Journal Article10.2214/AJR.177.1.1770065
Gastrointestinal bezoars: sonographic and CT characteristics
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TL;DR: Both sonography and CT are reliable methods for diagnosing gastrointestinal bezoars.
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Abstract: Objective The purpose of this study was to assess the value of imaging studies--conventional abdominal radiographs, sonography, and CT--in the diagnosis of gastrointestinal bezoars. Methods and methods A review was made of the radiologic findings of 17 consecutive patients with surgically verified gastrointestinal bezoars over a period of 51 months. Results Twelve patients had a history of previous gastric surgery. In no patient was a bezoar clinically suspected. Phytobezoars were recorded in 16 patients and a trichobezoar in only one. A total of 33 bezoars were identified at surgery. Two patients had isolated gastric bezoars, whereas 15 patients had bezoars located in the small bowel. Among the latter group, associated gastric bezoars were found in eight patients, and five patients had multiple intestinal bezoars. Abdominal radiographs revealed bezoars in three patients, sonography revealed bezoars in 15, and CT revealed bezoars in all 17. Seven patients had associated gastric bezoars revealed at CT versus only two patients with gastric bezoars revealed at sonography. CT revealed multiple intestinal bezoars in five patients whereas sonography revealed them in only two patients. Conclusion Both sonography and CT are reliable methods for diagnosing gastrointestinal bezoars. CT is more accurate, however, and exhibits a quite characteristic bezoar image; in addition, this imaging technique is able to reveal the presence of additional gastrointestinal bezoars.
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Citations
Large Gastric Trichobezoar in a Normal Healthy Woman: Case Report and Review of Pertinent Literature
TL;DR: This case is a unique case of a gastric trichobezoar in a relatively healthy, young female with no history of psychological or psychiatric disorders and should be included in the differential diagnosis of nonspecific abdominal pain.
Ultrasound assessment of gastrointestinal luminal contents: a narrative review
Heidi Y. Su,Kirstin M. Taylor,Antony B. Friedman,Giovanni Cataletti,Giovanni Maconi +4 more
TL;DR: This narrative review explores the use of gastrointestinal ultrasound (GIUS) for assessing luminal contents in various conditions, including inflammatory bowel disease and functional disorders, highlighting its potential as a non-invasive diagnostic tool.
Bizarre behaviour, bizarre intruder and bizarre bowel obstruction
Salomone Di Saverio,Fausto Catena,Federico Coccolini,Filippo Gazzotti,Filippo Filicori,Luca Ansaloni +5 more
TL;DR: An 82-year-old woman, with previous history of hiatal hernia, cholecystectomy and depression, has been admitted for worsening diffuse abdominal pain with constipation and vomiting for 4 days, confirming mechanical small bowel obstruction with a transition point in the right iliac fossa.
A rare outcome of iron deficiency and pica: Rapunzel syndrome in a 5-year-old child iron deficiency and pica
TL;DR: The present case submitted here is related to a 5-year-old girl referred with an abdominal mass and anemia, diagnosed with Rapunzel syndrome and developing trichobezoar due to iron deficiency and pica.
Isolated Adult Hypoganglionosis Presenting As Sigmoid Phytobezoar: A Case Report
Bulabai Karpagam,S. Vinayagam,Jai Kishore,Justine Samuel +3 more
TL;DR: A rare case of isolated adult hypoganglionosis presented as a sigmoid phytobezoar, causing chronic abdominal pain and distension, with computed tomography confirming an air mottled intraluminal mass and sigmoid colon dilation.
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C Escamilla,R Robles-Campos,P Parrilla-Paricio,Lujan-Mompean Ja,Ramón Lirón-Ruiz,José Antonio Torralba-Martínez +5 more
TL;DR: Bilateral truncal vagotomy plus pyloroplasty and a excessive ingestion of vegetable fiber are the main factors predisposing to bezoar formation.
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TL;DR: The obstruction caused by small bowel phytobezoars frequently occurred in the jejunum or proximal ileum, more proximally than has been reported in previous series.
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Bezoars in the stomach and small bowel — CT appearance
Gabriela Gayer,Tali Jonas,Sara Apter,Rivka Zissin,Miriam Katz,Rama Katz,Michal Amitai,Marjorie Hertz +7 more
TL;DR: With the increased use of CT in the evaluation of patients with non-specific abdominal pain, it is important to recognize the CT appearance of bezoars, as this diagnosis is often not suspected clinically.
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