Laparoscopic management of rare smoked dry pork bezoar in the stomach

Medical literature recognise only 4 types of bezoar – phytobezoar, trichobezoar, lactobezoar and pharmacobezoar. Here, we discuss a new unique type of bezoar composed of undigested dry pork. A 58-year-old male patient from Nagaland, India, presented with intermittent symptoms of gastric outlet obstr...

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Main Authors: Subhash Khanna, Areendam Barua, Supriya Choudhury
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=4;spage=552;epage=554;aulast=Khanna
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author Subhash Khanna
Areendam Barua
Supriya Choudhury
author_facet Subhash Khanna
Areendam Barua
Supriya Choudhury
author_sort Subhash Khanna
collection DOAJ
description Medical literature recognise only 4 types of bezoar – phytobezoar, trichobezoar, lactobezoar and pharmacobezoar. Here, we discuss a new unique type of bezoar composed of undigested dry pork. A 58-year-old male patient from Nagaland, India, presented with intermittent symptoms of gastric outlet obstruction and pain abdomen. On clinical examination, he was found to have an epigastric lump. Upper gastrointestinal endoscopy showed an undigested ball of swallowed meat at the pylorus and later at the fundus on repeat endoscopy just before the surgical intervention. Endoscopic mechanical fragmentation was tried, but owing to the large size and hard sticky consistency of the bezoar, fragmentation was not feasible. Due to persistent pain abdomen and clinical gastric outlet obstruction, a decision for operative intervention was taken. He finally underwent laparoscopic anterior gastrotomy and evacuation of the bezoar. The post-operative course was uneventful, and the patient went home symptom free on the 5th post-operative day.
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spelling doaj.art-c44202f908674251ab85a8e572e390c42024-04-01T12:50:14ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212023-01-0119455255410.4103/jmas.jmas_266_22Laparoscopic management of rare smoked dry pork bezoar in the stomachSubhash KhannaAreendam BaruaSupriya ChoudhuryMedical literature recognise only 4 types of bezoar – phytobezoar, trichobezoar, lactobezoar and pharmacobezoar. Here, we discuss a new unique type of bezoar composed of undigested dry pork. A 58-year-old male patient from Nagaland, India, presented with intermittent symptoms of gastric outlet obstruction and pain abdomen. On clinical examination, he was found to have an epigastric lump. Upper gastrointestinal endoscopy showed an undigested ball of swallowed meat at the pylorus and later at the fundus on repeat endoscopy just before the surgical intervention. Endoscopic mechanical fragmentation was tried, but owing to the large size and hard sticky consistency of the bezoar, fragmentation was not feasible. Due to persistent pain abdomen and clinical gastric outlet obstruction, a decision for operative intervention was taken. He finally underwent laparoscopic anterior gastrotomy and evacuation of the bezoar. The post-operative course was uneventful, and the patient went home symptom free on the 5th post-operative day.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=4;spage=552;epage=554;aulast=Khannabezoargastric outlet obstructionlaparoscopic bezoar surgery
spellingShingle Subhash Khanna
Areendam Barua
Supriya Choudhury
Laparoscopic management of rare smoked dry pork bezoar in the stomach
Journal of Minimal Access Surgery
bezoar
gastric outlet obstruction
laparoscopic bezoar surgery
title Laparoscopic management of rare smoked dry pork bezoar in the stomach
title_full Laparoscopic management of rare smoked dry pork bezoar in the stomach
title_fullStr Laparoscopic management of rare smoked dry pork bezoar in the stomach
title_full_unstemmed Laparoscopic management of rare smoked dry pork bezoar in the stomach
title_short Laparoscopic management of rare smoked dry pork bezoar in the stomach
title_sort laparoscopic management of rare smoked dry pork bezoar in the stomach
topic bezoar
gastric outlet obstruction
laparoscopic bezoar surgery
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=4;spage=552;epage=554;aulast=Khanna
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