Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report

Funamizu, Naotake; Kumamoto, Tomotaka; Watanabe, Atsushi; Okamoto, Tomoyoshi; Yanaga, Katsuhiko

doi:10.9738/intsurg-d-14-00269.1

Cited by 7 publications

(9 citation statements)

References 19 publications

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“…The first choice of treatment for bezoars is removal by endoscopy or a surgical procedure [1]. In our case, however, a surgical procedure might have been difficult because the bezoar was located in the reconstructed gastric conduit through the posterior sternum.…”

Section: Discussionmentioning

confidence: 92%

“…Intestinal obstruction is the most prevalent complication of bezoar formation [1]. In one report, CT scans were useful to accurately diagnose intestinal obstruction caused by bezoars in more than 70% of the cases [6].…”

Section: Discussionmentioning

confidence: 99%

“…Bezoars are defined as masses of indigestible hard materials that form in the gastrointestinal tract [1] and occur in 0.068–0.4% of the population [2, 3]. Moreover, bezoars may cause gastrointestinal obstruction and ulcers.…”

Section: Introductionmentioning

confidence: 99%

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Reconstructed gastric conduit obstruction caused by a bezoar after esophagectomy: a case report

et al. 2019

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Background Bezoars are rare but may cause gastrointestinal obstruction and ulcers. To the best of our knowledge, only two cases of bezoars in the reconstructed gastric conduit have been reported, but there has been no report on reconstructed gastric conduit obstruction due to bezoars. Case presentation A 60-year-old man presented to our clinic with abdominal pain and vomiting that occurred suddenly after dinner. Three years before presentation, he had undergone radical thoracoscopic esophagectomy followed by reconstruction of the gastric conduit through the posterior sternum, for esophageal cancer. Enhanced computed tomography scans showed distension of only the gastric conduit without ischemia and distension of the small intestine. According to our findings, we initially diagnosed the patient with postoperative intestinal obstruction caused by adhesions. After conservative treatment failed, the patient underwent an endoscopic study that showed a bezoar at the pylorus ring. We initially failed to remove the bezoar endoscopically because of its large size; hence, we attempted enzymatic dissolution. Three days after the first endoscopic study, the bezoar was disintegrated using a snare and extracted during a second endoscopy. The patient recovered uneventfully and presented with no complications during the 1-year follow-up interval. Conclusion In cases wherein the discharge of materials in the reconstructed gastric conduit is delayed, bezoars should be considered in the differential diagnosis, and an endoscopic study should be performed to verify the cause of obstruction.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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Reconstructed gastric conduit obstruction caused by a bezoar after esophagectomy: a case report

et al. 2019

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“…There have been few reports on the endoscopic treatment of small intestinal obstruction due to a single bezoar ( 2 , 3 ). In contrast, it has been reported that surgical intervention is inevitable for the treatment of small intestinal obstruction with multiple bezoars ( 1 , 10 ). Certainly, there have been cases of immobile small bowel bezoars with impaction, massive bleeding, or perforation.…”

Section: Discussionmentioning

confidence: 99%

Obstructive Bezoars of the Small Bowel Treated with Coca-Cola Zero through a Long Intestinal Tube and Endoscopic Manipulation

et al. 2017

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An 82-year-old Japanese man visited our hospital with abdominal fullness accompanied by lower abdominal pain. He presented with small bowel obstruction due to multiple diospyrobezoars. The bezoars were successfully removed without any surgical intervention by the administration of Coca-Cola Zero through a long intestinal tube and subsequent endoscopic manipulation. Such a combination may be the treatment of choice for small bowel obstruction due to bezoars.

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“…Tannins exist in numerous other organic materials, including plants, woods, and seeds. When large amounts of persimmons are achieved, tannins may interact with gastric acid and polymerize fibers to form a hard phytobezoar [5]. Persimmon phytobezoars are more difficult to break up into pieces, compared with other phytobezoars.…”

Section: Introductionmentioning

confidence: 99%

Bowel Obstruction Caused by Persimmon Phytobezoars: A Case Report

Mohammadi

Ahmadi

Imanipour

et al. 2021

IJMTFM

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Background: The term phytobezoar refers to a trapped mass in the gastrointestinal tract caused by the agglomeration of indigestible ingested plant materials, including fibers, skins, and seeds. A persimmon phytobezoar is formed after the frequent consumption of persimmons. The clinical manifestations of persimmon phytobezoars are similar to other phytobezoars and depend on the localization and size of the trapped mass. Case Presentation: Here, we presented a 57-year-old male with persimmon phytobezoars, which finally led to small bowel obstruction. The patient was referred to the emergency room with complaints of severe abdominal pain and frequent vomiting. The patient underwent laparotomy surgery that led to the removal of a portion of his ileum. Conclusion: Overindulgence in taking persimmon can lead to formation of phytobezoar and subsequent obstruction of small intestinal. Persimmon phytobezoars are difficult to break up into pieces because of containing tannins, cellulose, hemicellulose, and lignin.

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Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report

Cited by 7 publications

References 19 publications

Reconstructed gastric conduit obstruction caused by a bezoar after esophagectomy: a case report

Reconstructed gastric conduit obstruction caused by a bezoar after esophagectomy: a case report

Obstructive Bezoars of the Small Bowel Treated with Coca-Cola Zero through a Long Intestinal Tube and Endoscopic Manipulation

Bowel Obstruction Caused by Persimmon Phytobezoars: A Case Report

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