Abstract

Bezoar is a persistent concretion of indigestible materials, usually found in the stomach, and most cases have been managed by surgical methods. Esophageal bezoars are very rare and have been mainly reported in patients with esophageal motility or anatomical abnormalities. We experienced a case of primary esophageal bezoar dissolved with pancreatic enzyme extracts. A 79-year-old man complained of dysphagia of a 15-day duration. Esophagoscopy revealed a large, yellow-brownish, round, hard mass obstructing the esophageal lumen and a deep ulcer, 30 cm from the incisor teeth. Multiple attempts to break or retrieve it were tried, but failed. He accepted surgical treatment and took a pancreatic enzyme preparation during preoperative evaluation of his heart problem. After 20 days, his symptom was relieved, and bezoar disappeared completely on a follow-up endoscopy. Esophageal manometry disclosed nonspecific esophageal motility disorder.

• Keywords: Esophagus, Bezoar