A case report of successful Coca-Cola lavage treatment for persimmon bezoar

Abstract

A 63-year-old man was admitted to a clinic because of vomiting and epigastic pain after eating bitter persimmons. Upper gastrointestinal endoscopy revealed a yellowish floating mass measuring 6cm in size. We diagnosed the mass as persimmon bezoar. We asked patient to drink Coca-Cola every day and performed a direct endoscopic dispersion of Coca-Cola using ERCP cannula. At repeated endoscopy, we could observe that the bezoar turned to be softened and finally disappeared. This form of dissolution of a persimmon bezoar proved to be rapidly effective, inexpensive, and safe in this case.