Bezoar: Difference between revisions

Latest revision as of 21:19, 6 January 2026

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Background

Stomach anatomy

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
- Anticholinergic
- Opiates

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

Clinical Features

Differential Diagnosis

Epigastric Pain

Gastroesophageal reflux disease (GERD)
Peptic ulcer disease with or without perforation
- Zollinger-Ellison syndrome
Gastritis
Pancreatitis
Gallbladder disease
- Acute cholecystitis
- Cholangitis
- Symptomatic cholelithiasis
- Acalculous cholecystitis
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

External Links

References

Authors:

@@ Line 1: / Line 1: @@
-==Background==
+<languages/>
+<translate>
+==Background== <!--T:1-->
+<!--T:2-->
+[[File:Gray1046.png|thumb|Stomach anatomy]]
 *Mass within the gastrointestinal system
 *Made up of organic or inorganic material
@@ Line 6: / Line 12: @@
 *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)
+</translate>
+{{FB types}}
+<translate>
+==Clinical Features== <!--T:7-->
+<!--T:8-->
 *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==
-*See [[Abdominal pain]]
-*See [[Nausea and vomiting]]
-==Evaluation==
+==Differential Diagnosis== <!--T:9-->
-==Management==
+</translate>
+{{Abdominal Pain DDX Epigastric}}
+<translate>
+<!--T:10-->
+*See [[Special:MyLanguage/Nausea and vomiting|Nausea and vomiting]]
-==Disposition==
-==See Also==
+==Evaluation== <!--T:11-->
-==External Links==
-==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/>
+<!--T:20-->
+[[Category:GI]]
+</translate>