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{
    "pk": 52259,
    "title": "Trapped In Transit – A Case Report of a Pediatric Gastric Bezoar Causing Intermittent Small Bowel Obstruction",
    "subtitle": null,
    "abstract": "<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif;\">A 14-year-old female patient presented to the pediatric emergency department (ED) with chief complaints of abdominal pain, vomiting, and unintentional weight loss. A palpable abdominal mass was noted on exam, prompting a computed tomography (CT) scan which revealed a gastric bezoar that had fragmented, leading to intermittent and spontaneously resolving small bowel obstruction. The patient underwent surgical removal of the bezoar for definitive management.</span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif;\"> </span></p>\n<p class=\"MsoNormal\" style='margin: 0in; font-size: medium; font-family: \"Times New Roman\", serif; border: medium; color: rgb(0, 0, 0); font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration-line: none; text-decoration-style: solid; text-align: justify;'><span style=\"font-family: Calibri, sans-serif;\">This report highlights a novel case of spontaneous bezoar fragmentation and its associated imaging findings. Because this phenomenon represents the description of a rare occurrence, the goal is to enhance the emergency medicine providers’ understanding of an uncommon cause of abdominal masses and small bowel obstruction (SBO).<span class=\"Apple-converted-space\"> </span></span></p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Gastric Bezoar"
        },
        {
            "word": "bowel obstruction"
        },
        {
            "word": "pediatrics"
        }
    ],
    "section": "Visual EM",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/6141q45n",
    "frozenauthors": [
        {
            "first_name": "Jonah",
            "middle_name": "A",
            "last_name": "Frueh",
            "name_suffix": "",
            "institution": "Advocate Christ Medical Center",
            "department": "Department of Emergency Medicine"
        },
        {
            "first_name": "Arinzechukwu",
            "middle_name": "M",
            "last_name": "Obegolu",
            "name_suffix": "",
            "institution": "Advocate Christ Medical Center",
            "department": "Department of Pediatrics"
        },
        {
            "first_name": "Anil",
            "middle_name": "G",
            "last_name": "Rao",
            "name_suffix": "MD",
            "institution": "Advocate Christ Medical Center",
            "department": "Department of Radiology"
        },
        {
            "first_name": "Amanda",
            "middle_name": "E",
            "last_name": "Mulcrone",
            "name_suffix": "MD",
            "institution": "Advocate Christ Medical Center",
            "department": "Department of Emergency Medicine"
        }
    ],
    "date_submitted": "2025-03-21T10:07:21-07:00",
    "date_accepted": "2026-03-28T08:21:01.129416-07:00",
    "date_published": "2026-04-30T05:55:00-07:00",
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        "type": "pdf",
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}