We report the case of an elderly male who was presented with abdomen pain and diagnosed of small bowel obstruction caused by bezoar and review the literature. The initial presentation was epigastralgia with nausea and vomiting. Plain abdomen film showed diffuse dilated bowel loop. Both abdomen ultrasound and computed tomography all showed an intraluminal mass with bowel dilatation. Due to failu...

A rare type of bezoar composed of coconut matting was found in the stomach of a caucasian man. The exact identity of the fibres was established by scanning electron microscopy, x-ray energy spectroscopy, and microscopic infrared spectroscopy. This report illustrates the importance of these techniques for identifying the nature of foreign material.

Trichobezoar is an intraluminal mass formed from the accumulation of undigested hair. It a rare condition that typically seen in young females with trichophagia and trichotillomania. When not recognized, it may present complications such as obstruction, ulceration some cases, perforation. While most trichobezoar perforations are located stomach, however, duodenal perforation has been reported b...

A 40-year-old Hindustani male, with a past medical history of acetic acid intoxication, presented to the emergency department with cramping epigastric pain. The pain was reminiscent of the pain he had experienced 2 weeks before. At that time, his pain had resolved at presentation to the emergency department and he was discharged home with a proton pump inhibitor for the diagnosis of “peptic ulc...

Dear Editor, A 58-year-old Asian woman hung herself. When emergency medical service arrived, she was under cardiopulmonary arrest with asystolic rhythm. Sixty minutes later, her circulation was restored and she was then transferred from a rural hospital to our hospital. When the patient was brought to our hospital, she was unconscious, and her pupils were dilated and had no light reflex. Comput...

Neoplastic autovagotomy causing atonic gastric stasis is extremely rare. Two cases are reported in which marked gastric stasis was complicated by a bezoar and a gastric volvulus respectively. Both cases were associated with a left hilar bronchial carcinoma, and malignant invasion of the vagus nerve may have been the underlying cause.

Gastrointestinal (GI) bezoars are aggregates of indigestible material that occur mainly inpatientswith alteredGI anatomy (i.e. bariatric surgery, partial gastrectomy) and/or motility disorders (i. e. gastroparesis, drug-induced delayed gastric emptying). Other risk factors are high fiber intake, psychiatric diseases, and severe constipation [1]. Treatment strategies for bezoar fragmentation inc...