Clinical Endoscopy  2013;46(4):399-402

doi:10.5946/ce.2013.46.4.399

A Large-Sized Phytobezoar Located on the Rare Site of the Gastrointestinal Tract.

Jee Eun YANG 1 ; Ji Yong AHN ; Gi Ae KIM ; Ga Hee KIM ; Da Lim YOON ; Sung Jin JEON ; Hwoon Yong JUNG ; Jin Ho KIM

Affiliations

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Keywords

Endoscopy; Gastrectomy; Phytobezoar

Country

Republic of Korea

Language

English

Abstract

Bezoars are concretions of undigested material and are most often observed in the stomach. They can occur at any site in the gastrointestinal tract; however, duodenal localization is very rare. We report the case of a 71-year-old male who had undergone subtotal gastrectomy with gastroduodenostomy and experienced severe epigastric discomfort, abdominal pain, and vomiting for a few days. An approximately 7x8 cm-sized mass was found on an abdominal computed tomography scan. On following endoscopy, a large bezoar was revealed in the duodenum and was removed using an endoscopic removal technique, assisted by a large amount of Coca-Cola infusion.