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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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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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format | Article |
id | doaj.art-c44202f908674251ab85a8e572e390c4 |
institution | Directory Open Access Journal |
issn | 0972-9941 1998-3921 |
language | English |
last_indexed | 2024-04-24T15:50:40Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Minimal Access Surgery |
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 |
work_keys_str_mv | AT subhashkhanna laparoscopicmanagementofraresmokeddryporkbezoarinthestomach AT areendambarua laparoscopicmanagementofraresmokeddryporkbezoarinthestomach AT supriyachoudhury laparoscopicmanagementofraresmokeddryporkbezoarinthestomach |