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Gastric Bezoar
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Rapunzel syndrome for trichobezoar
          • Definitions

            • Intragastric mass composed of accumulated ingested, undigested material

          IMAGING

          • General Features

            • Radiographic Findings

              • Fluoroscopic Findings

                • CT Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Zhang FH et al: Acute esophageal obstruction caused by reverse migration of gastric bezoars: a case report. World J Clin Cases. 8(14):3130-5, 2020
                                      2. Dong ZH et al: Giant gastroduodenal trichobezoar: acase report. World J Clin Cases. 7(21):3649-54, 2019
                                      3. Cannalire G et al: Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatr. 18(1):125, 2018
                                      4. Lin YM et al: Unusual gastric tumors and tumor-like lesions: radiological with pathological correlation and literature review. World J Gastroenterol. 23(14):2493-504, 2017
                                      5. Lu L et al: Gastric outlet obstruction--an unexpected complication during Coca-Cola therapy for a gastric bezoar: a case report and literature review. Intern Med. 55(9):1085-9, 2016
                                      6. Altintoprak F et al: CT findings of patients with small bowel obstruction due to bezoar: a descriptive study. ScientificWorldJournal. 2013:298392, 2013
                                      7. Tudor EC et al: Laparoscopic-assisted removal of gastric trichobezoar; a novel technique to reduce operative complications and time. J Pediatr Surg. 48(3):e13-5, 2013
                                      8. Zildzic M et al: The large gastric trichobezoar associated with ulcers and antral polyposis: case report. Med Arch. 67(3):212-4, 2013
                                      9. Dirican A et al: Surgical treatment of phytobezoars causes acute small intestinal obstruction. Bratisl Lek Listy. 110(3):158-61, 2009
                                      10. Gonuguntla V et al: Rapunzel syndrome: a comprehensive review of an unusual case of trichobezoar. Clin Med Res. 7(3):99-102, 2009
                                      11. Lee BJ et al: How good is cola for dissolution of gastric phytobezoars? World J Gastroenterol. 15(18):2265-9, 2009
                                      12. Vargas JD et al: A perfect storm. Gastric bezoar. Am J Med. 122(6):519-21, 2009
                                      13. DuBose TM 5th et al: Lactobezoars: a patient series and literature review. Clin Pediatr (Phila). 40(11):603-6, 2001
                                      14. Ripolles T et al: Gastrointestinal bezoars: sonographic and CT characteristics. AJR Am J Roentgenol. 177(1):65-9, 2001
                                      15. Morris B et al: An intragastric trichobezoar: computerised tomographic appearance. J Postgrad Med. 46(2):94-5, 2000
                                      16. Gayer G et al: Bezoars in the stomach and small bowel--CT appearance. Clin Radiol. 54(4):228-32, 1999
                                      17. Phillips MR et al: Gastric trichobezoar: case report and literature review. Mayo Clin Proc. 73(7):653-6, 1998
                                      18. West WM et al: CT appearances of the Rapunzel syndrome: an unusual form of bezoar and gastrointestinal obstruction. Pediatr Radiol. 28(5):315-6, 1998
                                      19. Newman B et al: Gastric trichobezoars--sonographic and computed tomographic appearance. Pediatr Radiol. 20(7):526-7, 1990
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Synonyms

                                                • Rapunzel syndrome for trichobezoar
                                              • Definitions

                                                • Intragastric mass composed of accumulated ingested, undigested material

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • Fluoroscopic Findings

                                                    • CT Findings

                                                      • Ultrasonographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Zhang FH et al: Acute esophageal obstruction caused by reverse migration of gastric bezoars: a case report. World J Clin Cases. 8(14):3130-5, 2020
                                                                          2. Dong ZH et al: Giant gastroduodenal trichobezoar: acase report. World J Clin Cases. 7(21):3649-54, 2019
                                                                          3. Cannalire G et al: Rapunzel syndrome: an infrequent cause of severe iron deficiency anemia and abdominal pain presenting to the pediatric emergency department. BMC Pediatr. 18(1):125, 2018
                                                                          4. Lin YM et al: Unusual gastric tumors and tumor-like lesions: radiological with pathological correlation and literature review. World J Gastroenterol. 23(14):2493-504, 2017
                                                                          5. Lu L et al: Gastric outlet obstruction--an unexpected complication during Coca-Cola therapy for a gastric bezoar: a case report and literature review. Intern Med. 55(9):1085-9, 2016
                                                                          6. Altintoprak F et al: CT findings of patients with small bowel obstruction due to bezoar: a descriptive study. ScientificWorldJournal. 2013:298392, 2013
                                                                          7. Tudor EC et al: Laparoscopic-assisted removal of gastric trichobezoar; a novel technique to reduce operative complications and time. J Pediatr Surg. 48(3):e13-5, 2013
                                                                          8. Zildzic M et al: The large gastric trichobezoar associated with ulcers and antral polyposis: case report. Med Arch. 67(3):212-4, 2013
                                                                          9. Dirican A et al: Surgical treatment of phytobezoars causes acute small intestinal obstruction. Bratisl Lek Listy. 110(3):158-61, 2009
                                                                          10. Gonuguntla V et al: Rapunzel syndrome: a comprehensive review of an unusual case of trichobezoar. Clin Med Res. 7(3):99-102, 2009
                                                                          11. Lee BJ et al: How good is cola for dissolution of gastric phytobezoars? World J Gastroenterol. 15(18):2265-9, 2009
                                                                          12. Vargas JD et al: A perfect storm. Gastric bezoar. Am J Med. 122(6):519-21, 2009
                                                                          13. DuBose TM 5th et al: Lactobezoars: a patient series and literature review. Clin Pediatr (Phila). 40(11):603-6, 2001
                                                                          14. Ripolles T et al: Gastrointestinal bezoars: sonographic and CT characteristics. AJR Am J Roentgenol. 177(1):65-9, 2001
                                                                          15. Morris B et al: An intragastric trichobezoar: computerised tomographic appearance. J Postgrad Med. 46(2):94-5, 2000
                                                                          16. Gayer G et al: Bezoars in the stomach and small bowel--CT appearance. Clin Radiol. 54(4):228-32, 1999
                                                                          17. Phillips MR et al: Gastric trichobezoar: case report and literature review. Mayo Clin Proc. 73(7):653-6, 1998
                                                                          18. West WM et al: CT appearances of the Rapunzel syndrome: an unusual form of bezoar and gastrointestinal obstruction. Pediatr Radiol. 28(5):315-6, 1998
                                                                          19. Newman B et al: Gastric trichobezoars--sonographic and computed tomographic appearance. Pediatr Radiol. 20(7):526-7, 1990