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Diospyrobezoar (Persimmon Bezoar)-Induced Intestinal Obstruction in an Older Patient: A Case Report

Masato Habuka1, Moeri Yamagiwa1, Masataka Yonezawa1

  • 1Division of Nephrology, Niigata Prefectural Shibata Hospital, Shibata, JPN.

Cureus
|July 14, 2025
PubMed

Insights

Excessive persimmon consumption can cause diospyrobezoars, leading to intestinal obstruction. This case highlights the need for early diagnosis and surgical intervention in elderly individuals, even without typical risk factors.

Area of Science:

  • Gastroenterology
  • Digestive Diseases
  • Surgical Case Reports

Background:

  • Diospyrobezoars are rare gastrointestinal concretions formed from excessive consumption of persimmons (Diospyros kaki).
  • Risk factors include advanced age, diabetes, and prior gastric surgery, but cases can occur without these predispositions.

Observation:

  • A 93-year-old male presented with anorexia, nausea, and vomiting.
  • Computed tomography revealed a proximal jejunal obstruction consistent with a bezoar.
  • The patient consumed two persimmons daily.

Findings:

  • Surgical removal of a 5x5 cm diospyrobezoar composed of over 98% tannin was performed.
  • The bezoar caused significant intestinal obstruction and ulceration.
  • Despite initial conservative management (Coca-Cola lavage, endoscopic fragmentation), surgery was necessary.

Implications:

  • This case underscores the importance of considering diospyrobezoar in elderly patients with intestinal obstruction, particularly those with a history of high persimmon intake.
  • Prompt diagnosis through imaging and dietary history, followed by surgical intervention, is crucial for preventing severe complications.
  • Patient education on the risks of excessive persimmon consumption is vital for preventative care.
Keywords:
bezoarchronic kidney diseasediospyrobezoarintestinal obstructionolder patientpersimmonphytobezoar

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