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Jejunal monilial bezoar following total gastrectomy
Gastrointestinal Radiology
|January 30, 1979
Summary
A rare case of fungal bezoar (monilial bezoar) occurred in the jejunum after total gastrectomy. This condition requires differentiation from common plant bezoars (phytobezoars) in post-gastrectomy patients.
Area of Science:
- Gastroenterology
- Mycology
- Surgical Pathology
Background:
- Total gastrectomy alters digestive anatomy, potentially leading to bezoar formation.
- Bezoars are indigestible masses accumulating in the gastrointestinal tract.
- Fungal bezoars are uncommon, especially in non-immunosuppressed patients.
Observation:
- A case of monilial bezoar involving the jejunum is reported.
- The patient had undergone total gastrectomy.
- The patient was not severely debilitated or immunosuppressed.
Findings:
- Monilial bezoar formation can occur post-total gastrectomy.
- This entity must be distinguished from phytobezoars, which are more common after this surgery.
Implications:
- Clinicians should consider fungal bezoars in the differential diagnosis of post-gastrectomy bezoars.
- Awareness of this rare complication is crucial for appropriate patient management.
- Further research may elucidate risk factors and optimal treatment strategies for monilial bezoars.