Obstructing phytobezoar arising from proximal jejunal diverticulum

The following report illustrates a rare case of small bowel obstruction which occurred when a large phytobezoar, which had formed in a proximal jejunal diverticulum, dislodged and migrated distally. Obstruction and subsequent perforation resulted when the phytobezoar passed into the narrow terminal ileum and lodged just proximal to the ileocecal valve. The images are presented for educational purposes.