Intraluminal bezoar caused obstruction and pancreatitis: A case report

Abstract

Key Clinical Message Acute pancreatitis from bezoar‐induced obstruction is rare. We present an uncommon case report of a man with manifestations of Rapunzel syndrome with no known history of mental disorders. Surgical removal of the bezoar through gastrostomy and enterotomy in the absence of a psychiatric undertone will undoubtedly prevent a relapse.

Acute Pancreatitis due to Phytobezoar Case Report and Mini-Review of Literature

“…In the literature, there are a limited number of cases of acute pancreatitis induced by duodenal bezoars. When these cases are evaluated, it is seen that the age range is quite wide between 14-85 [9,10]. We think that this situation is consistent with the fact that the mechanisms that facilitate bezoar formation are different (due to psychological disorders such as trichobezoars, personal causes such as chewing disorders in the elderly, or geographical reasons such as persimmon consumption).…”

“…We think that this situation is consistent with the fact that the mechanisms that facilitate bezoar formation are different (due to psychological disorders such as trichobezoars, personal causes such as chewing disorders in the elderly, or geographical reasons such as persimmon consumption). In the literature review, it is understood that various invasive attempts (removal of the bezoar by laparotomy or endoscopic fragmentation and removal of bezoar) have been applied to all of the cases at the time of diagnosis or after medical treatment [9][10][11]. As in our case, only medical treatment will be sufficient for the treatment of pancreatitis in cases where obstruction disappears by moving forward of the bezoar spontaneously or perhaps by fragmentation of bezoar with the help of peristaltic movements.…”

A rare giant gastric trichobezoar in a young female patient: Case report and review of the literature

“…Some authors define the syndrome as a gastric trichobezoar with a tail extending into the jejunum or beyond it, whereas others describe it as a bezoar of any size which may cause intestinal obstruction 2,8,14,15 . It is a medical condition found mostly in females and from our extensive literature review, only seven cases of males with Rapunzel syndrome have been reported 16‐21 . In a systematic review published in January 2020, a total of 110 cases with Rapunzel syndrome were reported by Janssen‐Aguilar et al 22…”

Rapunzel Syndrome: A Rare Case of Small Bowel Intussusception in a Child

“…The location of the impaction varies as well, with the majority in the stomach, followed by the duodenum and the esophagus [2]. Patients may be asymptomatic or present with a spectrum of gastrointestinal symptoms, ranging from mild symptoms such as pain, nausea, and/or anorexia to more severe symptoms such as perforation or obstruction from mass effect or intussusception [2][3][4][5][6][7][8]. Early diagnosis and treatment of bezoars are therefore vital, with the management approach largely dependent on the type of material ingested.…”