Plastic Bottle Cap Bezoar in an Adult Extracted Via Laparoscopic Gastrostomy: A Case Report
DOI:
https://doi.org/10.30442/ahr.1104-10-308Abstract
Gastric bezoar is a rare encounter in surgical practice. Extraction after diagnosis is needed to prevent complications such of bleeding, obstruction, or perforation. Endoscopy has taken centre stage in the retrieval of objects from the stomach. Laparoscopic extraction of gastric bezoars presents a better option over open surgery, where facilities for endoscopic extraction are lacking.
We present the management of a 64-year-old Nigerian man who was diagnosed during upper gastrointestinal endoscopy for his epigastric pain. The plastic bottle cap was extracted from his stomach via laparoscopic anterior gastrotomy and primary closure. He had a good postoperative outcome and has been followed up for six months without any adverse sequelae. Compared with open surgery, this report presents a less traumatic and viable approach for the extraction of a gastric bezoar. It can be a valuable option for surgeons practising in developing countries where facilities for advanced gastrointestinal endoscopy are scarce.
References
1. Misra SP, Dwivedi M, Misra V. Endoscopic management of a new entity-plastobezoar: A case report and review of literature. World J Gastroenterol 2006;12:6730–6733. https://doi.org/10.3748/wig.v12.i41.6730.
2. Sultan N, Attar H, Sembawa H, Alharthi H. A plastic bezoar causing bowel obstruction: A case of table cover ingestion. Int J Surg Case Rep 2024;117:109506. https://doi.org/10.1016/j.ijscr.2024.109506.
3. Yaka M, Ehirchiou A, Alkandry TTS, Sair K. Huge plastic bezoar: A rare cause of gastrointestinal obstruction. Pan Afr Med J 2015;21:1–5. https://doi.org/10.11604/pamj.2015.21.286.7169.
4. Addalla M, Sunni S, Bukrah A, El-Usta A. An unusual cause of acute abdomen: of massive foreign-body bezoar. Ibnosina J Med Biomed Sci 2018;10:178-180. https://doi.org/10.4103/ijmbs.ijmbs_41_18.
5. Ofori E, Ramai D, Nigar S, Xiao P, Shahzad G, Reddy M, et al. Abstracts 2601 WT1 Negative Variant Desmoplastic Small Round Cell Tumor Endoscopic Removal of a Giant Gastric Bezoar in a Gastric Pouch Diverticulum [Internet]. 2017. Available from: www.nature.com/ajg
6. Dhakal OP, Dhakal M, Bhandari D. Phytobezoar leading to gastric outlet obstruction in a patient with diabetes. BMJ Case Rep 2014;2013–2015. https://doi.org/10.1136/bcr-2013-200661
7. Chowdhury S, Chakraborty P pratim. Trichobezoar without a clear manifestation of trichotillomania Akhilesh. J Family Med Prim Care 2017;6:169–170. https://doi.org/10.4103/jfmpc.jfmpc_11_20
8. Alturkmani OG, Al-Badawi MM, Alturkmani SG, Al-Midani MH, Attar SA. A Case Report of Non-intentional Foreign Body Ingestion in an Elderly Patient. Cureus 2023;15:1–6. https://doi.org/10.7759/cureus.37684.
9. Khan S, Jiang K, Zhu L ping, Khan I ahmad, Ullah K, Khan S, et al. Upper gastrointestinal manifestation of bezoars and the etiological factors: A literature review. Gastroenterol Res Pract 2019;2019. https://doi.org/10.1155/2019/5698532.
10. Dorterler M, Günendi T, Çakmak M, Shermatova S. Bezoar types in children and aetiological factors affecting bezoar formation: A single-centre retrospective study. Afr J Paediatr Surg 2023;20:8–11. https://doi.org/10.4103/ajps.ajps_70_21.
11. Cindy M, Blanco O, V M, Lucila P, Berger M, Miryam M. Bezoar in Pediatrics: Case Series and Literature Review. SVOA Paediatrics [Internet] 2024;3:166–70. Available from: https://sciencevolks.com/paediatrics/pdf/SVOA-PD-03-083.pdf
12. Tang MH, Heng G. Surgical management of intestinal obstruction from phytobezoar. J Acute Care Surg 2019;9:60-65. https://doi.org/10.17479/jacs.2019.9.2.60
13. Yaka M, Ehirchiou A, Alkandry TTS, Sair K. Huge plastic bezoar: A rare cause of gastrointestinal obstruction. Pan Afr Med J 2015;21:1–5. https://doi.org/10.11604/pamj.2015.21.286.7169.
14. Verma VK. Plastic bezoars-A unique introduction in bezoars family. Indian J Surg 2013;75:51–53. https://doi.org/10.1007/s12262-011-0328-0.
15. Staudenmann D, Kaffes AJ, Saxena P. Plastic bezoar causing acute pancreatitis in an adolescent: A case report. JPGN Rep 2021;2:e026. https://doi.org/10.1097/PG9.0000000000000026.
16. Sultan N, Attar H, Sembawa H, Alharthi H. A plastic bezoar causing bowel obstruction: A case of table cover ingestion. Int J Surg Case Rep [Internet] 2024;117 (January):109506. Available from: https://doi.org/10.1016/j.ijscr.2024.109506.
17. Mitsui E, Inaba M, Mimura T. Peritonitis with small intestinal perforation caused by a plastic bread bag clip: A case report. Int J Surg Case Rep [Internet] 2018;51:130–3. Available from: https://doi.org/10.1016/j.ijscr.2018.08.016
18. Mitsui E, Inaba M, Mimura T. Peritonitis with small intestinal perforation caused by a plastic bread bag clip: A case report. Int J Surg Case Rep 2018;51:130–133. https://doi.org/10.1016/j.ijscr.2018.08.016.
19. Pedroza A. Duodenal plastic bezoar as a rare cause of acute pancreatitis: case report and literature review. J Liver Res Disord Ther. 2018;4:100‒103. https://doi.org/10.15406/jlrdt.2018.04.00109.
20. Adejumo AA, Koroye OF, Ajamu OJ, Adeosun OA. Giant gastric bezoar: A case report. Niger J Med 2019; 28:544–547.
21. Selçuk H, Ünal H, Korkmaz M, Yilmaz U. Subacutely formed bezoar resulting from accidentally ingested industrial material. J Chinese Med Assoc 2009;72:202–203. https://doi.org/10.1016/S1726-4901(09)70054-1.
22. Munter DW. Gastrointestinal Foreign Bodies Treatment & Management. https://emedicine.medscape.com/article/776566-treatment?icd=login_success_email_match_norm 2018;
23. Sharma D, Srivastava M, Babu R, Anand R, Rohtagi A, Thomas S. Laparoscopic treatment of gastric bezoar. Journal of the Society of Laparoendoscopic Surgeons 2010;14(2):263–7. doi: 10.4293/108680810X12785289144566
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Annals of Health Research (The Journal of the Medical and Dental Consultants Association of Nigeria, OOUTH, Sagamu, Nigeria)

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The articles and other materials published in the Annals of Health Research are protected by the Nigerian Copyright laws. The journal owns the copyright over every article, scientific and intellectual materials published in it. However, the journal grants all authors, users and researchers access to the materials published in the journal with the permission to copy, use and distribute the materials contained therein only for academic, scientific and non-commercial purposes.