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Case Reports
. 2017 Nov;58(11):1207-1212.
doi: 10.1007/s00108-017-0257-5.

[A 67-year old man with epigastric pain]

[Article in German]
A Greger  1 , W Hamelmann  2 , M Konermann  3
Affiliations
Case Reports

[A 67-year old man with epigastric pain]

[Article in German]
A Greger et al. Internist (Berl). 2017 Nov.

Abstract

A 67-year-old man suffering from epigastric pain showed a phytobezoar in the endoscopy. Therapy with Coca Cola® and enzymes was initiated. The (partial) lysis led to a migration of the bezoar into the ileum, resulting in a small bowel obstruction. After removal of the remaining bezoar via ileotomy a secondary pneumatosis intestinalis occurred. As a rare finding the (phyto-)bezoar should be considered as a differential diagnosis of abdominal pain - especially considering the rising numbers of bariatric surgery, which is a potential risk factor. Furthermore, intestinal obstruction after migration has to be considered as a relevant complication of treatment.

Keywords: Bezoars; Coca Cola®; Enzymes; Intestinal obstruction; Pneumatosis intestinalis.

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