An Unexpected Cause of Marked Weight Loss Associated with Vomiting in an Adult Man: Gastric Phytobeozar

  • Marco Vacante Department of Internal Medicine, University of Catania, Ospedale Cannizzaro, Catania
  • Innocenza Alessandria Department of Internal Medicine, University of Catania, Ospedale Cannizzaro, Catania
  • Emanuela Cataudella Department of Internal Medicine, University of Catania, Ospedale Cannizzaro, Catania
  • Rosangela Fichera Department of Internal Medicine, University of Catania, Ospedale Cannizzaro, Catania
  • Lorenzo Malatino Department of Internal Medicine, University of Catania, Ospedale Cannizzaro, Catania

Keywords

bezoar, edentulism, vomiting, hyporexia, weight loss

Abstract

Objectives: We present the case of an edentulous 47-year-old farmer referred to our Department of Internal Medicine because of postprandial vomiting, hyporexia, asthenia and weight loss. He ate a mostly vegetarian diet.

Materials and methods: An oesophagogastroduodenoscopy revealed the presence of a phytobezoar at the level of the fundus and body of the stomach. Endoscopic fragmentation and removal of the phytobezoar were unsuccessful and the patient had to undergo open surgery.

Results: Recovery was uneventful and free of complications.

Conclusion: Phytobezoars should be taken into account in the differential diagnosis of unexplained vomiting and weight loss.

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  • Published: 2015-12-16

    Issue: Vol 3 No 1 (view)

    Section: Articles

    How to cite:
    Vacante, M., Alessandria, I., Cataudella, E., Fichera, R., & Malatino, L. (2015). An Unexpected Cause of Marked Weight Loss Associated with Vomiting in an Adult Man: Gastric Phytobeozar. European Journal of Case Reports in Internal Medicine, 3(1). https://doi.org/https://doi.org/10.12890/2015_000258