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PubMed · 10557572

Drug bezoars.

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Abstract

(1) Drug bezoars are rare and difficult to diagnose, meaning that they may be overlooked. (2) The severity of drug bezoars is linked to the risk of intestinal obstruction and delayed overdose due to the release of the active substance from compacted tablets.

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BezoarsDrug-Related Side Effects and Adverse ReactionsHumansRisk FactorsJournal Article

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1999. Drug bezoars.. https://pubmed.ncbi.nlm.nih.gov/10557572/

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Rapunzel syndrome: a diagnosis overlooked.

UNLABELLED: We report two children who presented with a painless abdominal mass masquerading as a splenic enlargement. The paucity of symptoms resulted in delayed diagnosis. At laparotomy the trichobezoars were found to have a tail extending into the small intestine. CONCLUSION: This condition eludes diagnosis unless sought for particularly in the paediatric age group. Hence we present our experience of two consecutive cases of paediatric Rapunzel syndrome, along with the relevant literature and in retrospect, how an early diagnosis could have been made.

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