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CC BY 4.0 · Journal of Digestive Endoscopy 2024; 15(04): 258-260
DOI: 10.1055/s-0044-1791952
Case Report

Resolving Duodenal Gastric Outlet Obstruction: A Case Report of Successful Management of Phytobezoar Impaction in a Duodenal Diverticulum

Ashok Jhajharia
1   Department of Gastroenterology, SMS Hospital, Jaipur, Rajasthan, India
,
Narendra Kumar Bishnoi
1   Department of Gastroenterology, SMS Hospital, Jaipur, Rajasthan, India
,
Prachis Ashdhir
1   Department of Gastroenterology, SMS Hospital, Jaipur, Rajasthan, India
,
Sandeep Nijhawan
1   Department of Gastroenterology, SMS Hospital, Jaipur, Rajasthan, India
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Abstract

Gastric outlet obstruction (GOO) is a clinical syndrome characterized by hindrance in the passage of gastric contents into the duodenum, with various etiologies including bezoars. Phytobezoars, composed of undigested food fibers, represent a rare but significant cause of GOO. Herein, we present a case of a 34-year-old female with recurrent vomiting and early satiety, diagnosed with GOO caused by an impacted phytobezoar in the duodenum. Despite initial unsuccessful attempts at endoscopic removal, alternative techniques led to successful extraction. Postprocedure evaluation revealed a large duodenal diverticulum. Our experience underscores the complexity of managing duodenal phytobezoars and highlights the efficacy of combined therapeutic approaches. Heightened awareness among gastroenterologists regarding this condition is essential to optimize patient outcomes. Recurrence prevention strategies include dietary modifications and periodic endoscopic interventions for challenging cases.

Keywords

gastric outlet obstruction - phytobezoar - endoscopy - duodenal diverticulum

Declarations

Authors declare there is no conflict of interest.




Publication History

Article published online:
01 December 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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