Migration of gastric bezoars leading to secondary ileus

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Abstract

Bezoars are concretions of foreign matter in the gastrointestinal tract which may cause nonspecific symptoms, including epigastric discomfort, early satiety, and constipation, and rarely gastrointestinal obstruction. We report a case in which the migration of bezoars led to secondary gastrointestinal obstruction. With endoscopy manipulation and chemical dissolution, such as with Coca-Cola, to disintegrate the gastric bezoars, the possibility that fragmented residuals may coalesce in the small intestine causing ileus should be considered when a patient presents with abdominal obstruction symptoms after these procedures. In this condition, abdominal plain film X-ray and computer tomography play important roles in timely diagnosis. © 2011 The Japanese Society of Internal Medicine.

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Chen, H. W., & Chu, H. C. (2011). Migration of gastric bezoars leading to secondary ileus. Internal Medicine, 50(18), 1993–1995. https://doi.org/10.2169/internalmedicine.50.5637

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