Bezoar: Difference between revisions
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==Background== | <languages/> | ||
<translate> | |||
==Background== <!--T:1--> | |||
<!--T:2--> | |||
[[File:Gray1046.png|thumb|Stomach anatomy]] | |||
*Mass within the gastrointestinal system | *Mass within the gastrointestinal system | ||
*Made up of organic or inorganic material | *Made up of organic or inorganic material | ||
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*More common females aged 10 to 19 years of age | *More common females aged 10 to 19 years of age | ||
==Clinical Features== | |||
===Risk Factors=== <!--T:3--> | |||
<!--T:4--> | |||
*Gastric dysmotility | |||
*Gastric outlet obstruction | |||
*[[Special:MyLanguage/Dehydration|Dehydration]] | |||
*Medications | |||
**[[Special:MyLanguage/Anticholinergic|Anticholinergic]] | |||
**[[Special:MyLanguage/Opiates|Opiates]] | |||
===Types of Bezoars=== <!--T:5--> | |||
<!--T:6--> | |||
*Food boluses | |||
*Lactobezoar (seen in premature infants receiving formula) | |||
*Pharmacobezoars (medications, especially overdoses of sustained-release medications | |||
*Phytobezoars (indigestible plant material) | |||
*[[Special:MyLanguage/trichotillomania|Trichobezoar]] (hair) | |||
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{{FB types}} | |||
<translate> | |||
==Clinical Features== <!--T:7--> | |||
<!--T:8--> | |||
*Indigestion | *Indigestion | ||
*[[Abdominal pain]] | *[[Special:MyLanguage/Abdominal pain|Abdominal pain]] | ||
*[[Nausea and vomiting]] | *[[Special:MyLanguage/Nausea and vomiting|Nausea and vomiting]] | ||
*Diarrhea | *[[Special:MyLanguage/Diarrhea|Diarrhea]] | ||
*Gastric ulcers | *[[Special:MyLanguage/gastric ulcer disease|Gastric ulcers]] | ||
== | ==Differential Diagnosis== <!--T:9--> | ||
</translate> | |||
{{Abdominal Pain DDX Epigastric}} | |||
<translate> | |||
<!--T:10--> | |||
*See [[Special:MyLanguage/Nausea and vomiting|Nausea and vomiting]] | |||
== | ==Evaluation== <!--T:11--> | ||
==References== | ==Management== <!--T:12--> | ||
<!--T:13--> | |||
*Removal either endoscopically if small but may require surgical removal when large | |||
==Disposition== <!--T:14--> | |||
==See Also== <!--T:15--> | |||
<!--T:16--> | |||
*[[Special:MyLanguage/Ingested foreign body|Ingested foreign body]] | |||
==External Links== <!--T:17--> | |||
==References== <!--T:18--> | |||
<!--T:19--> | |||
<references/> | <references/> | ||
<!--T:20--> | |||
[[Category:GI]] | |||
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Latest revision as of 21:19, 6 January 2026
Background
- Mass within the gastrointestinal system
- Made up of organic or inorganic material
- Commonly from eating hair or indigestible materials
- Risk factors include intellectual disability or emotional disturbance
- More common females aged 10 to 19 years of age
Risk Factors
- Gastric dysmotility
- Gastric outlet obstruction
- Dehydration
- Medications
Types of Bezoars
- Food boluses
- Lactobezoar (seen in premature infants receiving formula)
- Pharmacobezoars (medications, especially overdoses of sustained-release medications
- Phytobezoars (indigestible plant material)
- Trichobezoar (hair)
Foreign Body Types
- Ear foreign body
- Nasal foreign body
- Ocular foreign body
- Aspirated foreign body
- GI
- Soft tissue foreign body
Clinical Features
- Indigestion
- Abdominal pain
- Nausea and vomiting
- Diarrhea
- Gastric ulcers
Differential Diagnosis
Epigastric Pain
- Gastroesophageal reflux disease (GERD)
- Peptic ulcer disease with or without perforation
- Gastritis
- Pancreatitis
- Gallbladder disease
- Myocardial Ischemia
- Splenic Infarctionenlargement/rupture/aneurysm
- Pericarditis/Myocarditis
- Aortic dissection
- Hepatitis
- Pyelonephritis
- Pneumonia
- Pyogenic liver abscess
- Fitz-Hugh-Curtis Syndrome
- Hepatomegaly due to CHF
- Bowel obstruction
- SMA syndrome
- Pulmonary embolism
- Bezoar
- Ingested foreign body
- See Nausea and vomiting
Evaluation
Management
- Removal either endoscopically if small but may require surgical removal when large
Disposition
See Also