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Related Experiment Videos

Bezoars--analysis of seven cases.

N Gürses1, N Gürses, K Ozkan

  • 1Department of Paediatrics, Ondokuzmayis University, School of Medicine, Samsun, Turkey.

Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
|October 1, 1987
PubMed
Summary

A rare fruit, prunus lauricerasus, caused bezoars in five patients, distinct from common persimmon-induced cases. This finding highlights a new etiological factor for bezoar formation, requiring clinical consideration.

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Area of Science:

  • Gastroenterology
  • Clinical Medicine
  • Pathology

Background:

  • Bezoars are indigestible masses found in the gastrointestinal tract.
  • Phytobezoars, a type of bezoar, are commonly associated with persimmon consumption.
  • The etiological factors for bezoar formation require ongoing investigation.

Purpose of the Study:

  • To identify the causative agents of bezoars in a series of patients.
  • To investigate the role of prunus lauricerasus as a potential cause of phytobezoars.
  • To differentiate bezoar types and their origins.

Main Methods:

  • Retrospective analysis of seven patients diagnosed with bezoars between 1979 and 1986.
  • Detailed patient history collection, focusing on dietary habits.

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  • Surgical intervention and pathological examination of bezoar content.

    • Main Results:

    • Five patients had phytobezoars, with dietary history revealing consumption of prunus lauricerasus.
    • One patient had a trichobezoar, and another had a trichophytobezoar.
    • Phytobezoars in five cases were linked to prunus lauricerasus, not persimmons.
    • All five patients with phytobezoars required surgery for small bowel obstruction.

    Conclusions:

    • Prunus lauricerasus is identified as a significant etiological factor for phytobezoars.
    • Clinical awareness of prunus lauricerasus is crucial for diagnosing bezoars, especially in regions where it is consumed.
    • This study expands the known causes of phytobezoars beyond persimmons.