Gastric Diospyrobezoar Mimicked Acute Appendicitis: A Case Report

Abstract

A phytobezoar is a concreted mass of undigested plant materials trapped in the gastrointestinal system and mostly in the stomach. A diospyrobezoar is a type of phytobezoar and is a rare condition; it is due to unripe persimmon ingestion. In this case, report, we recount the experience of a 26-year-old man who presented signs and symptoms of acute appendicitis, which was later diagnosed as a gastric diospyrobezoar. An appendectomy was done, but the symptoms were not resolved. This gastric phytobezoar was successfully removed through gastrotomy after a failed attempt in endoscopic fragmentation and removal. This report provides an overview of bezoars in patients with acute abdominal pain. A careful history with an emphasis on recent diet can be of great help in the diagnosis of similar cases.