Thus, the major part of the diospyrobezoar was removed from the stomach using fibrogastroscopy whereas small fragments left the stomach spontaneously. In the second case diagnostic laparoscopy failed to reveal the reason for intestinal obstruction. Conversion was done; a foreign body was found in the jejunal lumen in the course of intestinal revision. The body was smashed palpatory and moved into the large intestine. The presented observations show that it is possible to apply the methods of removal of intestinal obstruction due to diospyrobezoars without dissecting the lumen of a hollow organ.

About the authors

N. A. Okunev

Ogarev Mordovia State University;
Children’s Republican Clinical Hospital

Doctor of Medical Sciences, Professor of the Department of Faculty Surgery with courses of topographic anatomy and surgery, urology and pediatric surgery of the Medical Institute Russian Federation

A. I. Okuneva

Ogarev Mordovia State University

Author for correspondence.

Cand. of Medical Sciences., Senior Lecturer, Department of Faculty Surgery with courses of topographic anatomy and operative surgery, urology and pediatric surgery of the Medical Institute,

Ul. Kosareva 13/3–26, Saransk, Russia 430031

Russian Federation

N. A. Pervova

Children’s Republican Clinical Hospital


Doctor endoscopist,

Ul. R. Lüksemburg, 15 Saransk, Republic of Mordovia, 430032

Russian Federation

A. A. Shilov

Ogarev Mordovia State University

6th year student  of the Medical Institute Russian Federation


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Copyright (c) 2018 Okunev N.A., Okuneva A.I., Pervova N.A., Shilov A.A.

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