Phytobezoar of the Stomach – Laparoscopic Approach

failed. According to the authors, surgery should be performed in cases where other measures have failed. We had a similar case and we wish to add some comments regarding this topic. We report the case of a 59-year-old woman who was admitted with epigastric pain, nausea, vomiting and feelings of ‘a moving ball’ in the stomach. Endoscopy revealed a giant phytobezoar in the stomach measuring 12 cm in its largest diameter ( fig. 1 ) with a large ulcer affecting the gastric muDear Sir, We would like to commend Park and Chae [1] for their interesting clinical image entitled ‘Phytobezoar of the Stomach’, where they described and well illustrated a rare finding of the accumulation of ingested fibrous material in the stomach, which resulted in the formation of a gastric phytobezoar. They note that modern management usually begins with attempts at chemical dissolution of the bezoar followed by an endoscopic approach as a second treatment modality when chemical dissolution Published online: August 3, 2010