Successful endoscopic treatment of an intestinal diospyrobezoar migrated from the stomach

BMJ Case Rep. 2014 Jul 4:2014:bcr2014204966. doi: 10.1136/bcr-2014-204966.

Abstract

Diospyrobezoars are a rare cause of small intestinal obstruction. A 78-year-old man, with a history of persimmons ingestion and gastrectomy, presented with upper abdominal pain and weight loss. The upper gastrointestinal endoscopy showed a huge bezoar in the stomach. After initial endoscopic fragmentation, the abdominal X-ray revealed intestinal obstruction and the colonoscopy showed large fragments of the bezoar filling the terminal ileum. The migrated bezoar pieces were successfully removed by endoscopic fragmentation with a cutting lithotripter.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Bezoars / complications*
  • Bezoars / diagnosis
  • Bezoars / surgery
  • Diagnosis, Differential
  • Diospyros*
  • Endoscopy, Gastrointestinal / methods*
  • Foreign-Body Migration / complications*
  • Foreign-Body Migration / diagnosis
  • Foreign-Body Migration / surgery
  • Humans
  • Intestinal Obstruction / diagnosis
  • Intestinal Obstruction / etiology*
  • Intestinal Obstruction / surgery
  • Intestine, Small*
  • Male
  • Radiography, Abdominal
  • Stomach*