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Case Reports
. 2017 Jun 19:5:98.
doi: 10.3389/fped.2017.00098. eCollection 2017.

Giant Gastric Bezoar Complicating Congenital Esophageal Atresia Repaired by Gastric Interposition-A Case Report

Archana Chacko  1   2   3 , Brent I Masters  1   2   3 , Alan Isles  1   2   3
Affiliations
Case Reports

Giant Gastric Bezoar Complicating Congenital Esophageal Atresia Repaired by Gastric Interposition-A Case Report

Archana Chacko et al. Front Pediatr. .

Abstract

We describe a giant gastric phytobezoar in a child with repaired congenital esophageal atresia. At age two, a gastric interposition (pull-up) procedure was performed for severe and recurrent esophageal strictures. For 12 months post-gastric interposition, he experienced frequent respiratory illnesses requiring hospital admissions but it was not initially appreciated that these episodes were likely secondary to recurrent aspiration from a gastric bezoar with "spill-over" aspiration.

Keywords: bezoars; delayed gastric emptying; esophageal atresia; gastric interposition surgery; phytobezoar.

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Figures

Figure 1
Figure 1
Initial CXR after referral to our services. Right hemithorax almost totally opacified with an unusual patterned appearance to the opacity.
Figure 2
Figure 2
Coronal section of chest CT scan. Gross distension of the stomach and a giant bezoar containing gas and food debris causing unusual patterning in the right hemithorax.
Figure 3
Figure 3
Most recent CXR post-surgery. The neo-esophagus is apparent at the right mediastinal border.
See this image and copyright information in PMC

References

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