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Gastric bezoar entering the duodenum causing intestinal obstruction: A case report.
Haixia Wang1, Yanliang Zhang1, Huang Zhong1
1Department of Gastroenterology, ZiGong First People's Hospital, Zigong, Sichuan Province, China.
Medicine
|September 9, 2025
Summary
Gastric bezoars causing duodenal obstruction are rare. Prompt surgical intervention, like laparoscopic-assisted jejunotomy, is effective for phytobezoar removal when conservative measures fail.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Abdominal Surgery
Background:
- Gastric bezoars causing duodenal obstruction are a rare cause of mechanical bowel obstruction, with an incidence of less than 0.5%.
- Phytobezoars, a type of bezoar composed of indigestible plant material, can lead to significant gastrointestinal complications.
Purpose of the Study:
- To report a case of gastric bezoar-induced duodenal obstruction.
- To highlight the diagnostic challenges and successful management of this rare condition.
Main Methods:
- A 73-year-old female presented with acute abdominal syndrome.
- Computed tomography revealed an intraluminal phytobezoar causing proximal small bowel dilatation.
- Laparoscopic-assisted jejunotomy was performed after failed conservative management.
Main Results:
- Surgical intervention successfully removed the impacted phytobezoar.
- Obstructive symptoms resolved within 6 hours post-operatively.
- Bowel function returned to normal within 48 hours.
Conclusions:
- This case emphasizes the importance of considering bezoars in the differential diagnosis of mechanical bowel obstruction.
- Detailed dietary history, including consumption of persimmons and figs, is crucial for diagnosis.
- Laparoscopic-assisted jejunotomy is an effective treatment for gastric bezoar-induced duodenal obstruction.
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