Surgical Management of Massive Metal Bezoar

AlMuhsin, Ahmed Mohammed; Alsalman, Fatima; Bubshait, Ahmad; Hajar, Rami O Abu

doi:10.7759/cureus.12597

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…Rarely, it may occur in normal children with no psychosocial issues [23]. The risk factors for the formation of a bezoar include excessive fiber consumption, chronic antacid treatment, psychiatric or developmental disorders, previous gastric surgery including vagotomy or pyloroplasty, and gastrointestinal dysmotility [24]. Bezoars are classified to phytobezoars, pharmacobezoars, trichobezoars, lactobezoars, and foreign body bezoars [25].…”

Section: Bezoarsmentioning

confidence: 99%

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Foreign Bodies Ingestion

Doya¹,

Ibrahim²

2021

Abdominal Surgery - A Brief Overview

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Foreign body ingestion is a common problem among children especially under psychological stress. More than 110.000 ingested foreign bodies were reported in the United States, of which more than 85% occurred in the pediatric population. Ingested foreign bodies usually pass through the alimentary tract without any problem. However, they can occasionally be trapped and require endoscopic or surgical management. In the asymptomatic patient, a series of abdominal X-rays are recommended to follow up on the progress of the foreign body. When a foreign body becomes immobile in the distal bowels a high suspicion that the foreign body has become trapped must be considered and surgical management is recommended with or without signs of inflammation. Here we describe the cases scenarios of foreign bodies trapped in the gastrointestinal tract and the management options.

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Section: Bezoarsmentioning

confidence: 99%

“…Patients may present with abdominal pain, nausea, vomiting, anorexia, weight loss, intestinal bleeding from pressure ulcer necrosis, or intestinal obstruction. The most common site of bezoar is the stomach; however, It may be found in the esophagus or any site along the gastrointestinal system [24].…”

Section: Medication Bezoarsmentioning

confidence: 99%

Foreign Bodies Ingestion

Doya¹,

Ibrahim²

2021

Abdominal Surgery - A Brief Overview

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Foreign body ingestion: Is intervention always a necessity?

Boumarah

Binkhamis²,

AlDuhileb³

2022

Annals of Medicine &Amp; Surgery

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This is a successful removal of more than 450 pieces of metal objects from a patient’s stomach: a case report

Farhadi,

Mohtadi,

Pakmehr

et al. 2024

J Med Case Reports

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Background Ingestion of foreign bodies may be seen unconsciously or intentionally in patients with mental health problems. Most cases pass through the esophagus slowly; however, in some cases, the tumor may be located in narrower areas of the digestive tract that require endoscopic or surgical intervention. This study describes a rare case of successful removal of more than 450 pieces of metal objects from the stomach of a 36-year-old man via ingestion of foreign bodies at Imam Khomeini Hospital in Ahvaz.Case presentation A 36-year-old male patient (Aryan race) presented with complaints of chronic abdominal pain, frequent vomiting, and intolerance to liquids and food. The patient's companions mentioned a history of gradual ingestion of small metal objects 3 months prior. The patient was conscious and had stable vital signs. In the patient's X-ray and endoscopy, multiple metal objects inside the patient's stomach were observed, causing gastric outlet obstruction. The patient underwent gastrostomy surgery, and 452 screws, nuts, keys, stones, and other metal parts weighing 2900 g were removed from the stomach. Five days after the operation, the patient was transferred to the psychiatric service in good general condition and was diagnosed with psychosis, and her condition returned to normal at follow-up. ConclusionSuccessful removal of this foreign body is rare. In chronic abdominal pain, especially in the context of psychiatric disorders, attention should be given to the ingestion of foreign bodies. In swallowing large amounts of sharp and metallic foreign objects, surgical intervention is necessary, especially in cases of obstruction, and saves the patient's life.

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Surgical Management of Massive Metal Bezoar

Cited by 4 publications

References 17 publications

Foreign Bodies Ingestion

Foreign Bodies Ingestion

Foreign body ingestion: Is intervention always a necessity?

This is a successful removal of more than 450 pieces of metal objects from a patient’s stomach: a case report

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