Small bowel obstruction caused by a medication bezoar: Report of a case

@article{Tatekawa2004SmallBO,
  title={Small bowel obstruction caused by a medication bezoar: Report of a case},
  author={Yukihiro Tatekawa and Katsunori Nakatani and Hisashi Ishii and Shuuichi Paku and Minoru Kasamatsu and Nao Sekiya and Hiroshige Nakano},
  journal={Surgery Today},
  year={2004},
  volume={26},
  pages={68-70}
}
We report herein the rare case of a 26-year-old woman who developed a small-bowel obstruction caused by a medication “bezoar” or enterolith, following the long-term ingestion of magnesium oxide cathartics for constipation. Medication bezoars resulting from laxatives or cathartics have rarely been reported and we were only able to find two other such cases in the literature. 
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TLDR
It is recommended that patients with known large bowel strictures should be advised not to eat seeds as this could ultimately lead to obstruction, ischaemia or perforation.
Rectal obstruction by a giant pharmacobezoar composed of magnesium oxide: Report of a case
This report presents the rare case of a 75-year-old woman who developed a rectal obstruction caused by a pharmacobezoar, following the long-term ingestion of magnesium oxide cathartics for…
CASE REPORT 】 A Magnesium Oxide Bezoar
TLDR
The present case indicates that pharmacobezoar should be considered among the differential diagnoses in patients who demonstrate a radiopaque mass in the digestive tract and have a history of magnesium oxide use.
A Magnesium Oxide Bezoar
TLDR
The present case indicates that pharmacobezoar should be considered among the differential diagnoses in patients who demonstrate a radiopaque mass in the digestive tract and have a history of magnesium oxide use.
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TLDR
The patient was a 64-year-old Chinese man with a history of chronic obstructive lung disease who presented with abdominal pain and distension of 1 day’s duration, and his post-operative recovery was uncomplicated.
Small bowel obstruction due to an unconjugated ursodeoxycholic acid enterolith following living donor liver transplantation: Report of a case
TLDR
An ileus caused by a true enterolith is a rare clinical complication of LDLT and must be considered in the differential diagnosis of intestinal obstructions in liver transplant recipients with Roux‐en‐Y hepaticojejunostomies and/or bowel stasis.
Nontraumatic perforation of the small intestine caused by true primary enteroliths associated with radiation enteritis: a case report
TLDR
Clinicians should consider the rare entity of true primary enteroliths associated with radiation enteritis in NTPSI cases with unknown etiologies.
Clinical characteristics and treatment outcomes of nineteen Japanese patients with gastrointestinal bezoars.
TLDR
Elderly individuals with a positive history of surgery and/or diabetes mellitus were observed in this bezoar patient series, and Gastric ulcers and gastrointestinal bleeding were frequently observed.
Pharmacobezoars described and demystified
TLDR
Becoming familiar with the sparse data available on pharmacobezoars and maintaining a high index of suspicion in future clinical encounters may be the best way to improve diagnostic sensitivity and accuracy.
CLINICAL AND FORENSIC ASPECTS OF PHARMACOBEZOARS.
BACKGROUND Pharmacobezoars are specific types of bezoars formed when medicines, such as tablets, suspensions, and/or drug delivery systems, aggregate and may cause death by occluding airways with…
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References

SHOWING 1-10 OF 17 REFERENCES
Small bowel obstruction from an antacid bezoar: a ranitidine-antacid interaction?
TLDR
The effect of ranitidine on gastric secretory volume was the cause of the antacid concretion in a 63-year-old man with an acute small bowel obstruction.
Colonic intussusception secondary to a calcium phosphate bezoar in a child receiving calcium carbonate for hyperphosphatemia.
Intestinal obstruction from medication bezoars.
TLDR
Bezoar formation from the medications was potentiated by the lack of intestinal activity and the intermittent relative dehydration from dialysis for the renal failure.
Antacid bezoar in a newborn.
TLDR
This report confirms that antacid therapy may cause aluminum hydroxide "bezoar" in a newborn infant, and suggests a rationale for its occurrence and therapy.
Perdiem causes esophageal impaction and bezoars.
TLDR
Three cases of esophageal impaction caused by Perdiem are reported; although endoscopic manipulation is the currently favored treatment, bougienage relieved these impactions easily.
Intestinal obstruction associated with cholestyramine therapy.
TLDR
Cholestyramine has been efficacious in the management of so-called "intrahepatic biliary atresia," with relief of anorexia and pruritus, lowering of serum cholesterol and bilirubin, reduction in number and size of cutaneous xanthomas and improvement of liver function with the treatment of hypercholesterolemia.
Esophageal bezoars: the sucralith.
“Bezoar” is derived from the Arabic word “badzehr,” meaning antidote. It was once believed that bezoars extracted from animals had healing powers, and they were used to treat such ailments as plague…
Bezoar formed by fragments of extended-release nifedipine tablets.
Bezoar formed by fragments of extended-release nifedipine tablets.
Esophageal medication bezoar in a patient receiving enteral feedings and sucralfate.
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