An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case report

<p>Abstract</p> <p>Introduction</p> <p>The differential diagnoses of acute abdomen in children include common and rare pathologies. Within this list, different types of bezoars causing gastrointestinal obstruction have been reported in the literature and different metho...

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Main Authors: Hussain Abdulzahra, Mahmood Hind, Singhal Tarun, El-Hasani Shamsi
Format: Article
Language:English
Published: BMC 2008-06-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/2/1/199
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author Hussain Abdulzahra
Mahmood Hind
Singhal Tarun
El-Hasani Shamsi
author_facet Hussain Abdulzahra
Mahmood Hind
Singhal Tarun
El-Hasani Shamsi
author_sort Hussain Abdulzahra
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>The differential diagnoses of acute abdomen in children include common and rare pathologies. Within this list, different types of bezoars causing gastrointestinal obstruction have been reported in the literature and different methods of management have been described. The aim of this article is to highlight a rare presentation of lactobezoars following prolonged percutaneous endoscopic gastrostomy feeding and its successful surgical management.</p> <p>Case presentation</p> <p>A 16-year-old boy was admitted to a paediatric ward with abdominal distension and high output from his permanent gastrostomy feeding tube, with drainage of bilious fluids. The clinical, radiological and endoscopical examinations were suggestive of partial duodenal obstruction with multiple bezoars in the stomach and duodenum. Gastrojejunostomy was performed after the removal of 14 bezoars. The child had an uneventful postoperative course and was discharged on the sixth postoperative day in a stable condition.</p> <p>Conclusion</p> <p>Lactobezoars should be included in the differential diagnosis of acute abdominal pain in patients with percutaneous endogastric feeding. Endoscopy is important in making the diagnosis of this surgical condition of the upper gastrointestinal tract in a child.</p>
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spelling doaj.art-dfda3733bd89423fa0083a2c9284392c2022-12-21T21:17:48ZengBMCJournal of Medical Case Reports1752-19472008-06-012119910.1186/1752-1947-2-199An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case reportHussain AbdulzahraMahmood HindSinghal TarunEl-Hasani Shamsi<p>Abstract</p> <p>Introduction</p> <p>The differential diagnoses of acute abdomen in children include common and rare pathologies. Within this list, different types of bezoars causing gastrointestinal obstruction have been reported in the literature and different methods of management have been described. The aim of this article is to highlight a rare presentation of lactobezoars following prolonged percutaneous endoscopic gastrostomy feeding and its successful surgical management.</p> <p>Case presentation</p> <p>A 16-year-old boy was admitted to a paediatric ward with abdominal distension and high output from his permanent gastrostomy feeding tube, with drainage of bilious fluids. The clinical, radiological and endoscopical examinations were suggestive of partial duodenal obstruction with multiple bezoars in the stomach and duodenum. Gastrojejunostomy was performed after the removal of 14 bezoars. The child had an uneventful postoperative course and was discharged on the sixth postoperative day in a stable condition.</p> <p>Conclusion</p> <p>Lactobezoars should be included in the differential diagnosis of acute abdominal pain in patients with percutaneous endogastric feeding. Endoscopy is important in making the diagnosis of this surgical condition of the upper gastrointestinal tract in a child.</p>http://www.jmedicalcasereports.com/content/2/1/199
spellingShingle Hussain Abdulzahra
Mahmood Hind
Singhal Tarun
El-Hasani Shamsi
An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case report
Journal of Medical Case Reports
title An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case report
title_full An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case report
title_fullStr An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case report
title_full_unstemmed An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case report
title_short An unusual cause of gastric outlet obstruction during percutaneous endogastric feeding: a case report
title_sort unusual cause of gastric outlet obstruction during percutaneous endogastric feeding a case report
url http://www.jmedicalcasereports.com/content/2/1/199
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