Acute pancreatitis and small bowel obstruction caused by a migratory gastric bezoar after dissolution therapy: A case report  

作　　者：Ting-Ting Wang Jia-Jun He Jun Liu Wei-Wei Chen Chao-Wu Chen 

机构地区：[1]Department of Gastroenterology,The First Clinical Medical College,Dalian Medical University,Dalian 116044,Liaoning Province,China [2]Endoscopy Center,Department of Gastroenterology,Clinical Medical College,Yangzhou University,Yangzhou 225009,Jiangsu Province,China

出　　处：《World Journal of Clinical Cases》2021年第13期3114-3119,共6页世界临床病例杂志

摘　　要：BACKGROUND Bezoars are conglomerates of indigestible foreign material that can be found in the gastrointestinal tract.Gastric ulcer,gastrointestinal perforation,and intestinal obstruction are the main complications.Acute pancreatitis secondary to bezoar is rare.Here,we present a rare case of a migratory gastric bezoar complicated by acute pancreatitis and small bowel obstruction after dissolution therapy.CASE SUMMARY A-65-year-old woman underwent gastroscopy because of epigastric pain,which revealed a huge bezoar and a gastric ulcer 10 d prior.The patient was discharged with a prescription of drinking 1 L Coca-Cola daily for 6 d,without repeat gastroscopy.However,she suddenly developed epigastric pain,nausea and vomiting for 3 d.Abdominal computed tomography(CT)revealed mild inflammation of the pancreas.Magnetic resonance cholangiopancreatography showed no abnormalities in the pancreatic duct or common bile duct.The nasogastric tube still showed drainage of more than 1.6 L of dark fluid each day after symptomatic treatment.Abdominal CT re-examination suggested intestinal obstruction.Esophagogastroduodenoscopy revealed a huge yellowish hard mass in the jejunal lumen,and we used the basket and net to fragment the bezoar.She was discharged with a good outcome.CONCLUSION Endoscopic therapy is the first choice for gastric bezoars.When mechanical disintegration cannot be achieved,timing of repeat endoscopy is important during Coca-Cola dissolution therapy.

关 键 词：BEZOAR Intestinal obstruction Acute pancreatitis Dissolution therapy ENDOSCOPY Case report 

分 类 号：R576[医药卫生—消化系统] R574.5[医药卫生—内科学]