Database : MEDLINE
Search on : Bezoars [Words]
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[PMID]: 29438853
[Au] Autor:Hennessy MM; Ivanovski I; Ó Súilleabháin CB
[Ad] Address:Department of Surgery, Mercy University Hospital, Cork, Ireland. Electronic address: mhennessy@muh.ie.
[Ti] Title:Gastric ulceration and perforation secondary to large trichobezoar - A case report describing the role of magnetic resonance imaging in diagnosis.
[So] Source:Int J Surg Case Rep;43:25-28, 2018 Feb 10.
[Is] ISSN:2210-2612
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Trichotillomania and trichotillophagia can result in huge intraluminal coagulations of hair. Rarely, these can present with gastric perforation. This work has been reported in line with the SCARE criteria (Agha et al., 2016) [1]. PRESENTATION OF CASE: We report the case of a 15 year old girl who attended the emergency department with abdominal pain and vomiting. Ultrasound abdomen and pelvis identified free fluid within the pelvis concerning for inflammatory bowel disease. A subsequent magnetic resonance enterography (MRE) demonstrated a giant gastric trichobezoar which resulted in gastric perforation necessitating laparotomy and gastrotomy. The patient recovered well from the surgery and was reviewed by the psychiatry service prior to discharge. DISCUSSION: Trichobezoar is a challenging diagnosis and as clinician, we must always include it in our differential diagnosis. The clinical presentation, signs and symptoms depend on the size of the trichobezoar and the presence of complications. Management is almost always surgical. CONCLUSION: This case illustrates the infrequent perforation risk of gastric bezoars and the important role of magnetic resonance imaging in diagnosis, particularly in a population who must not be exposed to excessive radiation.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180221
[Lr] Last revision date:180221
[St] Status:Publisher

  2 / 2127 MEDLINE  
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[PMID]: 29430718
[Au] Autor:Alobaid K; Faty M; El-Nahas A; Al-Terki A; Khan Z
[Ad] Address:Medical Laboratory Department, Microbiology Unit, Al-Amiri Hospital, Kuwait City, Kuwait.
[Ti] Title:Renal fungus ball in a patient with retroperitoneal fibrosis: Unique complication in a rare disease.
[So] Source:Mycoses;, 2018 Feb 12.
[Is] ISSN:1439-0507
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:Candida fungus ball is a rare presentation of urinary tract infections among adult patients and is associated with considerable morbidity. Because clinical signs are not specific, diagnosis is often delayed. Furthermore, treatment is occasionally difficult, and the approach to such cases varies widely among different centers. In this report, we describe a patient with retroperitoneal fibrosis who developed a renal fungus ball. Management of this challenging case is discussed, and review of the literature is presented.
[Pt] Publication type:CASE REPORTS
[Em] Entry month:1802
[Cu] Class update date: 180212
[Lr] Last revision date:180212
[St] Status:Publisher
[do] DOI:10.1111/myc.12745

  3 / 2127 MEDLINE  
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[PMID]: 29278539
[Au] Autor:Caputo F; Barranco R; Bonsignore A; Fraternali Orcioni G; Ventura F
[Ti] Title:A Rare Case of Fatal Bowel Obstruction Secondary to a Colonic Bezoar.
[So] Source:Am J Forensic Med Pathol;39(1):38-40, 2018 Mar.
[Is] ISSN:1533-404X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:A bezoar is a mass of undigested, or partially digested, material forming in the lumen of the gastroenteric tract, causing occlusive or subocclusive events. The most frequent types of bezoars are those composed of vegetable fibers, also called phytobezoars, which, by virtue of their high content in cellulose, hemicellulose, and lignin, remain undigested in the stomach and intestines and, from there, can migrate and occlude the narrowest portions of the bowel. The areas that are most frequently affected by occlusive phenomena related to the presence of bezoars are the stomach and the small intestine, although colic localizations are extremely rare. In this article, we have studied the case of a fatal colic obstruction caused by a phytobezoar in an 84-year-old woman who was found dead at her home. The autopsy revealed that the cause of the obstruction was a large artichoke fragment occluding the central part of the descending colon. Additional histological examinations confirmed that the death was attributable to bowel obstruction resulting in acute peritonitis.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 180206
[Lr] Last revision date:180206
[St] Status:In-Process
[do] DOI:10.1097/PAF.0000000000000373

