Abstract
A mentally subnormal patient presenting with oedema was found at gastroscopy to have a large trichobezoar and multiple gastric polyps. The serum concentrations of albumin and IgG were low in the absence of proteinuria, and the gastrointestinal clearance of radiochromium after the intravenous administration of radiochromic chloride was increased. These findings are compatible with increased gastrointestinal loss of plasma proteins. In addition, the patient had steatorrhoea. All of these abnormal findings were markedly improved after operative removal of the bezoar.
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- BEHR I. S., CHARACHE H., DIMETRIADES A. D., MURATA M. Y., POLAYES S. H. Trichobezoar; report of a case of gastric trichobezoar complicated by multiple polyps with malignant degeneration of one of the polyps. Ann Surg. 1957 Feb;145(2):282–286. doi: 10.1097/00000658-195702000-00024. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CURZON G., WALSH J. A method for the determination of urinary indoxyl sulphate (indican). Clin Chim Acta. 1962 Sep;7:657–663. doi: 10.1016/0009-8981(62)90147-x. [DOI] [PubMed] [Google Scholar]
- Dich J., Paaby H., Schwartz M. Protein-secreting Tumour of Stomach: Severe Hypoproteinaemia Cured by Removal of Gastric Polyp. Br Med J. 1961 Sep 9;2(5253):686–688. doi: 10.1136/bmj.2.5253.686. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mancini G., Carbonara A. O., Heremans J. F. Immunochemical quantitation of antigens by single radial immunodiffusion. Immunochemistry. 1965 Sep;2(3):235–254. doi: 10.1016/0019-2791(65)90004-2. [DOI] [PubMed] [Google Scholar]
- SHERWOOD W. C., GOLSTEIN F., HAURANI F. I., WIRTS C. W. STUDIES OF THE SMALL-INTESTINAL BACTERIAL FLORA AND OF INTESTINAL ABSORPTION IN PERNICIOUS ANEMIA. Am J Dig Dis. 1964 Jun;9:416–425. doi: 10.1007/BF02239334. [DOI] [PubMed] [Google Scholar]
- Valberg L. S., McCorriston J. R., Partington M. W. Bezoar: an unusual cause of protein-losing gastroenteropathy. Can Med Assoc J. 1966 Feb 19;94(8):388–391. [PMC free article] [PubMed] [Google Scholar]
- van Tongeren J. H., Reichert W. J. Demonstration of protein-losing gastroenteropathy. The quantitative estimation of gastrointestinal protein loss, using 51Cr-labelled plasma proteins. Clin Chim Acta. 1966 Jul;14(1):42–48. doi: 10.1016/0009-8981(66)90062-3. [DOI] [PubMed] [Google Scholar]