Unusual acute formed gastric bezoars due to plaster ingestion successfully treated by gastric irrigation: report of two cases.
Bezoars usually present as a mass in the stomach. One of the uncommon causes of bezoars is ingestion of plaster in a suicidal attempt. We present here two patients with acute formed gastric bezoars due to plaster ingestion. Their main complaints were abdominal pain, nausea, and vomiting. Clinical examination revealed a slightly distended abdomen and a palpable mass in the epigastric region. Plain abdominal radiograph showed plaster casts in the stomach. They were successfully treated by insertion of a nasogastric tube and gastric irrigation using saline solution over 24 h. Post-treatment abdominal X-ray showed dissolved plaster passing through the small intestines and the colon. The treatment course was uneventful, and finally patients were discharged with good condition and referred to a psychiatric clinic for treatment of underlying psychological disorder.
Sanei Taheri
Morteza
M
Radiology Department, Shohada Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. saneim@yahoo.com
Kharrazi
Seyyed Mohammad
SM
Haghighatkhah
Hamid Reza
HR
Moharamzad
Yashar
Y
D001630:Bezoars / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002133:Calcium Sulfate / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013270:Stomach / Q000000981:diagnostic imaging*; D013406:Suicide, Attempted; D007507:Therapeutic Irrigation; D055815:Young Adult
D002133:Calcium Sulfate