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PHYTOBEZOAR IN THE GASTRIC STUMP Report of a Case and Discussion of Therapy

Arch Intern Med (Chic). 1949;84(5):824-835. doi:10.1001/archinte.1949.00230050160008.
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ALTHOUGH there are 170 cases of phytobezoar to be found in the literature at the time of this report, the concretion apparently has never before been observed in the stump of a partially resected stomach.

REPORT OF CASE  An unmarried woman of 69 for many years had epigastric soreness after meals. During the past year deterioration, a 25 Kg. loss of weight, vomiting and occasional moderate episodes of diarrhea had occurred. For three months, the patient had usually been confined to bed. On admission to the surgical department (May 21) because of a suspected malignant growth in the antrum, the red blood cell count was 1,500,000 with 48 per cent hemoglobin and 2,100 leukocytes. The patient showed considerable weakness. The temperature rose to 38.5 C. (101.3 F). After four blood transfusions, the hemoglobin rose to 82 per cent with 3,700,000 erythrocytes, the temperature gradually subsided and high resection of the


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