Rare case of obstructive duodenal phytobezoar caused by two lipomas

Rare case of obstructive duodenal phytobezoar caused by two lipomas INTRODUCTIONThe term ‘bezoar’ comes from either the Persian word ‘padzahr’ or the Arabic word ‘badzehr’, both of which denote ‘antidote.’ This word meant a hard stone found in the stomach of the Syrian goat and was believed to prevent poisoning. Today, bezoar is applied to indigestible conglomerations found in the gastrointestinal (GI) tract. Bezoars are classified according to their main components. The most common type, a phytobezoar, consists of vegetable and fruit fiber. A trichobezoar consists of hair, a pharmacobezoar of medications, and a lactobezoar is caused by milk products. Bezoars are usually found in the stomach but occasionally occur in the ileum and jejunum. Primary duodenal bezoars are rare. Gastric bezoars are managed with chemical dissolution, endoscopic removal or surgery. However, when bezoar‐induced intestinal obstruction occurs, surgery is usually performed.Lipomas of the GI tract are benign, usually single, slow‐growing tumors originating from the submucosa. They are found incidentally in most cases and occur most commonly in the colon, ileum and jejunum. Duodenal lipomas are relatively rare and are usually found in the second part of the duodenum. GI lipomas are usually asymptomatic but may cause complications. However, to our knowledge, primary duodenal bezoars associated with duodenal lipomas have http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Digestive Diseases Wiley

Rare case of obstructive duodenal phytobezoar caused by two lipomas

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Publisher
Wiley
Copyright
© 2018 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd
ISSN
1751-2972
eISSN
1751-2980
D.O.I.
10.1111/1751-2980.12508
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONThe term ‘bezoar’ comes from either the Persian word ‘padzahr’ or the Arabic word ‘badzehr’, both of which denote ‘antidote.’ This word meant a hard stone found in the stomach of the Syrian goat and was believed to prevent poisoning. Today, bezoar is applied to indigestible conglomerations found in the gastrointestinal (GI) tract. Bezoars are classified according to their main components. The most common type, a phytobezoar, consists of vegetable and fruit fiber. A trichobezoar consists of hair, a pharmacobezoar of medications, and a lactobezoar is caused by milk products. Bezoars are usually found in the stomach but occasionally occur in the ileum and jejunum. Primary duodenal bezoars are rare. Gastric bezoars are managed with chemical dissolution, endoscopic removal or surgery. However, when bezoar‐induced intestinal obstruction occurs, surgery is usually performed.Lipomas of the GI tract are benign, usually single, slow‐growing tumors originating from the submucosa. They are found incidentally in most cases and occur most commonly in the colon, ileum and jejunum. Duodenal lipomas are relatively rare and are usually found in the second part of the duodenum. GI lipomas are usually asymptomatic but may cause complications. However, to our knowledge, primary duodenal bezoars associated with duodenal lipomas have

Journal

Journal of Digestive DiseasesWiley

Published: Jan 1, 2018

References

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