title: Intragastric gallstone-induced bezoar: an unusual cause of acute gastric outlet obstruction.
abstract: 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.
authors.affiliation: Department of Medicine, Mercy Catholic Medical Center, Philadelphia, PA USA.
authors.forename: George M
authors.initials: GM
authors.lastname: Tadros
authors.forename: John M
authors.initials: JM
authors.lastname: Draganescu
authors.forename: Leon E
authors.initials: LE
authors.lastname: Clarke
authors.forename: M Anthony
authors.initials: MA
authors.lastname: Albornoz
mesh_terms: 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