Case Histories

Intragastric Gallstone-Induced Bezoar An Unusual Cause of Acute Gastric Outlet Obstruction

Authors: GEORGE M. TADROS MD, JOHN M. DRAGANESCU MD, LEON E. CLARKE MD, M ANTHONY ALBORNOZ MD

Abstract

Bezoars are an uncommon cause of acute gastric outlet obstruction. To our knowledge, this is the first report of a bezoar formed around a gallstone that migrated to the stomach via a cholecystogastric fistula. Our patient was a 42-year-old African American woman with long-standing type 2 diabetes. We suspect that diabetic diathesis was the major factor responsible for producing the pathologic derangement of the gallbladder and stomach, which led to development of the bezoar and serious complications.

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References