BACKGROUND AND OBJECTIVES Gastric bezoars are a rare clinical entity, most commonly observed in patients with mental or emotional illness. Large bezoars can be difficult to remove laparoscopically without extending a port incision. METHODS We report the case of a large symptomatic trichobezoar with Rapunzel syndrome that occurred in a 17-year-old girl who had trichotillomania. RESULTS The b...

We present a case of giant gastric trichobezoar retrieved through a long gastrotomy in a 40 years old married women from rural Sindh with unreported psychological disturbance. Trichobezoar almost exclusively occur in females with an underlying psychiatric disorder. It has an insidious development of symptoms which accounts for its delayed presentation and large size at the time of diagnosis. Th...

Bouveret's syndrome is a rare cause of proximal gallstone ileus with obstruction of duodenum or gastric outlet. We report a case of an 87-year-old female patient presented with 1 week history of vomiting whose plain radiograms showed ileus and pneumobilia. The abdominal computed tomography confirmed pneumobilia and revealed free air and leakage of oral contrast agent in the hepatic hilum and su...

Dentures are common accidentally ingested foreign bodies (FBs), especially in the aged population. It is usual for a FB to be swallowed in adults and lodge in the esophagus; however, it is unusual for a denture to remain in esophagus for a period of 9 months without any complication. We present, a 57-year-old deaf mute man swallowed his denture with the chief complaint of dysphagia and odynopha...

a phytobezoar is a concreted mass of undigested plant materials trapped in the gastrointestinal system and mostly in the stomach. a diospyrobezoar is a type of phytobezoar and is a rare condition; it is due to unripe persimmon ingestion. in this case, report, we recount the experience of a 26-year-old man who presented signs and symptoms of acute appendicitis, which was later diagnosed as a gas...

A 65-year-old schizophrenic patient had ongoing epigastric pain. Gastroscopy revealed a large foreign body (●" Fig.1). Endoscopic fragmentation and retrieval were impossible (●" Fig.2). The patient denied having ingested the object, which, considering its size, was plausible. The foreign body was not dissolvable, causing symptoms and a risk of intestinal obstruction or perforation. Surgical rem...

At the Oncology Center at Army Hospital (Research and Referral), New Delhi, the standard procedure of reconstruction after a pancreaticoduodectomy has been a posterior pancreaticogastrostomy. Our technique uses a single posterior gastrotomy on the upturned stomach, irrespective of whether or not the pylorus has been spared. The anastomosis is done in two layers with interrupted nonabsorbable su...