A Complex Differential for Gastric Outlet Obstruction: Bezoar or Bouveret?

Bezoars are a rare but important cause of gastric outlet obstruction (GOO). Recognizing this diagnosis promptly is important to prevent complications, such as ulceration, bleeding, and perforation. Typical presenting symptoms include postprandial nausea, vomiting, and epigastric abdominal pain. However, these findings can be non-specific and imitate other rare causes of GOO. Here, we describe a case of a 77-year-old male who presented with GOO due to a phytobezoar mimicking Bouveret's syndrome. This case highlights the diagnostic and therapeutic challenges of GOO.