CASE REPORT article
Front. Med.
Sec. Translational Medicine
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1644026
Small bowel obstruction by a giant fecal bezoar in a blind loop of small intestine: A Case report
Provisionally accepted
- 1Beijing Tsinghua Changgung Hospital, Beijing, China
- 2Ganzhou People's Hospital, Ganzhou, China
- 3Medical College of Jiaying University, Meizhou, China
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Blind loop syndrome (BLS) is a clinical condition characterized by bacterial overgrowth and stasis within intestinal blind loops, which may result from anatomical abnormalities such as diverticula, fistulae, or surgical anastomoses. While end-to-side and side-to-side intestinal anastomoses are common surgical techniques, the latter has been associated with a higher risk of BLS due to the potential formation of stagnant segments. This case report presents a rare instance of small intestinal obstruction caused by a large fecalith formation within a blind loop one year after side-to-side anastomosis. The clinical presentation, diagnostic approach, and management strategies are discussed in detail. This report highlights the importance of surgical technique selection and standardization in preventing BLS-related complications, providing valuable insights for clinical practice.
Keywords: Blind Loop Syndrome, Fecalith, Intestinal Obstruction, Surgical technique；, Side-to-side anastomosis
Received: 09 Jun 2025; Accepted: 11 Aug 2025.
Copyright: © 2025 Xi, Chen and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Kexing Xi, Beijing Tsinghua Changgung Hospital, Beijing, China
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