This 60 year-old male, presented with vomiting, abdominal pain, weakness, fatigue, and diarrhea and weigh lost of 20 pounds, a cat scan of the abdomen showed a thickness of the omeantum with abdominal adenopathies with images of cat scan of segmental part of jejuno with thickness, at endoscopy shows a vegetal fiber impactation which cause small bowel obstruction due to a intestinal stenosis, the fiber were partially removed and fragmented with the diathermy loop.
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