Gastro-duodenal Phytobezoar causing Choleducho-duodenal Fistula-A Rare Case

Bezoars (BZ) are the most common foreign bodies of gastrointestinal tract. Clinical manifestations vary depending on the location and dimension of BZ from no symptoms to acute abdominal syndrome. Hereby we report the case of gastric bezoar which was perforating through first part of duodenum into common hepatic duct. There are no certain data about the therapy of choice of bezoars. The ultimate goal of the treatment of BZs is their removal and prevention of recurrence. Here gastrostomy was done and BZ was removed in piece meal.