Migration of Gastric Bezoar with Recurrent Bowel Obstruction: Report of a Case

Abstract

Bezoar-related bowel obstruction is one unusual cause of mechanical ileus, and recurrent bowel obstruction with a bezoar is even rarer. We present a case of recurrent postoperative bezoar bowel obstruction due to a missed concomitant gastric bezoar, which was shown in the pre-operative abdominal CT, but in this case the main lesion related to bowel obstruction had been considered to be the bowel bezoar. A second operation was performed 7 days later for the recurrent bowel obstruction. A review of the literature shows that intra-operative fragmentation of the gastric bezoar should be considered to prevent recurrent bowel obstruction.