Esophageal obstruction by phytobezoar. Rare complication of gastric bezoar.
We describe a patient in whom a gastric phytobezoar was regurgitated into the esophagus during an episode of vomiting, giving rise to sudden dysphagia. The bezoar remained impacted for 3 days during which time a sever ulcerative esophagitis due to pressure necrosis and secondary infection developed. Healing has been accompanied by esophageal stricture formation which still necessitates esophageal dilatation at intervals.
D000328:Adult; D001630:Bezoars / Q000150:complications*; D003680:Deglutition Disorders / Q000209:etiology; D004106:Dilatation; D004935:Esophageal Diseases / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D013270:Stomach; D014839:Vomiting / Q000150:complications