An 86-year-old man, admitted for transarterial chemoembolization of a hepatoma, developed fever and acute renal failure following the procedure. He was given antibiotic therapy and oral calcium polystyrene sulfonate (30g daily) for hyperkalemia. After 1 week, the patient developed bilious vomiting with abdominal pain. An abdominal X-ray disclosed diffuse dilatation of the small bowel (●" Fig.1)...

Bezoars are retained concretions of undigested foreign material that accumulate and coalesce within the gastrointestinal tract, most commonly in stomach. A 12 years old male child presented to us with complaints pain upper abdomen on off for 2 months. He had a habit biting chewing doormat at home several Physical examination revealed mild epigastric tenderness. Upper GI endoscopy mass fibres st...

A phytobezoar is a conglomerate of improperly digested fruit and vegetable debris, its development associated, amongst other factors, with previous gastric surgery. Most phytobezoars remain asymptomatic are incidentally found during imaging or interventional procedures. However, in some patients, they can cause small bowel obstruction, which subsequently lead to severe complications. Although t...