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Year : 2019  |  Volume : 33  |  Issue : 1  |  Page : 59-61

Wire bezoar - Unique presentation with duedenojejunal flexure perforation

1 Department of Surgery, Down Town Hospital, Dispur, Guwahati, Assam, India
2 Sr. Consultant Paediatric Surgery Division, Department of Surgery, Down Town Hospital, Dispur, Guwahati, Assam, India

Correspondence Address:
Toijam Soni Lyngdoh
Department of Surgery, Down Town Hospital, Dispur, Guwahati - 781 006, Assam
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jms.jms_39_18

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Bezoars are commonly found in the stomach, which are usually trichobezoar or phytobezoar. Signs and symptoms depend on the location and type of bezoars. Small intestinal perforation following wire bezoar has not been reported earlier. We report a 26-year-old schizophrenic male presented to us with features of perforation peritonitis. Preoperative abdominal radiograph was suggestive of unexpected intraoperative findings. Celiotomy with gastrostomy, feeding jejunostomy, and primary closure of perforation over a large bore T-tube was done. The patient was discharged after prolonged hospitalization. Wire bezoar presenting with jejunal perforation has not been reported earlier although every high possibility of perforation exists when the wires are pointed and long, where negotiation at the duodenojejunal flexure may be difficult.

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