# A Complex Differential for Gastric Outlet Obstruction: Bezoar or Bouveret?

## TL;DR

This paper presents a case where a phytobezoar caused gastric outlet obstruction, mimicking Bouveret’s syndrome, emphasizing the challenges in diagnosis and treatment.

## Contribution

The novelty lies in illustrating the diagnostic difficulty of distinguishing a phytobezoar from Bouveret’s syndrome in elderly patients.

## Key findings

- A 77-year-old male presented with gastric outlet obstruction caused by a phytobezoar.
- The case mimicked Bouveret’s syndrome, highlighting the diagnostic challenges in such scenarios.

## Abstract

Bezoars are a rare but important cause of gastric outlet obstruction (GOO). Recognizing this diagnosis promptly is important to prevent complications, such as ulceration, bleeding, and perforation. Typical presenting symptoms include postprandial nausea, vomiting, and epigastric abdominal pain. However, these findings can be non-specific and imitate other rare causes of GOO. Here, we describe a case of a 77-year-old male who presented with GOO due to a phytobezoar mimicking Bouveret’s syndrome. This case highlights the diagnostic and therapeutic challenges of GOO.