Dergiler / Şişli Etfal Hastanesi Tıp Bülteni / 2019 / Cilt: 53 - Sayı: 4

Lithobezoar: A Case Report and Literature Review of an Infrequent Cause of Abdominal Pain

Sayfa
445–449
DOI
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Özet

A bezoar is the accumulation of indigestible substances in the gastrointestinal system. Presently described is the case of a 47-yearold male patient who was admitted to the clinic with nausea, vomiting, pain, and abdominal distension. He had a medical historyof obsessive-compulsive disorder. He had begun eating soil in the previous 3 to 4 months. Gastroscopy revealed a large, solid, claylike mass in the stomach. Surgery was successfully performed to remove the collected soil, but unfortunately, the patient died dueto an acute myocardial infarction on the postoperative fourth day. Physicians should keep bezoars in mind in cases of unexplainedabdominal symptoms, especially in females and patients with psychiatric disorders. Psychiatric disorders are often ignored by surgeons during examinations, which can lead to serious and life-threatening complications.