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Rare disease
CASE REPORT
Recurrent gastric metal bezoar: a rare cause of gastric outlet obstruction
  1. Elias Chahine,
  2. Lionel El Khoury,
  3. Ramez Baghdady,
  4. Elie Chouillard
  1. Digestive and Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy/Saint-Germain-en-Laye, Poissy, France
  1. Correspondence to Dr Elias Chahine, dr_elias_chahine{at}hotmail.com

Summary

A 52-year-old male patient with psychiatric medical history who presented to the emergency department five times during a period of 5 years due to gastric outlet obstruction manifested mainly by abdominal pain, vomiting and haematemesis after intentionally ingesting metals and which necessitate several surgical interventions. Lately, he presented with generalised peritonitis due to gastric perforation from metal bezoars. Chronic abdominal symptoms in patient having a psychiatric disorder can be due to foreign body ingestion. Treatment is often surgical and the whole digestive tract should be explored to avoid retained bezoars.

  • emergency medicine
  • stomach and duodenum
  • eating disorders
  • gastrointestinal surgery

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bcr-2017-221928

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    Footnotes

    • Contributors EC is the primary author and performed writing and editing. EC is the senior author involved in writing, editing and supervising the manuscript. LEK helped in editing and case discussion. RB helped in editing and literature search.

    • Competing interests None declared.

    • Patient consent Guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.