The diagnosis of acute appendicitis can be somewhat obscure in a patient that presents with right lower quadrant abdominal pain. The advancement and ease of imaging have made CT scanning readily available in the emergency department. Management can be challenging when the patient has a high likelihood of appendicitis based on clinical suspicion and negative CT scan. The purpose of this case rep...

Bezoar is an intraluminal mass formed by the accumulation of undigested material anywhere in the gastrointestinal system. Most of small bezoars are removed by gastrointestinal endoscopy, while the best approach for the larger ones is surgical removal. Currently, laparoscopic technique is successfully used in the treatment of bezoars, which are used to be managed by open surgery. In the laparosc...

Bezoar formation is cited to be the cause of delayed absorption of aspirin in overdose of enteric-coated aspirin preparation. However, such phenomenon from oral overdose of regular aspirin preparation has not been clearly demonstrated in human. The use of multiple-dose activated charcoal (MDAC) in salicylate poisoning remains controversial. We report a case of regular-preparation salicylate poi...

CONTEXT Pancreatic pseudocysts are relatively common complications of pancreatitis. A pseudocyst can result from an episode of acute pancreatitis, exacerbation of chronic pancreatitis, or trauma. Treatment is indicated for persistent, symptomatic pseudocysts and in the case of related complications. CASE REPORT We describe the case of a 66-year-old man who referred to our department for bowel...

A bezoar is a mass of indigestible material. Bezoars can present with a gradual onset of non-specific gastrointestinal symptoms including abdominal pain, nausea and vomiting. However, bezoars can result in more serious conditions such as intestinal bleeding or obstruction. Without quick recognition, particularly in susceptible individuals, the diagnosis and treatment can be delayed. Currently r...

Trichobezoars are gastric concretions composed of hair, usually found in long haired girls or young women [1]. Definite correlation exists between bezoars and psychotic illness and disorders affecting gut motility especially gastroparesis diabetecorum [2, 3, 4]. Most bezoars have come to the attention of surgeons when the bezoar passed from the stomach to the small intestine and caused obstruct...

OBJECTIVE To analyze the clinical characteristics of patients with gastrointestinal bezoars and their response to therapy. Patients We retrospectively reviewed the cases of 19 patients diagnosed with gastrointestinal bezoars at the Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences or one of 15 collaborating institutions between December 2004 and August 2013. ...

Renal candidal bezoar is uncommonly encountered in neonatal intensive care. An affected neonate who improved only after surgical removal of obstructive fungus from the renal pelvis and local irrigation with amphotericin B is described. The need for early consideration of surgical intervention is stressed.

PATIENT Female, 30 FINAL DIAGNOSIS: Phytobezoar Symptoms: Nausea • vomiting MEDICATION - Clinical Procedure: - Specialty: - OBJECTIVE Rare disease. BACKGROUND Phytobezoars are a common type of bezoar known to accumulate in the gastrointestinal system. CASE REPORT A 30-year-old mentally retarded woman was operated on due to small bowel obstruction. A piece of tree root was extracted from...

Bezoars are collections of interwoven organic or inorganic matter found in the alimentary canal. Rapunzel syndrome represents a rare presentation of trichobezoar where the tail of main gastric bezoar extends into the lumen of small intestine. We present the case of a 09 year old female child who presented to us as a case of acute intestinal obstruction as a rare manifestation of Rapunzel syndro...