Indian Journal of Surgery

, Volume 78, Issue 6, pp 502–504 | Cite as

An Unusual Cause of Duodenal Obstruction: Persimmon Phytobezoar

  • Shengxian Fan
  • Jing Wang
  • Yousheng LiEmail author
Case Report


Duodenal phytobezoar, an unusual cause of acute duodenal obstruction, is rarely seen. The most common cause of this type of bezoar is persimmon. It frequently arises from underlying gastrointestinal tract pathologies (gastric surgery, etc.). Here, we report the case of a 66-year-old man who had undergone distal gastrectomy with Billroth I reconstruction for gastric cancer and experienced severe epigastric discomfort, abdominal pain, and vomiting for a few days. The abdominal computed tomography scan showed a large-sized mass in the horizontal portion of the duodenum. On following endoscopic examination, a large phytobezoar was revealed in the duodenum. He was treated with endoscopic fragmentation combined with nasogastric Coca-Cola. The patient tolerated the procedure well and resumed a normal oral diet 3 days later.


Coca-Cola Duodenal obstruction Endoscopic fragmentation Persimmon phytobezoar 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.

Informed Consent

Written informed consent was obtained from the patient for publication.


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Copyright information

© Association of Surgeons of India 2016

Authors and Affiliations

  1. 1.Department of Surgery, Jinling HospitalNanjing University School of MedicineNanjingChina

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