A Case of Small Bowel Obstruction by a Bezoar After Distal Gastrectomy

Abstract

An 83-years-old man had undergone distal gastrectomy and BillrothⅠ reconstruction for gastric ulcer at the age of 50. The patient presented with nausea and upper abdominal pain in January 2008. An Upper gastrointestinal endoscopy showed a bezoar and ulcer in remnant stomach, and he admitted. After hospitalization he vomited. Abdominal computed tomography showed 40mm size low density mass causing obstruction of jejunum around a Treitz ligament. He was sent to our hospital for medi-cal treatment. We diagnosed the ileus by fall of a gastric bezoar. At urgent operation, the 70 × 40mm size benzoar was removed through an enterotomy. Postoperative progress was good and he left hospital day 18th after the operation.