An unusual cause of small bowel perforation: apricot pit

Abstract

Yabancı cisimlerin yutulması, özellikle çocuklar, alkolikler, psikiyatrik hastalar ve yaşlılar arasında yaygın bir sorundur. Yuvarlak uçlu yabancı cisimler sıklıkla bir soruna neden olmazken sivri uçlu yabancı cisimler erken dönemde çıkarıl-madıkları takdirde intestinal duvara penetre olup komplikasyona neden olabilirler. Yutulan yabancı cisimlerin çoğun-luğu sorunsuz intestinal kanaldan geçerken sadece %1'den daha azı perforasyona neden olur. Bu yazıda, 73 yaşında kadın hastada yanlışlıkla yutulan kayısı çekirdeğine bağlı ince bağırsak tıkanıklığı ve delinmesi olgusunu sunduk.Anahtar Sözcükler: Kayısı çekirdeği; yabancı cisim; ince bağır-sak delinmesi.Ingestion of foreign bodies can be a common problem, especially among children, alcoholics, and psychiatric and senile patients. Foreign bodies with smooth edges usually do not pose significant problems, but a sharp foreign object that is not retrieved immediately may penetrate the wall and cause complications. Ingested foreign bodies usually pass the intestinal tract uneventfully, and perforation occurs in less than 1%. In this study, we report a case of small bowel obstruction with perforation in a 73-year-old female due to the accidental swallowing of an apricot pit.

Intestinal Perforation in Obstructed Umbilical Hernia due to Wedged Plum Seed

“…[6] Apart from plum seed, apricots, persimmons, peanuts and nectarine have been reported to cause perforation. [7] It appears that in our case, presence of seed itself led to irreducibil-ity of the previously reducible umbilical hernia and also sharp ends of the seed, in addition to attempt by peristalsis led to traumatic perforation in bowel inside the obstructed umbilical hernia.…”

The Nectarine Pit as a Cause for Small Bowel Obstruction and Perforation: A Case Report

“…Other fruits, such as apricots, persimmons, and plums, have previously been described in the literature as a cause of SBO, either through direct mechanical obstruction by the pit or through formation of a phytobezoar [4–6]. In this case, the nectarine pit appears to have caused a small bowel perforation in a position proximal to its final resting position near the ileocaecal valve.…”

An Unusual Case of Small Bowel Obstruction

“…Certain organic bezoar can be managed non-invasively through dissolution with enzymatic therapy, but any bezoar causing acute bowel obstruction will require endoscopic or surgical extraction. Impacted enteral bezoars can be managed by open or laparoscopic approaches [3]. During surgery the bezoar can either be milked through the ileocecal valve into the cecum where it will subsequently pass in the stool; however, the majority of impacted bezoars need to be extracted via an enterotomy [8].…”

“…Bowel obstruction from edible items may occur in those with gastrointestinal motility disorders, Guillian-Barre syndrome, hypothyroidism and fast eaters [3]. Food items that have been reported to cause obstruction include dried fruit, apricot, coconut, raw banana and a whole lemon [3][4][5]. We report a case of acute small bowel obstruction requiring operative intervention in a 59-year-old lady caused by undigested vegetable.…”

“…Incidents of ingesting non-edible objects occur in children, elderly patients, psychiatric patients, prisoners and intoxicated individuals [2]. Bowel obstruction from edible items may occur in those with gastrointestinal motility disorders, Guillian-Barre syndrome, hypothyroidism and fast eaters [3]. Food items that have been reported to cause obstruction include dried fruit, apricot, coconut, raw banana and a whole lemon [3][4][5].…”