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DIOSPYROBEZOAR: A Review of Fourteen Cases with an Analysis of Forty-Six Collected Cases from the Literature

DIOSPYROBEZOAR: A Review of Fourteen Cases with an Analysis of Forty-Six Collected Cases from the... Abstract IN THE 14 cases presented here there is a definite history of the ingestion of persimmons and diospyrobezoar at surgery or necropsy. Available data presented in 46 cases1 in the literature are analyzed. The term diospyrobezoar was suggested by DeBakey and Ochsner2 for concretions of persimmon origin in the gastrointestinal tract. These authors reviewed 311 collected cases of bezoars and concretions and found that 92 (29.5%) were diospyrobezoars. However, only five bezoars of other origin were encountered at the University Hospital during the period of time represented by our 14 cases of diospyrobezoars. The University Hospital serves indigent patients from the State of Oklahoma, which is located in the persimmon belt. PATHOGENESIS The persimmon is a plum-like fruit of a tree which has a natural distribution in the states of Kansas, Oklahoma, Texas, Iowa, Illinois, Indiana, Ohio, and Pennsylvania. This geographic factor contributes to the regional occurrence of References 1. (a) Allen, L. G.: Phytobezoar: Report of 3 Cases , Am. J. Roentgenol. 39:67-74, 1938. 2. (b) Browne, D. C., and McHardy, G.: Gastroscopy and Phytobezoar: Report of Case of Diospyrobezoar , Arch. Int. Med. 65:368-374, 1940.Crossref 3. (c) Bullock, W. O., in discussion on Griffith, F. W.: Obstruction of Small Intestine due to Food Products , Ann. Surg. 103: 769-772, 1936.Crossref 4. (d) Cohn, A. L., and White, A. S.: Gastroscopic Diagnosis of Phytobezoar , Am. J. Surg. 51:432-435, 1941.Crossref 5. (e) Cole, P. F.: Phytobezoar (Diospyri Virginianae): Report of 4 Cases in Missouri , J. Missouri M. A. 28:116-120, 1931. 6. (f) Crossan, E. T.: Phytobezoar with Gastric Ulcer , Ann. Surg. 101:1450-1452, 1935.Crossref 7. (g) David, V. C.: Pseudo-Carcinoma of Stomach , Ann. Surg. 87:555-565, 1928.Crossref 8. (h) Droegemueller, E. H.: Phytobezoar: Report of Case , M. Clin. North America 13:1539-1542, 1930. 9. (i) Garrett, D. L.: Phytobezoar Diospyri Virginianae: Case Report , J. Oklahoma M. A. 21:64-66, 1928. 10. (j) Good, R. W.: Phytobezoar: Report of Case ; Proc Staff Meet., Mayo Clin. 3:237-238, 1928. 11. (k) Hargrave, R. L., and Hargrave, R.: Acute Intestinal Obstruction by Persimmon Phytobezoar: Report of 2 Cases , Ann. Surg. 104:65-73, 1936.Crossref 12. (l) Hart, W. E.: Phytobezoars , J. A. M. A. 81: 1870-1875, 1923.Crossref 13. (m) Maes, U.: Bezoars, with Report of Additional Case of Phytobezoar , Ann. Surg. 88:685-692, 1928.Crossref 14. (n) McCarley, T. H., and Greenberger, E. D.: Persimmon Phytobezoar Mistaken for Gastric Cancer , Radiology 36:232-233, 1941.Crossref 15. (o) McNeill, J. H.: Persimmon Phytobezoar with Case Report , Ann. Int. Med. 14:2142-2147, 1941.Crossref 16. (p) Moersch, H. J., and Walters, W.: Phytobezoar with Visualization by Means of Gastroscopy , Am. J. Digest Dis. & Nutrition 3:15-17, 1936. 17. (q) Murdock, H. D.: Persimmon Bezoars Occurring Around Tulsa, Oklahoma , J. Oklahoma M. A. 27:442-447, 1934. 18. (r) Patterson, C. O., and Rouse, M. O.: Foreign Bodies in Stomach Observed Through Gastroscope: Report of 5 Cases , Texas State J. Med. 36:238-242, 1940. 19. (s) Potter, R. P.: Phytobezoar , Radiology 15:685-690, 1930. 20. (t) Rodgers, F. D.: Phytobezoar of Persimmon Origin , Radiology 29: 494-495, 1937. 21. (u) Rutledge, C. P.: Phytobezoar of Stomach Associated with Gastric Ulcer , New Orleans M. & S. J. 90:357-360, 1937. 22. (v) Schmeisser, H. C.: Phytobezoar Diospyri Virginianae: Report of 2 Cases , South M. J. 28:987-992, 1935. 23. (w) Wyatt, W. S.: Phytobezoar , Kentucky M. J. 30:79-80, 1932. 24. DeBakey, M., and Ochsner, A.: Bezoars and Concretions , Surgery 4:934-963, 1938 25. 5:132-160, 1939. 26. Chont, L. K.: Phytobezoar and its Formation in Vitro , Radiology 38:14-21, 1942. 27. Izumi, S.; Isida, K., and Iwamoto, M.: Mechanism of Formation of Phytobezoar, with Special Reference to Persimmon Ball , Jap. J. M. Sc. Tr., II, Biochem. 2:21-35, 1933. 28. Outten, W. B.: Case of Double Gastrolith Removed by Gastrotomy , Med. Fortnightly 6:445-452, 1894. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

DIOSPYROBEZOAR: A Review of Fourteen Cases with an Analysis of Forty-Six Collected Cases from the Literature

