Temporal changes in computed tomography findings of a persimmon bezoar: A case report

Figure 1 Endoscopic findings and treatment of persimmon bezoar. A: Esophagogastroduodenoscopy showing an elongated, black gastric bezoar approximately 10 cm in length; B: Infrared spectrometry of the bezoar fragments revealing a > 98% similarity to the spectra of persimmon extracts, confirming the diagnosis of persimmon bezoar; C: Endoscopic fragmentation of the bezoar using alligator forceps; D: Bezoar fragments after successful fragmentation. The procedure was completed in 2.5 hours.

Figure 2 Computed tomography imaging of persimmon bezoar over time. A: Computed tomography (CT) image obtained 12 months prior to presentation showing no visible abnormality in the stomach; B: CT image obtained nine months prior showing a spherical lesion (arrow) within the stomach, suggestive of a gastric bezoar; C: CT image obtained six months prior showing the bezoar's internal structure and density changes, with the lesion becoming more homogeneous (arrows).