Skip to main content
SpringerLink
Log in

Bezoar formation and malabsorption secondary to persistent dilatation and dysmotility of the duodenum after repair of proximal jejunal atresia

  • Case Report
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

Abstract

Bezoar formation is a rare but well-recognised complication of previous gastric surgery and persimmon ingestion. We present a case of bezoar formation in the duodenum of a child with a grossly dilated, dysmotile duodenum following surgery for jejunal atresia. The presenting symptoms were vomiting, diarrhoea, and growth failure, with evidence of malabsorption secondary to bacterial overgrowth in the bezoar. Plication of the duodenum to reduce its size and improve its motility may reduce the likelihood of future bezoar formation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Andrus CH, Ponsky JL (1988) Bezoars: classification, pathophysiology and treatment. Am J Gastroenterol 83: 476–478

    Google Scholar 

  2. Arabia R, Labare C (1989) Duodenal phytobezoar in annular pancreas: an association or a complication? Radio Med (Torino) 78: 119–120

    Google Scholar 

  3. Calabuig R, Navarro S, Carrio I, Artigas V, Mones J, Puig LaCalle J (1989) Gastric emptying and bezoars. Am J Surg 157: 287–280

    Google Scholar 

  4. Choi SO, Kang JS (1988) Gastrointestinal phytobezoars in childhood. J Pediatr Surg 23: 338–341

    Google Scholar 

  5. Daghfous MS, Sayed S, Hammon A, Najjer T, Houissa T (1989) Unusual duodenal obstruction: association of a bezoar with a duodenal diaphragm. Tunis Med 67: 457–461

    Google Scholar 

  6. Giner M, Rivera J, Martin Baena JC, Escriva R, Romero B (1990) Delayed gastric emptying following subtotal gastrectomy. Rev Esp Enferm Dig 787: 31–34

    Google Scholar 

  7. Kokkonen ML, Kalima T, Jaaskelainen J, Louhino I (1988) Duodenal atresia: late follow-up. J Pediatr Surg 23: 216–220

    Google Scholar 

  8. Verstandig A, Klin B, Bloom R, Hadas I, Libson E (1989) Small bowel phytobezoars: detection with radiography. Radiology 172: 705–707

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, Royal Children's Hospital, Flemington Road, 3052, Parkville, VIC, Australia

    C. Ellaway & S. W. Beasley

Authors
  1. C. Ellaway
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. W. Beasley
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ellaway, C., Beasley, S.W. Bezoar formation and malabsorption secondary to persistent dilatation and dysmotility of the duodenum after repair of proximal jejunal atresia. Pediatr Surg Int 12, 190–191 (1997). https://doi.org/10.1007/BF01349997

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01349997

Key words

Search

Navigation