Proximal Ileal Perforation Secondary due to Phytobezoar in Elderly Patient

Bezoar is the accumulation of partially digestible materials in the gastrointestinal tract.The most common among which is Phytobezoar.Which is the accumulation of indigestible food materials in gastrointestinal track and is one of the rare causes of small bowl obstruction.As per reports it is responsible for 0.4-4% of all small bowl obstructions and usually accumulates in the distal ileum due to its narrow caliber at the ileocolic junction.Such type of patients presented with nausea, vomiting, unable to pass stool or flatus, tender abdomen.One of the complications of all this sequele is perforation which leads to peritonitis.We present a rare case of 84 years old male patient with proximal ileal perforation due to multiple impacted phytobezoar which was managed successfully.