Hasty Briefsbeta

  • #semaglutide
  • #gastric bezoar
  • #medical case
  • A 63-year-old woman with severe stomach pain, nausea, and vomiting visited Brigham and Women’s Hospital in Boston.
  • She had a month-long history of nausea, vomiting, and burning abdominal pain radiating to her back.
  • Her medical history included Type 2 diabetes, chronic kidney disease, opioid use disorder, and GERD.
  • She had been taking semaglutide (a GLP-1 weight-loss drug) for a year, losing 40 pounds.
  • CT and MRI scans revealed bile-duct enlargement and a semi-solid mass in her stomach.
  • The mass was suspected to be a gastric bezoar, possibly a phytobezoar or diospyrobezoar.
  • Phytobezoars are clumps of undigested fruit/vegetable material, with diospyrobezoars linked to excessive persimmon consumption.