Intestinal Obstruction Due to Reassembly after Endoscopic Crushing of a Bezoar.
bezoar
duodenum
endoscopic removal
intestinal obstruction
reassembly
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
15 Oct 2023
15 Oct 2023
Historique:
medline:
15
11
2023
pubmed:
9
3
2023
entrez:
8
3
2023
Statut:
ppublish
Résumé
An 87-year-old woman visited her primary-care doctor because of nausea and epigastric pain. Esophagogastroduodenoscopy (EGD) revealed a giant bezoar in her stomach. She was referred to our hospital after carbonated beverage dissolution proved ineffective and underwent endoscopic mechanical crushing. After crushing, the symptoms disappeared, and she began eating. Later, however, the crushed fragments reassembled in the duodenal bulb and caused intestinal obstruction. The patient underwent emergency EGD for crushing once more, and all of the fragments were extracted from the body. This case highlights the need for bezoars to be removed from the body after crushing in order to avoid reassembly.
Identifiants
pubmed: 36889702
doi: 10.2169/internalmedicine.1582-23
pmc: PMC10641210
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2965-2969Références
Gastrointest Endosc. 1995 Jan;41(1):74-6
pubmed: 7698631
Eur J Gastroenterol Hepatol. 2002 Jul;14(7):801-3
pubmed: 12169994
Endoscopy. 2016;48 Suppl 1:E217
pubmed: 27310895
Gastrointest Endosc. 2001 Aug;54(2):264-6
pubmed: 11474411
J Int Med Res. 2021 Jan;49(1):300060520979377
pubmed: 33445996
World J Gastrointest Endosc. 2015 Apr 16;7(4):336-45
pubmed: 25901212
JGH Open. 2021 Jan 27;5(4):522-524
pubmed: 33860105
World J Clin Cases. 2021 May 6;9(13):3114-3119
pubmed: 33969098