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Megaduodenum with Duodenal Diospyrobezoars
Hyun Woo Park1, Hyun Seok Lee1
1Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea.
Clinical Endoscopy
|October 17, 2015
Summary
This study reports a rare case of duodenal bezoars, specifically diospyrobezoars, caused by persimmon consumption in an elderly man. The bezoars were successfully removed using endoscopic retrieval nets.
Area of Science:
- Gastroenterology
- Digestive Diseases
Background:
- Bezoars are undigested masses in the GI tract; gastric bezoars are common, but duodenal bezoars are rare.
- Diospyrobezoars, a type of phytobezoar, form from persimmon consumption.
Purpose of the Study:
- To report a rare case of diospyrobezoars causing duodenal obstruction.
- To highlight the diagnostic and therapeutic approach for duodenal bezoars.
Main Methods:
- A 77-year-old male presented with epigastric pain and early satiety.
- Esophagogastroduodenoscopy revealed numerous diospyrobezoars in a distended duodenal bulb (megaduodenum).
- Repeated endoscopic retrieval using a net was performed for bezoar removal.
Main Results:
- Successful endoscopic removal of multiple diospyrobezoars.
- Resolution of symptoms following bezoar extraction.
- Identification of a severely distended duodenal bulb (megaduodenum).
Conclusions:
- Duodenal bezoars, though rare, should be considered in patients with relevant dietary history and obstructive symptoms.
- Endoscopic retrieval is an effective treatment for duodenal bezoars.
- Megaduodenum can be associated with large bezoar burdens.
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