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>Journals >Cirugía y Cirujanos >Year 2011, Issue 5

Márquez-Rojas J, Roldán-Baños S, López-Guerra D, Onieva-González FG, Jiménez-Redondo JL, Leal-Macho A
Bezoar after ingestion of metallic foreign bodies
Cir Cir 2011; 79 (5)

Language: Español
References: 13
Page: 464-467
PDF: 264.75 Kb.

[Full text - PDF]


Background: Ingestion of foreign bodies represents a common feature in psychiatric patients and prisoners. Bezoar is a conglomeration of partially or undigested foreign material in the gastrointestinal tract. These are classified into several types according to the materials which they are composed of, the least frequent being metals. There are few cases reported in the literature.
Clinical case: We report a case of a patient with a pathological history of mental disorder. The patient complained of abdominal pain 24 h prior, and there were no other symptoms. Physical examination revealed pain in the upper quadrant without peritoneal irritation. Laboratory tests were normal and plain x-ray of the abdomen showed several metallic foreign bodies, some sharp, ›5 cm in length and with intestinal prolongation. Surgical intervention was performed several hours later: gastrotomy to remove the gastric bezoar that was composed of several screws, nails, scrap metal, lighters, clothespins, radio antennas and one coin. Four metallic foreign bodies were found in the small bowel after reviewing the abdominal cavity, so enterotomy was also performed to remove them. Postoperative course was uneventful.
Conclusions: Surgical treatment must be considered in cases of multiple, large, sharp objects or complications. An exhaustive study of the case is essential to avoid delay in treatment and potential complications.

Key words: Bezoar, foreign bodies, mental disorders.


  1. Selcuk H, Unal H, Korkmaz M, Yilmaz U. Subacutely formed bezoar resulting from accidentally ingested industrial material. J Chin Med Assoc 2009;72:202-203.

  2. Salb RL. Metallic bezoar. Med Radiogr Photogr 1956;32:32-33.

  3. Kaplan R, Celebi F, Guzey D, Celik AS, Erozgen F, Firat N. Medical image. Metal bezoar. NZ Med J 2005;118(1219):U1588.

  4. Prieto-Aldape MR, Almaguer-García FI, Figueroa-Jiménez SE, Fernández-Díaz O, Mora-Huerta JA, González-Ojeda A. Relapsing massive metal bezoar: a case report. J Med Case Reports 2009;3:56.

  5. Yilmaz M, Isik B, Sogutlu G, Ara C, Yilmaz S, Kirimlioglu V. Duodeno- sigmoid fistula due to ingested metallic wire. J Emerg Med 2008;34:83-84.

  6. Puglisi R, Murmura C, Piombo A, Quaglia F. Retroperitoneal abscess due to asymptomatic duodenal perforation by foreign body. A case report. G Chir 2008;29:180-181.

  7. Pawa S, Khalifa AJ, Ehrinpreis MN, Schiffer CA, Siddiqui FA. Zinc toxicity from massive and prolonged coin ingestion in an adult. Am J Med Sci 2008;336:430-433.

  8. Martinón-Torres F, Dargallo-Carbonell T, Marcos-Alonso S, Cabanas-Rodríguez P, González-Alonso N, Almeida-Agudín S. Ingestión de cuerpos extraños de plomo. An Pediatr 2005;63:453-456.

  9. Malik AM. Small bowel perforation due to deliberate ingestion of injurious foreign bodiesa personal experience. J Ayub Med Coll Abbottabad 2008;20:136-137.

  10. Palta R, Sahota A, Bemarki A, Salama P, Simpson N, Laine L. Foreign- body ingestion: characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion. Gastrointest Endosc 2009;69:426-433.

  11. Pavlidis TE, Marakis GN, Triantafyllou A, Psarras K, Kontoulis TM, Sakantamis AK. Management of ingested foreign bodies. How justifiable is a waiting policy? Surg Laparosc Endosc Percutan Tech 2008;18:286-287.

  12. Rodríguez-Hermosa JL, Roig-García J, Ruiz-Feliú B, Gironés-Vilá J, Codina-Cazador A, Pont-Valles J, et al. Ingestión reiterada de cuerpos extraños y autoagresiones abdominales como intento de suicidio. Gastroenterol Hepatol 2004;27:529-534.

  13. Lana R, Mendoza JL, Lérida AI. Accidental ingestion of unusual metallic foreign body. Rev Esp Enferm Dig 2004;96:874-875.

>Journals >Cirugía y Cirujanos >Year 2011, Issue 5

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