DOI: http://dx.doi.org/10.18203/2349-2902.isj20195986

Lithobezoar: a case report

Sanjeev Chowksey, Satish Deshmukh, Samrudhi Kalbande

Abstract


We present a unique case of a colonic lithobezoar in a relatively healthy, young male with no history of psychological or psychiatric disorders. Furthermore, unlike previously reported cases, this patient had no history of gastric surgery. The mode of presentation and the rariety of disease pose difficulties in diagnosis of lithobezoar. The different modalities of treatment, both surgical and nonsurgical, were thought of and discussed. The diagnosis of a lithobezoar in a healthy patient requires a high index of suspicion, as it presents with nonspecific symptoms. The standard treatment for bezoars is discussed but lithobezoar needs special mention due to its rariety and no specific surgery guidelines.


Keywords


Bezoar, Sigmoid colon, Lithobezoar, Male

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References


Borges AC, Rocha Filho MAS, Muniz VV. Giant gastric lithobezoar in an adult: A case report. Int J Case Rep Images. 2016;7(7):441-4.

Yao CC, Wong HH, Chen CC. Laparoscopic removal of large gastric phytobezoars. Surg Laparosc Endosc Percutan Tech. 2000;10:243-5.

Lee J. Bezoars and foreign bodies of the stomach. Gastrointest Endosc Clin N Am. 1996;6:605-19.

Erzurumlu K, Malazgirt Z, Bektas A, Dervisoglu A, Polat C, Senyurek G et al. Gastrointestinal bezoars: A retrospective analysis of 34 cases. World J Gastroentrol. 2005;11:1813-7.

Minty B, Kelly L. Rectal bezoars in children. CMAJ. 2010;182:532.

Crosby WH. Pica, a compulsion caused by iron deficiency. Br J Haematol. 1976;34:341-2.

Iwamuro M, Tanaka S, Shiode A, Imagawa J, Mizuno M, Fujiki S, et al. Clinical characteristics and treatment outcomes of nineteen Japanese patients with gastro-intestinal bezoars. Intern Med. 2014;53(11):1099-105.

Şenol M, Özdemir ZU, Şahiner IT, Özdemir H. Intestinal Obstruction due to Colonic Lithobezoar: A Case Report and a Review of the Literature. Case Reports Pediatr. 2013:854975:3.

Verstanding AG, Klin B, Bloom RA, Hadas I, Libson E. Small bowel phytobezoars: detection with radiography. Radiology. 1989;172:705-7.

Teo M, Wong CH, Chui CH. Food bolus-an uncommon cause of small intestinal obstruction. Aust N Z J Surg. 2003;73(1):47.

Bala M, Appelbaum L, Almogy G. Unexpected cause of large bowel obstruction: colonic bezoar. Israel Med Assoc J. 2008;10(11):829-30.

Narayanan SK, Sherif VSA, Babu PR, Nandakumar TK. Intestinal obstruction secondary to a colonic lithobezoar. J Pediatr Surg. 2008;43:e9-10.

Numanoğlu KV, Tatli D. A rare cause of partial intestinal obstruction in a child: colonic lithobezoar. Emerg Med J. 2008;25(5):312-3.