An unusual cause of postfundoplication vomiting.
This article demonstrates a previously unreported late occurring complication of fundoplication that leads to vomiting. A patient with cerebral palsy had the placement of a transesophageal suture, which, after ingestion of his family dogs' hair over time, created a significant-sized esophageal trichbezoar formed and caught around the suture. Upon removal of the bezoar via upper gastrointestinal endoscopy, the patient experienced immediate relief of his symptoms. This case should be considered in the appropriate clinical setting where the patient has demonstrated pica. An evaluation with contrast upper gastrointestinal studies proved to be critical in this case of postfundoplication vomiting.
Michail
Sonia
S
Department of Pediatric Gastroenterology and Surgery, Dayton Children's Medical Center, Wright State University Boonshoft School of Medicine, Dayton, OH 45404, USA. sonia.michail@wright.edu
Nanagas
Vivian
V
Mezoff
Adam G
AG
D001630:Bezoars / Q000601:surgery*; D002648:Child; D004940:Esophageal Stenosis / Q000209:etiology / Q000601:surgery; D004945:Esophagoscopy / Q000379:methods; D004947:Esophagus / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D018662:Fundoplication / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology* / Q000503:physiopathology