Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2025; 13(18): 103426
Published online Jun 26, 2025. doi: 10.12998/wjcc.v13.i18.103426
Temporal changes in computed tomography findings of a persimmon bezoar: A case report
Masaya Iwamuro, Tomoki Yoshikawa, Tomohiro Kamio, Shoichiro Hirata, Katsunori Matsueda, Daisuke Kametaka, Motoyuki Otsuka
Masaya Iwamuro, Tomoki Yoshikawa, Tomohiro Kamio, Shoichiro Hirata, Katsunori Matsueda, Daisuke Kametaka, Motoyuki Otsuka, Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan
Author contributions: Iwamuro M wrote the manuscript; Yoshikawa T, Kamio T, Hirata S, Matsueda K, and Kametaka D contributed to the endoscopic diagnosis and treatment; Otsuka M revised the manuscript for important intellectual content; all the authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient before writing this manuscript.
Conflict-of-interest statement: The authors declare no conflict of interest related to this manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This is an open-access article selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially and license their derivative works on different terms, provided that the original work is properly cited and the use is noncommercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Masaya Iwamuro, MD, PhD, Assistant Professor, Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-Cho, Kita-Ku, Okayama 700-8558, Japan. pr145h2k@okayama-u.ac.jp
Received: November 26, 2024
Revised: January 18, 2025
Accepted: February 6, 2025
Published online: June 26, 2025
Processing time: 93 Days and 16.2 Hours
Core Tip

Core Tip: Gastric bezoars, particularly persimmon bezoars, are rare but significant clinical entities that can lead to complications such as gastric outlet obstruction and ileus. Diagnosis can be challenging because they often appear similar to food debris on imaging. Serial computed tomography can be used to document temporal changes in the internal structure and density of bezoars, reflecting their progressive hardening over time. Early recognition and endoscopic fragmentation remain the most effective management strategies, particularly in patients with predisposing factors such as prior gastric surgery or excessive persimmon consumption.