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Case Report
 
Unexpected finding of a gastric lactobezoar in a 71-year-old
Lukas Birkner1, Tim Dudziak2
1MD, Department of Internal Medicine, Evangelisches Krankenhaus Witten gGmbH, University of Witten/Herdecke, Pferdebachstr. 27, 58455 Witten, Germany.
2MD, Anesthetic Department, Evangelisches Krankenhaus Witten gGmbH, University of Witten/Herdecke, Pferdebachstr. 27, 58455 Witten, Germany.

Article ID: 100007G01LB2017
doi:10.5348/G01-2017-7-CR-1

Address correspondence to:
Dr. Lukas Birkner
Department of Internal Medicine, Evangelisches
Krankenhaus Witten gGmbH
University of Witten/Herdecke, Pferdebachstr.,27, 58455 Witten
Germany

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How to cite this article:
Birkner L, Dudziak T. Unexpected finding of a gastric lactobezoar in a 71-year-old. Edorium J Gastroenterol 2017;4:1–4.


Abstract
Gastric lactobezoar is a rare disorder clinically presenting as indigestible conglomerations of milk and mucus components located in the gastrointestinal tract. Non-specific symptoms pose a challenge in diagnosing the gastric lactobezoar correctly. The majority of gastric lactobezoars have been diagnosed in premature neonates. We report a case of 71-year-old male referred to our department with an acute cholecystitis. A postoperative respiratory breakdown required mechanical ventilation support and high caloric nutrition which possibly evoked the formation of a gastric lactobezoar. We report the first case of a gastric lactobezoar in an adult and suggest that the regulation of gastric acid may be a possible strategy of the treatment.

Keywords: Fresubin HP energy, Gastric lactobezoar, Proton pump inhibitor


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Author Contributions
Lukas Birkner – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Tim Dudziak – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Lukas Birkner et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.