vitamin-b-12 and Abdominal-Pain

Topics: Abdominal Pain; Adult; Anemia; Blood Group Incompatibility; Bradycardia; Emergency Service, Hospital; Erythrocyte Transfusion; Fatigue; Female; Fluid Therapy; Headache; Humans; Hypertension; Iron; Nausea; Patient Readmission; Transfusion Reaction; Vitamin B 12; Vitamin B 12 Deficiency; Vitamin B Complex

Topics: Abdomen; Abdominal Pain; Acute Disease; Adult; Analgesics, Opioid; Drug Therapy, Combination; Ecchymosis; Fluid Therapy; Humans; Male; Pancreatitis; Pantoprazole; Proton Pump Inhibitors; Thiamine; Tomography, X-Ray Computed; Tramadol; Treatment Outcome; Vitamin B 12; Vitamin B Complex

To document a case of cecal lecithin-vitamin B12 bezoar formation inducing abdominal discomfort.. Case study.. 500-bed, community teaching hospital.. 81-year-old man with a history of multiple abdominal surgeries who presented with a chief complaint of abdominal pain. Flat plate X-ray of the abdomen revealed multiple capsule-shaped objects lodged in the cecum.. Catharsis with bisacodyl, magnesium citrate, NaCl 0.9%; dissolution with heated, dilute barium administered rectally in conjunction with external manipulation; laparotomy.. None planned; dissolution or transit of bezoar through gastrointestinal tract desired outcome.. Classification of bezoars and treatment discussed in relation to this case report.. Medicinal agents have been implicated in bezoar formation. Treatment options have included: cathartics, heated solvent enemas, and external manipulation and surgery.

Topics: Abdominal Pain; Aged; Aged, 80 and over; Bezoars; Capsules; Cecum; Humans; Male; Phosphatidylcholines; Vitamin B 12