Introduction

: Bezoar is defined as the accumulation of undigested foreign material found in the digestive tract of people and some animals. They are generally located in the stomach. Medical and endoscopic treatment is the one of choice, although it will also be determined by its location and its cause. Surgical treatment is reserved when there is any complication or endoscopic therapy fails.

Objective

: To present a clinical case of a patient with complete pyloric obstruction due to phytobezoar and anthropyloric tumor.

Case report:

A 54-year-old female patient with a history of abdominal pain in the epigastrium, loss of appetite, asthenia and dyspeptic disorders of nine months of evolution. Imaging studies reported the presence of foreign bodies in the stomach corresponding to bezoars. Transoperatively, a tumor is also evidenced in the anthropyloric region. Bezoar extraction and subtotal gastrectomy were performed.

Conclusions

: The surgical conduct in case of gastric phytobezoar will be determined by the failure or contraindication of medical and endoscopic treatment.

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