O' LEARY, CHARLES M.
A.M.A. Archives Surgery , Volume 66 (6) – Jun 1, 1953
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References (28)

Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1953.01260030877016
Publisher site
See Article on Publisher Site

Abstract

Abstract IN THE 14 cases presented here there is a definite history of the ingestion of persimmons and diospyrobezoar at surgery or necropsy. Available data presented in 46 cases1 in the literature are analyzed. The term diospyrobezoar was suggested by DeBakey and Ochsner2 for concretions of persimmon origin in the gastrointestinal tract. These authors reviewed 311 collected cases of bezoars and concretions and found that 92 (29.5%) were diospyrobezoars. However, only five bezoars of other origin were encountered at the University Hospital during the period of time represented by our 14 cases of diospyrobezoars. The University Hospital serves indigent patients from the State of Oklahoma, which is located in the persimmon belt. PATHOGENESIS The persimmon is a plum-like fruit of a tree which has a natural distribution in the states of Kansas, Oklahoma, Texas, Iowa, Illinois, Indiana, Ohio, and Pennsylvania. This geographic factor contributes to the regional occurrence of References 1. (a) Allen, L. G.: Phytobezoar: Report of 3 Cases , Am. J. Roentgenol. 39:67-74, 1938. 2. (b) Browne, D. C., and McHardy, G.: Gastroscopy and Phytobezoar: Report of Case of Diospyrobezoar , Arch. Int. Med. 65:368-374, 1940.Crossref 3. (c) Bullock, W. O., in discussion on Griffith, F. W.: Obstruction of Small Intestine due to Food Products , Ann. Surg. 103: 769-772, 1936.Crossref 4. (d) Cohn, A. L., and White, A. S.: Gastroscopic Diagnosis of Phytobezoar , Am. J. Surg. 51:432-435, 1941.Crossref 5. (e) Cole, P. F.: Phytobezoar (Diospyri Virginianae): Report of 4 Cases in Missouri , J. Missouri M. A. 28:116-120, 1931. 6. (f) Crossan, E. T.: Phytobezoar with Gastric Ulcer , Ann. Surg. 101:1450-1452, 1935.Crossref 7. (g) David, V. C.: Pseudo-Carcinoma of Stomach , Ann. Surg. 87:555-565, 1928.Crossref 8. (h) Droegemueller, E. H.: Phytobezoar: Report of Case , M. Clin. North America 13:1539-1542, 1930. 9. (i) Garrett, D. L.: Phytobezoar Diospyri Virginianae: Case Report , J. Oklahoma M. A. 21:64-66, 1928. 10. (j) Good, R. W.: Phytobezoar: Report of Case ; Proc Staff Meet., Mayo Clin. 3:237-238, 1928. 11. (k) Hargrave, R. L., and Hargrave, R.: Acute Intestinal Obstruction by Persimmon Phytobezoar: Report of 2 Cases , Ann. Surg. 104:65-73, 1936.Crossref 12. (l) Hart, W. E.: Phytobezoars , J. A. M. A. 81: 1870-1875, 1923.Crossref 13. (m) Maes, U.: Bezoars, with Report of Additional Case of Phytobezoar , Ann. Surg. 88:685-692, 1928.Crossref 14. (n) McCarley, T. H., and Greenberger, E. D.: Persimmon Phytobezoar Mistaken for Gastric Cancer , Radiology 36:232-233, 1941.Crossref 15. (o) McNeill, J. H.: Persimmon Phytobezoar with Case Report , Ann. Int. Med. 14:2142-2147, 1941.Crossref 16. (p) Moersch, H. J., and Walters, W.: Phytobezoar with Visualization by Means of Gastroscopy , Am. J. Digest Dis. & Nutrition 3:15-17, 1936. 17. (q) Murdock, H. D.: Persimmon Bezoars Occurring Around Tulsa, Oklahoma , J. Oklahoma M. A. 27:442-447, 1934. 18. (r) Patterson, C. O., and Rouse, M. O.: Foreign Bodies in Stomach Observed Through Gastroscope: Report of 5 Cases , Texas State J. Med. 36:238-242, 1940. 19. (s) Potter, R. P.: Phytobezoar , Radiology 15:685-690, 1930. 20. (t) Rodgers, F. D.: Phytobezoar of Persimmon Origin , Radiology 29: 494-495, 1937. 21. (u) Rutledge, C. P.: Phytobezoar of Stomach Associated with Gastric Ulcer , New Orleans M. & S. J. 90:357-360, 1937. 22. (v) Schmeisser, H. C.: Phytobezoar Diospyri Virginianae: Report of 2 Cases , South M. J. 28:987-992, 1935. 23. (w) Wyatt, W. S.: Phytobezoar , Kentucky M. J. 30:79-80, 1932. 24. DeBakey, M., and Ochsner, A.: Bezoars and Concretions , Surgery 4:934-963, 1938 25. 5:132-160, 1939. 26. Chont, L. K.: Phytobezoar and its Formation in Vitro , Radiology 38:14-21, 1942. 27. Izumi, S.; Isida, K., and Iwamoto, M.: Mechanism of Formation of Phytobezoar, with Special Reference to Persimmon Ball , Jap. J. M. Sc. Tr., II, Biochem. 2:21-35, 1933. 28. Outten, W. B.: Case of Double Gastrolith Removed by Gastrotomy , Med. Fortnightly 6:445-452, 1894.

Journal

A.M.A. Archives Surgery – American Medical Association

Published: Jun 1, 1953

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