In a patient with a previous partial gastric resection, a phytobezoar was the cause of gastric obstructive symptoms. Upper gastrointestinal X-ray studies failed to show the bezoar. Gastroscopy revealed a bezoar attached to the wall of the gastric pouch. Complete removal was accomplished by tearing the bezoar apart with gastroscopic biopsy forceps. This case is reported because of the unusual attachment of the bezoar to the gastric mucosa but also because of the indispensable part that gastroscopy played in the diagnosis and removal of the bezoar.
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