%0 Journal Article
%T Gastric Pharmacobezoar of Mesalamine Tablets Retrieved Endoscopically
%A Bhanwar Singh Dhandhu
%A Hemendra Bhardwaj
%A Sandeep Nijhawan
%A Surender Sultania
%J Archive of "ACG Case Reports Journal".
%D 2017
%R 10.14309/crj.2017.31
%X A 58-year-old man presented with complaints of epigastric pain for 2 years, recurrent vomiting containing stale food, and weight loss of 10 kg in the previous 3 months. He had been started on tablet mesalamine at a secondary care center for suspicion of Crohn¡¯s disease, but there was no improvement in his symptoms. Barium meal study suggested multiple oval-shaped filling defects in his stomach (Figure 1). Esophagogastroduodenoscopy revealed multiple tablets creating a pharmacobezoar in the body of stomach with pyloric stenosis (Figure 2). The scope was not negotiable beyond the pylorus. Tablets were removed with the help of a basket, and the patient was referred back to the surgery department where he underwent gastrojejunostomy to bypass the obstruction
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340652/