{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T03:48:58Z","timestamp":1789616938258,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Key Clinical Message<\/jats:title>\n                    <jats:p>Bezoars can cause gastrointestinal obstruction and may require surgery. Surgery carries the risk of complications. Medical professionals should perform detailed history in diet and behaviors for patients presenting with abdominal pain to identify risk factors for bezoars, then educate these patients and their families about risks and complications of bezoars.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>Bezoars are solid masses of undigested material that can cause obstruction of the gastrointestinal tract. There are different types of bezoars; phytobezoar, trichobezoar, pharmacobezoar, lactobezoar, and bezoars containing tissue paper or polystyrene foam. This case report is of a 13\u2010year\u2010old Hispanic male who suffered a postsurgical complication after removal of bezoar. He had a past surgical history of appendectomy and presented to the hospital with a 1\u2010day history of right lower quadrant abdominal pain associated with fever and diarrhea. X\u2010radiation images and computed tomography scans aided in the diagnosis of pelvic abscess as a complication of postsurgical enterotomy and closure of the enterotomy to remove bezoar from the small bowel. The initial bezoar removal and the postsurgical complication of pelvic abscess resulted in the patient staying for 19\u2009days in the hospital. At discharge, the patient and his guardian were advised to follow up with the patient's primary care physician and surgical team. The patient made an uneventful recovery. He did not experience any long\u2010term complications and fully recovered. This report demonstrates that although bezoars are rare, they can cause significant obstruction of the gastrointestinal tract leading to the need for management, such as surgery, which carries its own risks. It is important to note that the postsurgical complication of pelvic abscess can occur due to surgery itself and not because of bezoar specifically. Abdominal surgery in general poses the risk of pelvic abscess. The consideration is to expectantly decrease the occurrence of bezoars so that consequently there will not be a need for surgery in removal of bezoars due to obstruction. The effects of bezoars can be prevented through educating the community and addressing underlying psychiatric disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccr3.8126","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T22:13:56Z","timestamp":1701814436000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Bezoars: Culprits of gastrointestinal obstruction that may lead to surgical intervention and potentially surgical complications"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8220-9418","authenticated-orcid":false,"given":"Shannon D.","family":"Powell","sequence":"first","affiliation":[{"name":"Department of Pediatrics Saint James School of Medicine  Arnos Vale Saint Vincent and the Grenadines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Saint James School of Medicine  Arnos Vale Saint Vincent and the Grenadines"},{"name":"Department of Pediatrics South Texas Health System Children's Hospital  Edinburg Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2174\/1745017901208010043"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1986.tb139511.x"},{"key":"e_1_2_11_4_1","first-page":"776","article-title":"Gastrointestinal bezoars: history and current treatment paradigms","volume":"8","author":"Eng K","year":"2012","journal-title":"Gastroenterol Hepatol (N Y)"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2021.01.034"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.18203\/2349-2902.isj20223016"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v7.i4.336"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v3.i8.721"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/03000605211014999"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2018.01.004"},{"key":"e_1_2_11_11_1","unstructured":"KhaliqK NamaN LopezRA.Pelvic Abscess. NIH NLM NCBI. Published January 2023.https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK545292\/"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v6.i8.373"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.5455\/jbh.20160924112736"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13181-011-0144-8"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1750-1172-7-3"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/omcr\/omu031"},{"key":"e_1_2_11_17_1","unstructured":"MayoJ ConradR ColganB HarjesW LimR.Ricotta cheese disease: Lactobezoar after roux\u2010en\u2010y gastric bypass. Society of American Gastrointestinal and Endoscopic Surgeons. Published 2017.https:\/\/www.sages.org\/meetings\/annual\u2010meeting\/abstracts\u2010archive\/ricotta\u2010cheese\u2010disease\u2010lactobezoar\u2010after\u2010roux\u2010en\u2010y\u2010gastric\u2010bypass\/#:~:text=Conclusion%3A%20Lactobezoar%20is%20a%20rare in%20this%20case%20ricotta%20cheese"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003830050492"},{"key":"e_1_2_11_19_1","article-title":"Bezoars: an interesting case of abdominal pain","author":"Chronister E","journal-title":"JETem"},{"key":"e_1_2_11_20_1","unstructured":"SetyaA MendozaL FaganD.Fleece bezoar in a 6\u2010year\u2010old girl. Consultant360 Multidisciplinary Medical Information Network. Published September 2016.https:\/\/www.consultant360.com\/articles\/fleece\u2010bezoar\u20106\u2010year\u2010old\u2010girl"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8126","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.8126","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.8126","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T20:27:16Z","timestamp":1783110436000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.8126"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":19,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1002\/ccr3.8126"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.8126","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12]]},"assertion":[{"value":"2023-08-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e8126"}}