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Duodenal Phytobezoar Treated With Endoscopic Removal: A Case Report
James R Conomea1, Adam K Bobak1, Harthik Kambhampati1
1School of Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Cureus
|March 20, 2025
Summary
Gastric outlet obstruction (GOO) caused by a rare duodenal phytobezoar was successfully treated with endoscopic removal. Dietary modification resolved the obstruction, highlighting an uncommon cause of GOO.
Area of Science:
- Gastroenterology
- Digestive Diseases
Background:
- Gastric outlet obstruction (GOO) is a common condition affecting the proximal gastrointestinal tract, often presenting with nausea, vomiting, and abdominal pain.
- Malignancy is the most frequent cause of GOO, but non-malignant causes, such as gastrointestinal bezoars, can also occur, particularly with altered gastric motility.
Observation:
- A 47-year-old male presented with symptoms consistent with GOO.
- Diagnostic imaging, including X-ray and upper endoscopy, revealed a phytobezoar (a mass of undigested vegetable matter) obstructing the duodenum, an unusual location for such a mass.
Findings:
- The phytobezoar was successfully removed endoscopically.
- Following the procedure, the patient experienced complete resolution of GOO symptoms.
Implications:
- This case underscores that phytobezoars, though rare, can cause significant gastric outlet obstruction in uncommon locations like the duodenum.
- Endoscopic removal is an effective treatment for bezoar-induced GOO.
- Dietary modification is crucial for managing the underlying cause and preventing recurrence of phytobezoars.
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