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UNUSUAL CASE
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Minimally invasive treatment of duodenal obstruction with acute pancreatitis caused by two large bezoars


 Department of Internal Medicine, Division of Gastroenterology and Hepatology, Korea University College of Medicine, Seoul, Republic of Korea

Correspondence Address:
Jae Min Lee,
Department of Internal Medicine, Division of Gastroenterology and Hepatology, Korea University College of Medicine, Seoul
Republic of Korea
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.jmas_30_22

PMID: 35915532

Bezoar without gastrointestinal surgical history occurring simultaneously in the gastric and duodenal lumen is very rare. We report a case of acute pancreatitis due to duodenal obstruction caused by two large bezoars. Two large bezoars were detected in the gastric and duodenal lumen, respectively, on abdominal computed tomography (CT) scan and oesophagogastroduodenoscopy images. Bezoars were crushed and removed using endoscopic devices such as trapezoid basket and lithotripsy handle. After removal of bezoars, blood tests and CT follow-up tests confirmed improvement. In the case of bezoar, which causes duodenal obstruction, it is difficult to administer coke for dissolution, and if it is difficult to perform surgical approach due to old age, an endoscopic treatment using mechanical lithotripsy devices can be an alternative option.


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    -  Lee KW
    -  Ha YW
    -  Lee JM
    -  Choe JW
    -  Hyun JJ
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04