Summary:
Medication bezoars are rare and are composed of medications
and/or medication vehicles. Rarely, medication bezoars can
cause serious problems due to complications such as
perforation, obstruction, haemorrhage. A 60 years old woman
presented with 10 days history of epigastric pain, weakness
and postprandial non-bilious vomiting. Her abdominal
ultrasonography showed strong post acoustic shadow noted
within 1st part of duodenum possibly foreign body. Upper
gastrointestinal endoscopy was performed and a bezoar of
tablet of aluminum hydroxide was extracted. The patient
had uneventful recovery.
Acute gastric outlet obstruction is relatively uncommon and
mostly due to foreign bodies related to food impaction, with
meat being the most frequent culprit. The diagnostic approach
to acute gastric outlet obstruction is similar to other cause of
GOO. However, therapeutic options differ for each patient.
The diagnosis should be made in prompt time to prevent life
threatening complications due obstruction and/or effect of
medication forming bezoar.
Keywords: Medication bezoar, gastric outlet obstruction,
endoscopy.
(J Banagladesh Coll Phys Surg 2015; 33: 177-180)