PMC6358576_01
Computed tomography image suggestive of a 9-10 cm bezoar (white arrow) in the mid small bowel.
CG-CGCR180075F001.jpg
PMC6358576_01_CG-CGCR180075F001.jpg
F1
Computed tomography (CT) of the abdomen and pelvis revealed a large (9-10 cm) mass suggestive of a bezoar at the level of the jejunojejunal anastomosis (J-JA) (Figure 1).
Endoscopy showing (A) the initial jejunal bezoar and (B) the bezoar after breaking it with biopsy forceps and water irrigation.
CG-CGCR180075F002.jpg
PMC6358576_01_CG-CGCR180075F002.jpg
F2
A push enteroscopy revealed circumferential solid feculent and vegetable material (12 cm in diameter) obstructing the jejunal lumen (Figure 2). A biopsy forceps combined with aggressive water irrigation was used to dissolve the bezoar (Figure 2).
Interval decrease in the size of bezoar seen on repeat endoscopy. (A) Bezoar, (B) breaking of the bezoar with forceps and snare, and (C) normal jejunum after complete breakdown of the bezoar.
CG-CGCR180075F003.jpg
PMC6358576_01_CG-CGCR180075F003.jpg
F3
The previously identified bezoar was significantly smaller in size and was further fragmented via biopsy forceps and a polypectomy snare (Figure 3).