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Revista de la Facultad de Medicina (México)
versão On-line ISSN 2448-4865versão impressa ISSN 0026-1742
Resumo
VALENCIA MARTINEZ, Jesús Gerardo et al. Intestinal Occlusion in a Chronic Renal Patient Secondary to Textile Bezoar. Clinical Case Report. Rev. Fac. Med. (Méx.) [online]. 2023, vol.66, n.5, pp.24-34. Epub 01-Mar-2024. ISSN 2448-4865. https://doi.org/10.22201/fm.24484865e.2023.66.5.03.
The “bezoar” are conglomerates of inedible materials ingested voluntarily or involuntarily, which are not digested and are unable to pass through the intestinal tract. They mainly affect young women or adolescents who present the phenomenon called “pica”, despite the fact that a high prevalence of this phenomenon of “pica” has been registered in patients with chronic kidney disease, it has been little studied.
Clinical case:
A 35-year-old male with CKD KDIGO-5 undergoing peritoneal dialysis treatment, which was found to have a transoperative “plastic bezoar” (laparotomy for intestinal occlusion) 10 cm from the ileocecal valve. The patient died due to complications of his pathology. Discussion: the clinical case raises the need to search for behaviors such as pica in patients with CKD, as well as to develop the suspicion to the surgeon, since patients generally hide or ignore reporting foreign material phagia.
Palavras-chave : Plastic Bezoar; Intestinal Occlusion; Chronic Kidney Disease; pica; dialysis.
