A Bezoar That Caused Afferent Loop Syndrome and Pancreatitis.
- Author:
Hyuk Soon CHOI
1
;
Chang Duck KIM
;
Hyun Seok KANG
;
Seok Bae YOON
;
Yoon Tae JEEN
;
Hoon Jai CHUN
;
Soon Ho UM
;
Ho Sang RYU
Author Information
1. Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea. kumcge@chol.com
- Publication Type:Case Report
- Keywords:
Bezoar;
Afferent loop syndrome;
Pancreatitis
- MeSH:
Abdominal Pain;
Afferent Loop Syndrome;
Bezoars;
Diabetes Mellitus;
Drainage;
Female;
Gastric Emptying;
Gastrointestinal Tract;
Gastroparesis;
Humans;
Hypothyroidism;
Intestinal Perforation;
Necrosis;
Pancreatitis;
Porphyrins
- From:Korean Journal of Gastrointestinal Endoscopy
2009;39(5):291-295
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bezoars are conglomerates of nondigestible matter in the gastrointestinal tract that may or may not be accompanied by gastrointestinal manifestations. Bezoars develop in patients with previous gastric surgery or in those patients with delayed gastric emptying that is due to gastroparesis caused by hypothyroidism or diabetes mellitus. Small bowel obstruction due to a gastric bezoar is rare, but it can lead to severe complications such as intestinal perforation, compression necrosis etc. A female patient came to our department complaining of upper abdominal pain and she was diagnosed as having a bezoar that was causing afferent loop syndrome and pancreatitis. We attempted to manage the patient by inserting a nasogastric tube, performing gastrofibroscopy and implementing percutaneous transhepatic biliary drainage, but the patient's condition worsened and deteriorated into a septic condition. An operation was planned, but the patient showed improvement owing to the migration of the bezoar. Herein, we report on a case of afferent loop syndrome due to bezoar and this was complicated by acute pancreatitis.
