Can a Bezoar Cause Acute Pancreatitis?

Katapadi, Manmohan; Kostandy, Gamil; Wang, A; Gutiérrez, Rafael Selgas; Malik, A.; Pachter, Bruce R.

doi:10.1097/00004836-199703000-00018

Cited by 13 publications

(7 citation statements)

References 6 publications

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“…We think that this situation is consistent with the fact that the mechanisms that facilitate bezoar formation are different (due to psychological disorders such as trichobezoars, personal causes such as chewing disorders in the elderly, or geographical reasons such as persimmon consumption). In the literature review, it is understood that various invasive attempts (removal of the bezoar by laparotomy or endoscopic fragmentation and removal of bezoar) have been applied to all of the cases at the time of diagnosis or after medical treatment [9][10][11]. As in our case, only medical treatment will be sufficient for the treatment of pancreatitis in cases where obstruction disappears by moving forward of the bezoar spontaneously or perhaps by fragmentation of bezoar with the help of peristaltic movements.…”

Section: Discussionmentioning

confidence: 80%

Acute Pancreatitis due to Phytobezoar Case Report and Mini-Review of Literature

Altıntoprak

2020

AJBSR

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The term "bezoar" defines undigested food particles accumulation anywhere in the gastrointestinal tract. Clinical findings vary according to the localization of bezoar in the gastrointestinal tract. Acute pancreatitis induced by duodenal bezoar is a rare condition. In this article, we present a case of phytobezoar that obstructed the duodenum and presented with acute pancreatitis clinic with the mini-review of the literature

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Section: Discussionmentioning

confidence: 80%

Acute Pancreatitis due to Phytobezoar Case Report and Mini-Review of Literature

Altıntoprak

2020

AJBSR

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“…9 A standard treatment pipeline for pancreatitis caused by duodenal bezoars has not been established yet. In previous case reports of pancreatitis caused by bezoars (six cases), five cases were managed with diagnostic EGD [2][3][4][5][6] and one case without EGD as the CT findings suggested possible complications with the EGD. 7 Three out of the five cases treated with EGD required surgical intervention.…”

Section: Discussionmentioning

confidence: 99%

“… 1 Duodenal bezoars are an uncommon cause of acute pancreatitis and only a few cases have been reported. 2 , 3 , 4 , 5 , 6 , 7 , 8 The etiology of bezoar development is based on trichophagia, diseases that cause prolonged retention such as diabetes and hypothyroidism, and postoperative gastric surgery. 9 We herein report a rare case of acute pancreatitis caused by a duodenal bezoar.…”

Section: Introductionmentioning

confidence: 99%

Acute pancreatitis caused by duodenal bezoar and treated with endoscopic procedures

Suzuki

Furuya

Otsuka

et al. 2022

Acute Medicine & Surgery

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Background Acute pancreatitis triggered by causative agents, including alcohol consumption, gallstones, dyslipidemia, drugs, and infection, is frequently addressed. However, reports of acute pancreatitis caused by duodenal bezoars are limited. Case Presentation A 75‐year‐old man experiencing abdominal pain and frequent vomiting was transferred to our hospital. His medical records presented history of diabetes, hypertension, dyslipidemia, and gastric cancer surgery. Computed tomography of the abdomen indicated duodenal dilatation, enlarged pancreas, and fluid retention, with no bile duct stones present. Minor bleeding and duodenal bezoar were endoscopically detected with esophagogastroduodenoscopy (EGD). He was diagnosed with severe acute pancreatitis caused by a bezoar and admitted to the intensive care unit. The duodenal bezoar was dissected and removed with three repetitions of EGD, and the patient was discharged without any complications. Conclusion Herein, we report a case showing that endoscopic procedures could be effective treatment options in severe pancreatitis caused by duodenal bezoars.

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“…Il peut s’agir d’une hémorragie digestive haute due aux ulcérations pariétales, d’une occlusion mécanique gastrique ou grêlique [8, 9], d’une perforation gastrique ou grêlique avec péritonite ou abcès sous-phrénique [9–11], d’une fistule digestive [11, 12], d’une cholestase ou d’une pancréatite aiguë due à une obstruction de l’ampoule de Vater par un prolongement du trichobézoard (syndrome de Rapunzel) [13, 14]. À l’examen clinique, il existe dans 85% des cas, une masse abdominale bien limitée, lisse, ferme, mobile à localisation épigastrique.…”

Section: Discussionunclassified