Abstract
Key Clinical MessageNettle consumption, as well as persimmon, orange, coconut etc. can lead to phytobezoar formation. Coke and cellulase‐resistant phytobezoars should be removed either endoscopically or surgically, depending on their dimensions. The treatment of choice for giant phytobezoars (more than 10 cm) is gastrotomy.
Highlights
Coke and cellulase-resistant phytobezoars should be removed either endoscopically or surgically, depending on their dimensions
Phytobezoars are formed of indigestible fibers of fruits and vegetables including tannin, lignin, and cellulose
The presented phytobezoar was formed of phloem fibers located in the stems of stinging nettle (Urtica dioica) which is eaten either raw or cooked in southern regions of Russia (Fig. 1)
Summary
Coke and cellulase-resistant phytobezoars should be removed either endoscopically or surgically, depending on their dimensions. The treatment of choice for giant phytobezoars (more than 10 cm) is gastrotomy. Eating habits of the patient, coming from the south of Russia, included raw stinging nettle.
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