colonic sunflower seed Bezoar

Bezoars are the uncommon result of ingestion of indigestible or poorly digestible substances. Historically, Bezoars are classified according to the involved material and include phytoBezoar (fruit and vegetable fibers), trichoBezoar (hair), and lactoBezoar (milk curds). Bezoars secondary to medications have also been described.1 The majority of Bezoars are located in the stomach,2 with the small intestine being the next most commonly involved site. The colon is rarely the site for a Bezoar.3 We report two children with colonic, sunflower seed Bezoars that expands upon the presentation and treatment of this unusual occurrence.

### Case 1

A 10-year-old white male presented to his pediatrician with a 2-week history of fever, increased flatulence, tenesmus, watery, foul-smelling diarrhea, and an 8-pound weight loss. He reported blood per rectum on a single occasion. Fecal leukocytes and stool culture were negative. A trial of Bentyl (dicyclomine) was not beneficial, Donnagel (kaolin-pectin, hyoscyamine sulfate, atropine sulfate and scopolamine hydrobromide) led to worsening of the symptoms. A gastroenterology evaluation was obtained. At the time of referral the child was having 10 to 12 watery bowel movements per day, associated with passage of mucus per rectum. The examination was unremarkable except for moderate abdominal discomfort on deep palpation. Rectal examination was limited by significant pain and anxiety; …

gastric Bezoar after laparoscopic roux en y gastric bypass

Gastric Bezoar is an uncommon complication following Roux-en-Y gastric bypass (RYGBP). We report two cases of Bezoar formation that occurred following laparoscopic RYGBPs. In both cases, the patients presented with abdominal pain, nausea, and “frothy” vomiting. The patients were successfully treated by endoscopic fragmentation and removal of the Bezoar.

colonic sunflower seed Bezoar

Bezoars are the uncommon result of ingestion of indigestible or poorly digestible substances. Historically, Bezoars are classified according to the involved material and include phytoBezoar (fruit and vegetable fibers), trichoBezoar (hair), and lactoBezoar (milk curds). Bezoars secondary to medications have also been described.1 The majority of Bezoars are located in the stomach,2 with the small intestine being the next most commonly involved site. The colon is rarely the site for a Bezoar.3 We report two children with colonic, sunflower seed Bezoars that expands upon the presentation and treatment of this unusual occurrence.

### Case 1

A 10-year-old white male presented to his pediatrician with a 2-week history of fever, increased flatulence, tenesmus, watery, foul-smelling diarrhea, and an 8-pound weight loss. He reported blood per rectum on a single occasion. Fecal leukocytes and stool culture were negative. A trial of Bentyl (dicyclomine) was not beneficial, Donnagel (kaolin-pectin, hyoscyamine sulfate, atropine sulfate and scopolamine hydrobromide) led to worsening of the symptoms. A gastroenterology evaluation was obtained. At the time of referral the child was having 10 to 12 watery bowel movements per day, associated with passage of mucus per rectum. The examination was unremarkable except for moderate abdominal discomfort on deep palpation. Rectal examination was limited by significant pain and anxiety; …