The gastroscopic diagnosis of phytobezoar

Abstract

The difficulties involved in the clinical diagnosis of phytobezoar are well illustrated by this case. Since the symptoms so closely simulated those found in other types of gastric pathology, it is not surprising that they suggested either gastric ulcer or carcinoma. An x-ray diagnosis was made of possibly malignant gastric ulceration and associated foreign body. However, the exact nature of the foreign body could not be determined. Gastroscopic examination made possible a positive diagnosis of phytobezoar and benign ulcer of the lesser curvature. These findings were confirmed by surgical and pathologic examination.