An apricot story: view through a keyhole

Samdani, Tushar; Singhal, Tarun; Balakrishnan, Santosh; Hussain, Abdulzahra; Grandy-Smith, Starlene; El-Hasani, Shamsi

doi:10.1186/1749-7922-2-20

Cited by 16 publications

(15 citation statements)

References 8 publications

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“…Patients with ileus due to food bolus present with symptoms of peritoneal stimulation (8,9). In the present case, the patient complained of severe abdominal pain with vomiting and the intestine was edematous with ulceration.…”

Section: Discussionmentioning

confidence: 58%

Repeated Small Bowel Obstruction Caused by Chestnut Ingestion without the Formation of Phytobezoars

et al. 2016

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A small number of cases of small bowel obstruction caused by foods without the formation of phytobezoars have been reported. Repeated small bowel obstruction due to the ingestion of the same food is extremely rare. We present the case of 63-year-old woman who developed small bowel obstruction twice due to the ingestion of chestnuts without the formation of phytobezoars. This is the first reported case of repeated small bowel obstruction caused by chestnut ingestion. Careful interviews are necessary to determine the meal history of elderly patients and psychiatric patients.

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Section: Discussionmentioning

confidence: 58%

Repeated Small Bowel Obstruction Caused by Chestnut Ingestion without the Formation of Phytobezoars

et al. 2016

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“…Rarely, bowel resection and anastomosis are indicated for impacted bezoar with bowel ischaemia [8]. In most cases, surgical treatment of small bowel obstruction can be accomplished successfully.…”

Section: Discussionmentioning

confidence: 99%

An Obstructing Small Bowel Phytobezoar in an Elderly Female Nigerian: A Case Report and Literature Review

Balogun

Osinowo

Afolayan

et al. 2017

Case Reports in Surgery

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Small bowel obstruction secondary to phytobezoars is an unusual presentation in surgery. We present a case of an elderly female patient with an insidious onset of abdominal pain, abdominal distension, and bilious vomiting diagnosed radiologically to be small bowel obstruction. Exploratory laparotomy revealed a trapped mass of vegetable matter in the distal ileum. She had enterotomy with primary closure for removal of obstructing ileal phytobezoars. Her postoperative recovery was uneventful.

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“…Coins, small toys, pins, dentures, fish bones, chicken bones and nails are the commonly ingested materials,5 followed by toothpicks and cocktail sticks. But a feather causing duodenal perforation has never been documented.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical presentation may include frank peritonitis, localised abscess formation, enterovesical fistula, intestinal obstruction and intestinal haemorrhage. Perforation occurs in less than 1% of cases and is caused by sharp objects and erosions 5. Of these sharp objects, chicken bones and fish bones account for half of the reported perforations.…”

Section: Introductionmentioning

confidence: 99%

Duodenal perforation caused by a bird feather

Sahoo¹,

Kumar

2013

BMJ Case Reports

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Ingestion of gastrointestinal (GI) foreign bodies represents a challenging clinical scenario. The greater risk is at extremes of age, in those wearing dentures, alcoholics and mentally handicapped. We present a case of duodenal perforation caused by a bird feather. A 64-year-old man was presented with abdominal pain for 4 days. Abdominal examination showed signs of peritonitis. The erect abdominal x-ray showed free gas under diaphragm. Exploratory laparotomy showed purulent fluid, but no definite site of perforation could be found. So the abdomen was closed with a drain in Morison's pouch. The postoperative recovery was uneventful. He came for a repeat check-up at 4 weeks with dull aching pain in the upper abdomen and was advised for a routine upper GI endoscopy which revealed a feather penetrating the first part of the duodenum, which was removed with a foreign body removing forceps. GI foreign bodies represent a significant problem and an increased level of suspicion is important for timely diagnosis and treatment.

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An apricot story: view through a keyhole

Abstract: Generally, laparotomy is performed for diagnosis and management in acute bowel obstruction, but with increasing expertise, laparoscopy can be equally effective with all the other advantages of minimal access approach.

Cited by 16 publications

References 8 publications

Repeated Small Bowel Obstruction Caused by Chestnut Ingestion without the Formation of Phytobezoars

Repeated Small Bowel Obstruction Caused by Chestnut Ingestion without the Formation of Phytobezoars

An Obstructing Small Bowel Phytobezoar in an Elderly Female Nigerian: A Case Report and Literature Review

Duodenal perforation caused by a bird feather

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