Chonnam Med J.  2004 Mar;40(1):55-59.

A Case of a Bezoar in Upper Gastrointestinal Tract Combined with Acute Cholecystitis and Pancreatitis

• Lee JS
• Cho ET
• kim W
• Lee NH
• Whang SH
• Lee BG
• Kee YH

Abstract

Phytobezoars, the most common type of gastric bezoars, are rare disease in the stomach and small bowel without underlying previous gastroenterologic pathology. But, with increasing surgical treatment of gastric diseases, they tend to increase, and they are also known to be a rare cause of small intestinal obstruction. Gastric bezoars are usually diagnosed by endoscopic examination or radiologic study and treated by endoscopic disruption, enzymatic digestion or surgery. They may cause gastric ulcer, hematemesis, melena, or intestinal perforation due to pressure necrosis, but no case has been reported on the biliary tract obstruction. Recently we have experienced a rare case of the gastric bezoar which caused acute cholecystitis and pancreatitis following bile flow obstruction in a patient who had undergone gastric operation.

Keyword

Bezoar; Pancreatitis; Cholecystitis

MeSH Terms

Bezoars*
Bile
Biliary Tract
Cholecystitis
Cholecystitis, Acute*
Digestion
Hematemesis
Humans
Intestinal Obstruction
Intestinal Perforation
Melena
Necrosis
Pancreatitis*
Pathology
Rare Diseases
Stomach
Stomach Diseases
Stomach Ulcer
Upper Gastrointestinal Tract*