Gastric Bezoar Following Gastrojejunal Anastomosis: An Unwanted Case Presentation

Sanjeev Somashekar Rathod; H D Vinay; Bollet Pazing; Sapam Opendro Singh; Takhellambam Yumjaobabu Singh

Sanjeev Somashekar Rathod Post-graduate Student, Department of Surgery
H D Vinay Post-graduate Student, Department of Surgery
Bollet Pazing Post-graduate Student, Department of Surgery
Sapam Opendro Singh Associate Professor,Department of Surgery
Takhellambam Yumjaobabu Singh Professor, Department of Surgery

Keywords: Gastric bezoar, Gastrojejunal anastomosis, Mass per abdomen, Upper gastrointestinal endoscopy

Abstract

Bezoars are a form of concretions resulting from the indigestible material in the gastro-intestinal tract. Depending on the nature
of the content bezoar can be phytobezoars, trichobezoar, pharmacobezoar and lactobezoar. In general, gastric phytobezoars are
common in patients with dentition problems, impaired digestion, psychiatric ailment, decreased gastric motility and manipulation
of gastro-intestinal (GI) tract. They usually have a wide range of clinical presentations from abdominal discomfort and weight loss
to small bowel obstruction. We report a case of gastric bezoar who previously underwent gastrojejunostomy for duodenal ulcer,
presenting with mass per abdomen. Bezoar presenting as a mass per abdomen is uncommon. We recommend routine use of upper
GI (UGI) endoscopy for all the cases of mass per abdomen even if there are no UGI symptoms, especially following gastric surgery.