© 2004 by BMJ Publishing Group Ltd & British Society of Gastroenterology
EDITOR'S QUIZ: GI SNAPSHOT
EDITOR’S QUIZ: GI SNAPSHOT
| The first 150 words of the full text of this article appear below. |
Answer
From question on page 1122
Abdominal x ray film showed an opaque 8 cm mass in the pelvis outlined by gas. The diagnosis of rectosigmoid bezoar was made. Subsequently performed barium enema confirmed the diagnosis showing an intraluminal filling defect with no attachment to the wall.
Enemas with warm saline resulted in passage of the bezoar; transanal evacuation was aided manually. Colonoscopic follow up detected no bezoar formation or other pathology.
Nearly 60% of colonic bezoars present with abdominal pain, sometimes associated with a palpable mass, abdominal distension, vomiting, constipation, or diarrhoea. The diagnosis of colonic bezoar is typically made with plain abdominal radiograph and barium enema. The method of bezoar removal depends on the site of impaction, and size, nature, and complications of the formation. Conservative management includes enemas and manual disimpaction. Colonoscopic removal is considered if enemas fail. Surgery is reserved for bezoars defeating conservative management, and
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
- A male with a pelvic mass
- K T Kjossev, N N Vladov, and J E Losanoff
Gut 2004 53: 1122.[Extract] [Full Text] [PDF]
Services
- Email this link to a friend
- Similar articles in this journal
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
