[An acute obturation in the small intestine caused by phytobezoar in adhesive disease of the abdomen].

Six cases of an acute obturation small bowel ileus observation, caused by phytobezoars, are presented. In 5 patients adhesive process in abdominal cavity was revealed after previously performed open operations. In 2 patients ileus was successfully managed using laparoscopic method--there were performed adhesiolysis, phytobezoar fragmentation, using Babcock forceps, and its conduction up to ileocaecal valve. In 2 patients, due to significant adhesive process present, which have interfered with laparoscopic adhesiolysis performance, a conversion was accomplished, adhesiolysis performed, the phytobezoar fragmentation and its conduction into the large bowel done. In one patient enterotomy was conducted, from intestinal lumen an apple was removed. An early adhesive obturaton ileus of small bowel have occurred in one patient. All the patients are alive.