An unusual cause of solid food intolerance and gastric pouch dilation 5 years after Roux-en-Y gastric bypass: agar-agar bezoar

Fig 2. Abdominal computed tomography with oral and intravenous contrast agent showing gastric-pouch dilation caused by agar-agar bezoar and presence of the contrast agent in the small bowel (coronal plane). We present the case of a 64-year-old female patient who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) in 2010 for morbid obesity. Her body mass index (BMI) decreased from 38 to 21 kg/m without any postoperative complication. She consulted the emergency department in April 2015 for nausea, vomiting, and dysphagia over 72 hours, since ingestion of an agar-agar– based dessert. Presuming that agar-agar was biodegradable, the patient was reassured by the emergency physician and