Cases reported "Bezoars"

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1/4. Giant gastric trichobezoar.

    bezoars are relatively common foreign body lesions of the stomach and intestine. Small bezoars can be treated using non-surgical methods, but large bezoars usually require open surgery. Occasionally they are giant-sized and may mimic an intra-abdominal mass clinically. We present the case of a 24-year-old woman with a giant gastric trichobezoar treated by open surgery; treatment methods are discussed.
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2/4. A denture complication: sarcoid-like foreign body granulomas of the tongue.

    sarcoidosis in the oral cavity occurs extremely rare (there have been described only 47 cases in the literature) and is almost always doubtful. We describe a protruding painful nodule (1 cm) on the apex of the tongue of a 65-year-old female, adjacent to the site of irritation of a new denture. Histologically it was confluent mass of non-caseous granulomas, rich in Langhans' cells. silver impregnation showed them stamped out as in sarcoidosis. Corticosteroids proved to be ineffective and the therapy was discontinued because of the concomitant diabetes. Six months later, similar nodules reappeared on the same place. When examined in polarized light these giant cells were found to be of the foreign body type, each of them containing phagotized particles displaying bright yellow and dark green colour. We assume a sarcoid-like reaction of traumatic origin. There was no recurrence of the condition after removal of the denture.
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3/4. Report of a case of a giant phytobezoar in a patient with a duodenal bulb ulcer.

    A case of a large phytobezoar (750 g weight and with the length of 29 cm) due to Khormalou (Persimmon) is being reported in a young patient with chief complaint of abdominal pains and concomitant duodenal ulcer. review of the literature in this subject shows that bezoars of this size and weight are relatively rare in healthy individuals.
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4/4. Giant trichobezoar--an unusual case.

    It has been known for several thousand years that concretions of animal and vegetable matter form in the stomachs and intestines of certain animals. These objects are known as bezoars. The finding of such curiosities in man is also recognised but is rare. A short history of bezoars is given and a case of a giant trichobezoar reported. The medical, surgical and psychiatric aspects are discussed.
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