Each worm to his taste: some prefer to eat nettles - a giant gastric phytobezoar.

Nettle consumption, as well as persimmon, orange, coconut etc. can lead to phytobezoar formation. Coke and cellulase-resistant phytobezoars should be removed either endoscopically or surgically, depending on their dimensions. The treatment of choice for giant phytobezoars (more than 10 cm) is gastrotomy.