  4 / 2127 MEDLINE  
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[PMID]: 29187921
[Au] Autor:Hamid M; Chaoui Y; Mountasser M; Sabbah F; Raiss M; Hrora A; Alaoui M; Ahallat M; Chaouch S; Ouazzani H
[Ad] Address:Department of Surgery C, Hôpital Ibn-Sina, Rabat, Faculté de Médecine et de Pharmacie Rabat, Mohammed V University Souissi, Rabat, Morocco.
[Ti] Title:Giant gastric trichobezoar in a young female with Rapunzel syndrome: case report.
[So] Source:Pan Afr Med J;27:252, 2017.
[Is] ISSN:1937-8688
[Cp] Country of publication:Uganda
[La] Language:eng
[Ab] Abstract:Rapunzel syndrome is an extremely rare complication of a gastric trichobezoar in. We report here the unusual case of a case of a 16 years old girl presented with severe abdominal pain and vomiting. Clinical examination revealed a malnourished girl, with presence of a mobile and sensitive abdominal mass of 20x15 cm witch filled the upper quadrant. An abdominal computed tomography scan showed a heterogeneous mass occupying the whole stomach cavity with extension into the third portion of the duodenum. A diagnostic of giant trichobezoar is suspected after further questioning reveling a trichotillomania, trichophagia and onychophagia. The removal of the trichobezoar endoscopically failed and it was possible to pull only few fibers of hair to comfort the diagnostic. She was subjected to an exploratory laparotomy. An antral gastrostomy were performed and a 25x10x7 cm trichobezoar was extracted. The patient had an uneventful postoperative outcome and was derived to psychiatry. Rapunzel syndrome is an uncommon trichobezoar, it's commonly found in young females usually with an underlying psychiatric disorder. Management requires gastrotomy. A psychiatric assessment and a long-term follow-up are advocated as a regular part of treatment to prevent recurrence.
[Mh] MeSH terms primary: Abdominal Pain/etiology
Bezoars/diagnosis
Trichotillomania/complications
Vomiting/etiology
[Mh] MeSH terms secundary: Adolescent
Bezoars/pathology
Bezoars/surgery
Endoscopy/methods
Female
Gastrostomy/methods
Hair
Humans
Laparotomy/methods
Malnutrition
Stomach
Tomography, X-Ray Computed
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171219
[Lr] Last revision date:171219
[Js] Journal subset:IM
[Da] Date of entry for processing:171201
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.252.9110

  5 / 2127 MEDLINE  
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[PMID]: 29187236
[Au] Autor:Yamagata Y; Saito K; Hirano K; Kubota Y; Yoshioka R; Okuyama T; Takeshita E; Tagaya N; Sameshima S; Noie T; Oya M
[Ad] Address:Department of Surgery, Dokkyo Medical University Koshigaya Hospital, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan. yamagay-tky@umin.ac.jp.
[Ti] Title:Obstruction in the third portion of the duodenum due to a diospyrobezoar: a case report.
[So] Source:BMC Surg;17(1):117, 2017 Nov 29.
[Is] ISSN:1471-2482
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Duodenal obstruction occurs mainly due to physical lesions such as duodenal ulcers or tumors. Obstruction due to bezoars is rare. We describe an extremely rare case of obstruction in the third portion of the duodenum caused by a diospyrobezoar 15 months after laparoscopic distal gastrectomy for early gastric cancer. CASE PRESENTATION: A 73-year-old man who underwent laparoscopic distal gastrectomy for early gastric cancer 15 months before admission experienced abdominal distension and occasional vomiting. The symptoms worsened and ingestion became difficult; therefore, he was admitted to our department. Computed tomography (CT) performed on admission revealed a solid mass in the third portion of the duodenum and dilatation of the oral side of the duodenum and remnant stomach. Esophagogastroduodenoscopy (EGD) revealed a bezoar deep in the third portion of the duodenum. We could neither remove nor crush the bezoar. At midnight on the day of EGD, he experienced sudden abdominal pain. Repeat CT revealed that the bezoar had vanished from the duodenum and was observed in the ileum. Moreover, small bowel dilatation was observed on the oral side of the bezoar. Although CT showed neither free air nor ascites, laboratory data showed the increase of leukocyte (8400/µL) and C-reactive protein (18.1 mg/dL), and abdominal pain was severe. Emergency surgery was performed because conservative treatment was considered ineffective. We tried advancing the bezoar into the colon, but the ileum was too narrow; therefore, we incised the ileum and removed the bezoar. The bezoar was ocher, elastic, and hard, and its cross-section was uniform and orange. The postsurgical interview revealed that the patient loved eating Japanese persimmons (Diospyros kaki); therefore, he was diagnosed with a diospyrobezoar. His postoperative progress was good and without complications. He left the hospital 10 days after surgery. EGD performed 4 weeks after surgery revealed no abnormal duodenal findings. CONCLUSIONS: We describe a rare case of obstruction in the third portion of the duodenum caused by a diospyrobezoar 15 months after laparoscopic distal gastrectomy with Billroth I reconstruction for early gastric cancer.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171219
[Lr] Last revision date:171219
[St] Status:In-Process
[do] DOI:10.1186/s12893-017-0308-9

