Le Bézoard gastrique : à propos de deux observations et revue de la littérature

Surgical Complications of Pica Syndrome: About 03 Cases

“…The bezoar is an hyperechogenic mass with a posterior cone of shadow occupying the epigastrium. The upper transit makes the diagnosis of gastric bezoar by showing an incomplete mobile intraluminal convex image, and it allows specifying the extension at the duodeno-jejunal level [17] [18]. In our observation three patients have benefited of abdominal plain film, one patient an upper transit, two patients had an abdominal ultrasound and one patient an abdominal scan.…”

“…The bezoar type is determined by the nature of accumulated substances (phytobezoar: residues of plant fragments, lactobezoar is made up of curds, observed in infant, trichobezoar formed by a heap of hairs. Other type of bezoars was described after medicine ingestion modifying the digestive behavior: antacids, cholestyramine called pharmaco bezoar [18] [19].…”

“…In our observation three patients have benefited of abdominal plain film, one patient an upper transit, two patients had an abdominal ultrasound and one patient an abdominal scan. Scanning and MRI remain expensive techniques which are not essential for the diagnosis of the bezoar [17] [18]. Plain film had permitted to show the foreign bodies and to make the diagnostic in one case.…”

Phytobezoar: An unusual cause of small bowel obstruction

“…Classical promoting factors are, among others, gastric emptying disorders, loss of normal pyloric motor functions, the consequences of partial gastrectomy, and a high-fiber diet. Antisecretory gastric treatments seem to play a role: the hypoacidity that they cause a decrease in the activity of enzymes (pepsin, cellulase) involved in the disintegration of dietary fibers [ 1 ]. Poor chewing, for example due to the absence of teeth and tachyphagia can lead to the formation of bezoars.…”

“…Several types of bezoars can be distinguished according to the substance ingested:The lacto-bezoard, observed in infants, the phytobezoard, formed by a conglomerate of vegetable fibers, other various intragastric substances can constitute bezoars including fungal conglomerates, food residues, and the trichobezoar, which constitutes 55% of all bezoars, is constituted of hairs, bristles or carpet fibers. It is known as “Rapunzel syndrome” [ 1 ]. In our clinical case, we will discuss the phytobezoar causing small bowel obstruction who had surgery for an obstructing small bowel phytobezoar.…”