Image Based Question – 67621

A patient presented with anorexia,bloating and early satiety.X ray abdomen showed the following picture.During surgery,following material is reoved from the stomach.Which material can be implicated to be ingested chronically to produce this condition?

A. Hair

B. Overdose of sustained-release medications.

C. Unripe Persimmons

D. Any of the above.

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Correct Answer » D Explanation

Ans:D. Any of the above.

The patient in question is suffering from Bezoar.

Types of Bezoar by content:

• Food boluses (or boli; singular bolus) carry the archaic and positive meaning of bezoar, and are composed of loose aggregates of food items such as seeds, fruit pith, or pits, as well as other types of items such as shellac, bubble gum, soil, and concretions of some medications.

• Lactobezoar is a specific type of food bezoar comprising inspissated milk. It is most commonly seen in premature infants receiving formula foods.

• Pharmacobezoars (or medication bezoars) are mostly tablets or semiliquid masses of drugs, normally found following overdose of sustained-release medications.

• Phytobezoars are composed of indigestible plant material (e.g., cellulose), and are frequently reported in patients with impaired digestion and decreased gastric motility.

• Diospyrobezoar is type of phytobezoar formed from unripe persimmons.

• Trichobezoar is a bezoar formed from hair – an extreme form of hairball. Humans who frequently consume hair sometimes require these to be removed. The Rapunzel syndrome, a very rare and extreme case, may require surgery.