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

Authors
  • Vacante, Marco
  • Alessandria, Innocenza
  • Cataudella, Emanuela
  • Fichera, Rosangela
  • Malatino, Lorenzo
Type
Published Article
Journal
European Journal of Case Reports in Internal Medicine
Publisher
SMC Media Srl
Publication Date
Dec 16, 2015
Volume
3
Issue
1
Identifiers
DOI: 10.12890/2015_000258
PMID: 30755850
PMCID: PMC6346827
Source
PubMed Central
Keywords
License
Unknown

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.

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