  6 / 2127 MEDLINE  
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[PMID]: 28468771
[Au] Autor:Nunn A; Jahn N; Hewes J; Wong C
[Ad] Address:Southmead Hospital, Bristol adam.nunn@doctors.org.uk.
[Ti] Title:Gastric perforation in a 16 year old girl.
[So] Source:BMJ;357:j1859, 2017 05 03.
[Is] ISSN:1756-1833
[Cp] Country of publication:England
[La] Language:eng
[Mh] MeSH terms primary: Abdominal Injuries/etiology
Bezoars/complications
Foreign Bodies/complications
Hair
Stomach/injuries
[Mh] MeSH terms secundary: Adolescent
Female
Humans
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171128
[Lr] Last revision date:171128
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:170505
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j1859

  7 / 2127 MEDLINE  
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[PMID]: 29085697
[Au] Autor:Abou Azar S; Wehbe MR; Jamali S; Hallal A
[Ad] Address:Department of Surgery, American University of Beirut Medical Center, Cairo Street, Riad El Solh, P.O. Box 11-0236, Beirut 1107 2020, Lebanon.
[Ti] Title:Small Bowel Obstruction Secondary to a Metamucil Bezoar: Case Report and Review of the Literature.
[So] Source:Case Rep Surg;2017:2702896, 2017.
[Is] ISSN:2090-6900
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Bezoar-induced small bowel obstruction is a rare entity. It should be highly suspected in patients with gastric hypomotility disorders, psychiatric conditions, prior abdominal or bariatric surgery, or improper intake of medication. Their diagnosis is quite challenging and surgical exploration remains the best treatment of choice to ensure the viability of the small bowel tissue and relieve the obstruction. This is a case of a 48-year-old female with no previous abdominal surgery who presented with acute abdominal pain. The patient's history was remarkable for the daily ingestion of 1.5 teaspoons of Metamucil with minimal amount of water. Computed tomography scan demonstrated dilated small bowel loops and a transition zone at the level of the mid jejunum. On laparoscopy, the patient was found to have a hard mass in the mid jejunum amenable to gentle fragmentation and breakdown. Metamucil bezoars are due to the solidification of psyllium-based substances in the gastrointestinal tract. The usual management of small bowel obstruction induced by a bezoar is exploratory laparotomy with enterotomy and primary anastomosis. Laparoscopic intervention has gained popularity among surgeons with good outcome and lower morbidity. In this unusual case, the small bowel obstruction induced by the Metamucil bezoar was safely treated with laparoscopic fragmentation alone.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171102
[Lr] Last revision date:171102
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1155/2017/2702896

