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Case Reports in Surgery
Volume 2017 (2017), Article ID 1934787, 4 pages
https://doi.org/10.1155/2017/1934787
Case Report

Case Report of Foreign Body Stuck in Esophagus with Failure of Endoscopic Management in a Man with a History of Pica

Department of General Surgery, School of Medicine, Texas Tech University, Lubbock, TX 79409, USA

Correspondence should be addressed to Holly Mulinder; ude.cshutt@rednilum.ylloh

Received 4 August 2017; Accepted 3 October 2017; Published 1 November 2017

Academic Editor: Serge Landen

Copyright © 2017 Holly Mulinder et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This is a case report of foreign body ingestion in a 55-year-old intellectually disabled man with a history of pica and previous removal of ten plastic gloves from his rectum four months prior to this presentation. The patient presented after ingesting plastic gloves which formed large, rigid esophageal and gastric bezoars that were not amenable to endoscopic removal. An exploratory laparotomy and gastrostomy was performed, and a 10 × 4.5 × 2 cm gastric bezoar consisting of rigid plastic gloves was removed without complication. Special considerations must be taken when considering the ingestion of nonfood items in the intellectually disabled population as these cases may not present classically with symptoms of a gastric bezoar.