Intragastric gallstone-induced bezoar: an unusual cause of acute gastric outlet obstruction.
Bezoars are an uncommon cause of acute gastric outlet obstruction. To our knowledge, this is the first report of a bezoar formed around a gallstone that migrated to the stomach via a cholecystogastric fistula. Our patient was a 42-year-old African American woman with long-standing type 2 diabetes. We suspect that diabetic diathesis was the major factor responsible for producing the pathologic derangement of the gallbladder and stomach, which led to development of the bezoar and serious complications.
Tadros
George M
GM
Department of Medicine, Mercy Catholic Medical Center, Philadelphia, PA USA.
Draganescu
John M
JM
Clarke
Leon E
LE
Albornoz
M Anthony
MA
D000328:Adult; D001630:Bezoars / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002769:Cholelithiasis / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005260:Female; D017219:Gastric Outlet Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D013270:Stomach