Objectives:

To describe the laparoscopic management of an atypical bezoar case and present a literature review.

Materials and methods:

This is the case of a 67-year-old male patient with pyloric stenosis due to intestinal obstruction by a foreign body.

Results:

The endoscopic finding was an atypical bezoar (Money bezoar) in the prepyloric region with no possible resolution by this route, so laparoscopic treatment was considered.

Discussion:

Bezoars are defined as any object that was voluntarily or involuntarily swollen and is obstructing some part of the upper gastrointestinal tract, usually the stomach, and cannot be digested using the physiological mechanisms of the body. They are categorized based on their composition.

Conclusions:

When endoscopic treatment fails to relieve upper gastrointestinal tract obstruction caused by foreign bodies, minimally invasive surgical treatment with laparoscopic surgery is a viable and efficient option.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )