, Volume 1, Issue 4, pp 333-334,
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Date: 14 Nov 2008

Diospyrobezoar: an uncommon cause of obstructive ileus

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A 40-year-old Hindustani male, with a past medical history of acetic acid intoxication, presented to the emergency department with cramping epigastric pain. The pain was reminiscent of the pain he had experienced 2 weeks before. At that time, his pain had resolved at presentation to the emergency department and he was discharged home with a proton pump inhibitor for the diagnosis of “peptic ulcer”. An ultrasound performed on the following day showed a dilated small intestine with intra-luminal fluid suggestive of a period of transient obstruction. The ultrasound (Fig. 1) and subsequent abdominal computed tomography (CT) scan (Fig. 2a,b) made during the present visit to the emergency department, with his pain still present, depict two intra-luminal foreign bodies. Fig. 1

Ultrasound of the abdomen showing dilated small intestine with an intra-luminal foreign body
Fig. 2
CT scan of the abdomen showing one foreign body in the stomach (a) and one in the dilated duodenum (b)

A bezoar is an accum