CRGM_2019_5742672.pdf 5.96 MB
Iwamuro, Masaya Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences ORCID Kaken ID publons researchmap
Urata, Haruo Central Research Laboratory, Okayama University Medical School
Hirata, Shoichiro Department of Internal Medicine, Fukuyama City Hospital
Ueki, Toru Department of Internal Medicine, Fukuyama City Hospital
Hanabata, Tetsuro Department of Surgery, Teraoka Memorial Hospital
Takeda, Sho Department of Internal Medicine, Teraoka Memorial Hospital
Teraoka, Akira Department of Neurosurgery, Teraoka Memorial Hospital
A 68-year-old Japanese man was diagnosed with bezoar in the stomach, which was endoscopically retrieved. The bezoar was composed of bilirubin calcium, calcium carbonate, and fatty acid calcium. Due to the presence of bilirubin calcium in the bezoar, we performed imaging studies of the bile duct; gallstones and common bile duct stones were identified. Although bezoar with components similar to bile is infrequently encountered, our findings suggest that a bezoar originating from bile should be considered among the differential diagnoses in patients without a recent consumption history of persimmons who demonstrate a mass in the digestive tract. This case highlights the importance of component analysis of gastric bezoars because its findings may alter the treatment plan.
Case Reports in Gastrointestinal Medicine
Copyright © 2019 Masaya Iwamuro et al.
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