An unusual bezoar: Elastic hair ties triggering small bowel obstruction.

Angelo Changas, Mena Louis, Nathaniel Grabill, Nathan Creel

Abstract readCase Reports

In one paragraph

Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Angelo ChangasGraduate Medical Education Department, Northeast Georgia Health System, 743 Spring Street NE, Gainesville, GA 30501, USA.

Mena LouisGraduate Medical Education Department, Northeast Georgia Health System, 743 Spring Street NE, Gainesville, GA 30501, USA.

Nathaniel GrabillGraduate Medical Education Department, Northeast Georgia Health System, 743 Spring Street NE, Gainesville, GA 30501, USA.

Nathan CreelTrauma and Acute Care Surgery Department, Northeast Georgia Health System, 743 Spring Street NE, Gainesville, GA 30501, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bezoars, formed by the accumulation of indigestible material, can lead to significant gastrointestinal complications including obstruction and intussusceptions. A 17-year-old female presented with several days of lower abdominal pain, nausea, and vomiting. Imaging demonstrated multiple small bowel intussusceptions, and a stomach distended with radio dense material. Surgical exploration revealed a massive collection of hair ties and hair extending from the stomach into the small bowel and colon. Resection, reduction, and removal of the foreign bodies were performed, and patient was later diagnosis with PICA. Timely imaging studies and surgical evaluation are fundamental to diagnose and manage rare forms of bezoars. Hair tie bezoars represent a unique, though infrequent, cause of bowel obstruction that necessitates an integrated approach encompassing surgical, psychiatric, and nutritional interventions.

Indexed as

Bowel obstructionHair tie bezoarIntussusception, Foreign body ingestionPica

Identifiers

PMID41140554

DOI10.1016/j.radcr.2025.08.023

PMCPMC12546422

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LicenceCC BY-NC-ND

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.