  8 / 2127 MEDLINE  
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[PMID]: 29084136
[Au] Autor:Nongcula VV; Zhou L; Nhundu K; Jaja IF
[Ad] Address:Department of Livestock and Pasture Science, University of Fort Hare, Alice 5700, South Africa. 200901532@ufh.ac.za.
[Ti] Title:Association between the Prevalence of Indigestible Foreign Objects in the Gastrointestinal Tract of Slaughtered Cattle and Body Condition Score.
[So] Source:Animals (Basel);7(11), 2017 Oct 30.
[Is] ISSN:2076-2615
[Cp] Country of publication:Switzerland
[La] Language:eng
[Ab] Abstract:It is estimated that South Africa's population will be above 65 million in 2050. Thus, food production needs to triple to alleviate poverty and food insecurity. However, infectious and non-infectious diseases affect livestock productivity, thereby hampering food supply. Non-infectious disease/conditions caused by the consumption of solid waste material are rarely reported. Hence, this study investigates the occurrence and type of indigestible foreign objects (IFOs) in the stomach of slaughtered cattle in two high-throughput abattoirs ( = 4424) in the Eastern Cape Province of South Africa. The study revealed that metallic and non-metallic indigestible objects had an overall prevalence of 63% in cattle slaughtered in Queenstown abattoir (QTA, ( = 1906)) and 64.8% at the East London abattoir (ELA, ( = 2518)). Most of the IFOs were found in the rumen (64.2% and 70.8%) and reticulum (28.5% and 20.6%) at QTA and ELA respectively. The leading IFOs in the stomach of cattle at QTA were plastics (27.7%), poly bezoars (10.7%) and ropes (10.7%), while poly bezoars (19.8%), ropes (17.6%) and stones (10.7%) were the main IFOs seen in cattle at ELA. The study showed a statistical significance ( < 0.05) between body condition score and the prevalence of indigestible objects in cattle. The study concluded that litter and waste containing IFOs could pose a threat to livestock health and productivity. The practice of good animal husbandry and efficient solid waste management will mitigate the problem of animals consuming IFOs.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171030
[Lr] Last revision date:171030
[St] Status:PubMed-not-MEDLINE

  9 / 2127 MEDLINE  
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[PMID]: 29057712
[Au] Autor:Nour I; Abd Alatef M; Megahed A; Yahia S; Wahba Y; Shabaan AE
[Ad] Address:a Department of Paediatrics, Faculty of Medicine , Mansoura University , Mansoura , Egypt.
[Ti] Title:Rapunzel syndrome (gastric trichobezoar), a rare presentation with generalised oedema: case report and review of the literature.
[So] Source:Paediatr Int Child Health;:1-3, 2017 Oct 23.
[Is] ISSN:2046-9055
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Rapunzel syndrome is a rare form of gastric trichobezoar. A 4-year-old girl presented with generalised oedema and an epigastric mass. Her family was of a relatively low socio-economic background. There was microcytic hypochromic anaemia, hypoalbuminaemia and an elevated α1-antitrypsin clearance. Abdominal ultrasound and non-contrast computed tomography demonstrated a heterogeneous mass related to the stomach. Upper gastro-intestinal tract endoscopy failed to remove it. Surgical laparotomy was undertaken through a single anterior gastrotomy incision and a large mass was extracted which was a cast of the duodenum and stomach and had a tail of approximately 60 cm in length which extended to the jejunum. Low socio-economic status, child neglect and pica are risk factors for trichobezoars. Surgical laparotomy is the optimal treatment of large bezoars.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171023
[Lr] Last revision date:171023
[St] Status:Publisher
[do] DOI:10.1080/20469047.2017.1389809

  10 / 2127 MEDLINE  
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[PMID]: 28993354
[Au] Autor:Amjad W; Upadhya G; Hurairah A; Iqbal S
[Ad] Address:Internal Medicine, Northwell-Long Island Jewish Forest Hills Hospital, Allama Iqbal Medical College, Forest Hills, New York, USA.
[Ti] Title:Endoscopic shaving of hair in a gastric bypass patient with a large bezoar.
[So] Source:BMJ Case Rep;2017, 2017 Oct 09.
[Is] ISSN:1757-790X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:Trichotillomania can be associated with the formation of trichobezoars (hair ball) usually located in the stomach. Trichobezoars may lead to complications including bowel obstruction, and perforation. Patients with a history of diabetes, certain psychiatric disorders, prior gastric surgery and poor mastication ability are at an increased risk of developing bezoars. We are presenting a case of patient who suffered from a large, recurrent trichobezoar, who had a history of gastric bypass surgery as well as trichotillophagia. The endoscopic method used to remove the large bezoar will also be discussed. We have reviewed the cases published, in which patients developed bezoars after undergoing gastric bypass surgery. The purpose of this study is to raise awareness among clinicians that patients with certain psychiatric issues who had prior gastric surgeries, are at eminent risk of bezoar formation. A multidisciplinary approach including cognitive behavioural therapy, dietary education and pharmacotherapy should be taken to prevent complications.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171010
[Lr] Last revision date:171010
[St] Status:In-Process


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