Esophageal and small bowel obstruction by occupational bezoar: report of a case.
BACKGROUND
Phytobezoar may be a cause of bowel obstruction in patients with previous gastric surgery. Most bezoars are concretions of poorly digested food, which are usually formed initially in the stomach. Intestinal obstruction (esophageal and small bowel) caused by an occupational bezoar has not been reported.


METHODS
A 70-year old male is presented suffering from esophageal and small bowel obstruction, caused by an occupational bezoar. The patient has worked as a carpenter for 35 years. He had undergone a vagotomy and pyloroplasty 10 years earlier. The part of the bezoar, which caused the esophageal obstruction was removed during endoscopy, while the part of the small bowel was treated surgically. The patient recovered well and was discharged on the 8th postoperative day.


CONCLUSIONS
Since occupational bezoars may be a cause of intestinal obstruction (esophageal and/or small bowel), patients who have undergone a previous gastric surgery should avoid occupational exposures similar to the presented case.
Pitiakoudis
Michail
M
2nd Department of Surgery, Medical School, Democritus University of Thrace, Alexandroupolis, Greece. mpitiak@med.duth.gr
Tsaroucha
Alexandra
A
Mimidis
Konstantinos
K
Constantinidis
Theodoros
T
Anagnostoulis
Stavros
S
Stathopoulos
George
G
Simopoulos
Constantinos
C
D000368:Aged; D001630:Bezoars / Q000150:complications* / Q000175:diagnosis; D004380:Duodenal Obstruction / Q000175:diagnosis / Q000209:etiology; D004935:Esophageal Diseases / Q000175:diagnosis / Q000209:etiology*; D005773:Gastroscopy; D006801:Humans; D007082:Ileum; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D009784:Occupational Diseases / Q000150:complications*