Abstract
We report herein the rare case of a 26-year-old woman who developed a small-bowel obstruction caused by a medication “bezoar” or enterolith, following the long-term ingestion of magnesium oxide cathartics for constipation. Medication bezoars resulting from laxatives or cathartics have rarely been reported and we were only able to find two other such cases in the literature.
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Townsend CM, Remmers AR, Sarles HE (1973) Intestinal obstruction from medication bezoar in patients with renal failure. N Engl J Med 288:1058–1059
Berger M, Schuessler JS, Carvajal HF (1974) Obturator intestinal obstruction following renal allotransplantation: Relief with hyperosmolar enemas. Surgery 75:746–749
Brettschneider L, Monafo W, Osborne DP (1965) Intestinal obstruction due to antacid gels. Gastroenterology 49:291–294
Cohen MI, Winslow PR, Boley SJ (1969) Intestinal obstruction associated with cholestyramine therapy. N Engl J Med 280:1285–1286
Anderson W, Weatherstone G, Veal C (1989) Esophageal medication bezoar in a patient receiving enteral feedings and sucralfate. Am J Gastroenterol 84:205–206
Carrougher JG, Barrilleaux CN (1991) Esophageal bezoar: the sucralith. Crit Care Med 19:837–839
Fildes RD, Springate JE, Jewett T (1989) Colonic intussusception secondary to a calcium phosphate bezoar in a child receiving calcium carbonate for hyperphosphatemia. J Pediatr Surg 24:1195–1197
Shepherd MF (1993) Drug experience: Bezoar formed by fragments of extended-release nifedipine tablets. Clin Pharm 12:849–852
Korenman MD, Stubbs MB, Fish JC (1978) Intestinal obstruction from medication bezoars. JAMA 240:54–55
Burruss GL, Van Voorst SJ, Crawford AJ (1986) Small bowel obstruction from an antacid bezoar: A ranitidine-antacid interaction? South Med J 79:917–918
Portuguez-Malavasi A, Aranda JV (1979) Antacid bezoar in a newborn. Pediatrics 63:679–680
Rosenberg HK (1982) Antacid bezoar in a premature infant. Clin Pediatr 21:503–504
Schneider RP (1989) Perdiem causes esophageal impaction and bezoars. South Med J 82:1449–1450
Naito S, Kawauchi A, Gomi A (1985) Ultrasonic demonstration of enterolith: report of two cases (in Japanese with English abstract). Nippon Chyoonnpa Igaku Gakkai Zasshi (J Jpn Med Ultrasonics) 12:158–163
Sandeman DR, Clements MR, Perrins EJ (1980) Oesophageal obstruction due to hygroscopic gum laxative. Lancet 0:364–365
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Tatekawa, Y., Nakatani, K., Ishii, H. et al. Small bowel obstruction caused by a medication bezoar: Report of a case. Surg Today 26, 68–70 (1996). https://doi.org/10.1007/BF00311997
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DOI: https://doi.org/10.1007/BF00311997