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. 2015 Dec 16;3(1):000258.
doi: 10.12890/2015_000258. eCollection 2016.

An Unexpected Cause of Marked Weight Loss Associated with Vomiting in an Adult Man: Gastric Phytobeozar

Marco Vacante  1 , Innocenza Alessandria  1 , Emanuela Cataudella  1 , Rosangela Fichera  1 , Lorenzo Malatino  1
Affiliations

An Unexpected Cause of Marked Weight Loss Associated with Vomiting in an Adult Man: Gastric Phytobeozar

Marco Vacante et al. Eur J Case Rep Intern Med. .

Abstract

Objectives: We present the case of an edentulous 47-year-old farmer referred to our Department of Internal Medicine because of postprandial vomiting, hyporexia, asthenia and weight loss. He ate a mostly vegetarian diet.

Materials and methods: An oesophagogastroduodenoscopy revealed the presence of a phytobezoar at the level of the fundus and body of the stomach. Endoscopic fragmentation and removal of the phytobezoar were unsuccessful and the patient had to undergo open surgery.

Results: Recovery was uneventful and free of complications.

Conclusion: Phytobezoars should be taken into account in the differential diagnosis of unexplained vomiting and weight loss.

Learning points: Bezoars are concretions of indigestible materials located in the gastrointestinal tract.Gastric phytobezoars may cause unexplained vomiting and weight loss even in young people.The diagnosis of phytobezoars may be complex and endoscopy is helpful in most cases.

Keywords: Bezoar; edentulism; hyporexia; vomiting; weight loss.

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Conflict of interest statement

Conflicts of Interests: The authors declare that there are no competing interests.

Figures

Figure 1
Figure 1
CT scan of the abdomen showing an ovoid intraluminal heterogeneous mass in the stomach, with interspersed gas (arrow)
Figure 2
Figure 2
Endoscopic image of the intragastric phytobezoar
Figure 3
Figure 3
Surgical removal of the phytobezoar by gastrotomy
See this image and copyright information in PMC

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