Evidence map›Paper›PMID 42339171›Full record

ArticleFrontiers in surgery2026

Unusual cause of small bowel obstruction in a liver transplant recipient: a case report and focused literature review.

Anastasia Sotiropoulou, David Martin, Julien Vionnet, Amaniel Kefleyesus

Abstract readCase Reports
In one paragraph

Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Anastasia SotiropoulouFaculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
David MartinDepartment of Visceral Surgery, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Julien VionnetTransplantation Center, Service of Immunology and Allergy, Service of Gastroenterology and Hepatology, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.
Amaniel KefleyesusDepartment of Visceral Surgery, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Small bowel obstruction (SBO) is a common surgical emergency. In transplant recipients, atypical etiologies may delay diagnosis and lead to suboptimal management. Methods: We report a case of phytobezoar-induced SBO in a liver transplant recipient and conducted a focused narrative literature review (PubMed/MEDLINE, Embase, Cochrane Library, Google Scholar, OpenEvidence, Litmaps) of adult transplant patients with mechanical SBO reported up to January 2026. Results: A 60-year-old man with two prior liver transplantations (2012, 2022) presented with acute abdominal pain and vomiting after ingestion of wild mushrooms. Initial contrast-enhanced CT suggested adhesional SBO. After failure of conservative management, exploratory laparoscopy identified an intraluminal mass in the distal jejunum. Mini-laparotomy with enterotomy allowed extraction of a phytobezoar composed of Conclusion: Bezoars are a rare but clinically relevant cause of SBO in transplant recipients. Early surgical exploration is warranted when conservative management fails or imaging is ambiguous. Intraoperative ICG fluorescence is a useful adjunct to assess bowel viability and may avoid unnecessary resection. Individualized dietary counseling adapted to regional habits should be considered in long-term transplant follow-up. Larger contemporary series are needed to refine the etiologic spectrum and preventive strategies in this population.

Indexed as

bezoarcase reportindocyanine green fluorescenceliver transplantationphytobezoarsmall bowel obstruction

Identifiers

PMID42339171
PMCPMC13284107

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.