ISSN: 2320-5407 Int. J. Adv. Res. 13(01), 681-684 681 Journal Homepage: - www.journalijar.com Article DOI: 10.21474/IJAR01/20243 DOI URL: http://dx.doi.org/10.21474/IJAR01/20243 RESEARCH ARTICLE SMALL BOWEL OBSTRUCTION DUE FECALOMA IN YOUNG MALE (PHYTOBEZOAR) WITHOUT UNDERLYING RISK FACTOR Mohamed Alaqqad 1 , Rami Khaled Abou El Foul 2 , Syed Intesar Kazmi 1 , Reda Badran 1 , Leela Ram 1 , Mohamed Ziad Kerdali 2 , Mohammed Samir Elwan 3 , Hytham Elshamsy 3 , Syed Intesar Kazmi 1 , Ammar Hashash 1 , Elsayed Abdallah Elsayed 4 , Amer Albawab 2 , Ashraf Mustafa 1 , Mohammed Aburezeq 4 , Tarek Mohamed Refat 4 , Khalid Elfatih 3 and Khalid Eltayib 3 1. General Surgery Department, Hatta Hospital, DAHC, Dubai, UAE. 2. Internal Medicine Department, Hatta Hospital, DAHC, Dubai, UAE. 3. Radiology Department, Hatta Hospital, DAHC, Dubai, UAE. 4. Emergency Department, Hatta Hospital, DAHC, Dubai, UAE. …………………………………………………………………………………………………….... Manuscript Info Abstract ……………………. ……………………………………………………………… Manuscript History Received: 14 November 2024 Final Accepted: 16 December 2024 Published: January 2025 Small bowel obstruction (SBO) due to fecal matter, though rare, involves the accumulation of hardened stool (fecalomas) leading to a blockage. This condition can cause significant morbidity and may require surgical intervention if non-surgical methods fail [1]. Fecal impaction can exert pressure on the intestinal wall, causing ischemia, inflammation, and even perforation. These complications can be severe, with high mortality rates, particularly in older adults and those with comorbidities like neuropsychiatric disorders or chronic renal failure. We are presenting a case with similar scenario for a young patient, who is not having any mental or neurological, medical issues [2]. Copyright, IJAR, 2025,. All rights reserved. …………………………………………………………………………………………………….... Introduction:- Small bowel obstruction (SBO) poses a significant challenge in clinical practice, often requiring urgent intervention to relieve symptoms and prevent serious complications. While SBO can result from various etiologies, including adhesions, hernias, and tumors, one lesser-known yet notable cause is fecaloma [3]. Fecaloma refers to a concretion of hardened fecal matter that accumulates within the small bowel, obstructing its lumen and impeding the passage of intestinal contents. This condition typically arises because of chronic constipation, where prolonged retention of stool leads to dehydration and compaction of fecal material [4].Over time, this compacted mass can become adherent to the intestinal walls, forming a hardened obstruction known as a fecaloma. The pathogenesis of fecalomas in SBO often involves many complex factors. Chronic constipation, often exacerbated by factors such as inadequate fluid intake, low-fiber diet, sedentary lifestyle, and certain medications, predisposes individuals to fecal impaction. As fecal material accumulates and becomes increasingly desiccated, it can form dense, immobile masses that are resistant to spontaneous passage [5]. Clinical manifestations of SBO due to fecaloma typically manifest gradually, reflecting the progressive nature of fecal impaction. Patients may initially experience nonspecific symptoms such as abdominal discomfort, bloating, Corresponding Author:- Mohamed Alaqqad Address:- General Surgery Department, Hatta Hospital, DAHC, Dubai, UAE.