An Unusual Cause of Small Bowel Obstruction in a Child: Ingested Rhubarb

Glatstein, Miguel; Danino, Dganit; Rimon, Ayelet; Keidar, Sergei; Scolnik, Dennis

doi:10.1155/2013/497214

Cited by 9 publications

(10 citation statements)

References 7 publications

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“…There are four types of bezoars: phytobezoars, trichobezoars, pharmacobezoars and lactobezoars. The most common type is phytobezoars, which are composed of undigested fiber from vegetables or fruits especially persimmons [16]. Our case was due to a wild grape phytobezoar.…”

Section: Discussionmentioning

confidence: 81%

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Small Bowel Obstruction Induced by Phytobezoar: A Case Report in Innocent Abdomen and Literature Review

Traoré¹,

Traoré²,

Coulibaly³

et al. 2021

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Introduction: Small bowel obstruction (SBO) is defined as a complete and persistent cessation of the transit of materials and gases. It occurs in a segment of the digestive tract located between the pylorus and the colorectal junction. Herein, we report a case of small bowel obstruction (SBO) following excessive consumption of wild grapes with no previous abdomen medical or surgical history. Presentation of case: A 65-year-old male farmer presented with cessation of materials and gas associated with vomiting of food and then bilious. The abdomen was bloated and painful on palpation with a moving, painful mass in the left iliac fossa. The hypothesis of acute occlusion of the colon was retained and confirmed on the X-Ray which showed a dilation of small bowel with air-fluid levels. The diagnostic of acute SBO was retained. We performed urgently a median laparotomy. We found the dilation of the loops from the jejunum to the sigmoid colon with a compact mass at the sigmoid colon of 15 cm in length and 6 cm in diameter. We proceeded to crush the mass that was made up with wild grape seed fecal, and push it back to the rectum. The phytobezoar made up with wild grape seeds was extracted through the anus with the fingers after anal dilation.

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Section: Discussionmentioning

confidence: 81%

“…The elderly are the most affected [2] [14] as in our case, the patient was in his sixties. However, children are also prone to do SBO with phytobezoar [16].…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Obstruction Induced by Phytobezoar: A Case Report in Innocent Abdomen and Literature Review

Traoré¹,

Traoré²,

Coulibaly³

et al. 2021

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“…In our patient, we removed the trichobezoar without an enterotomy by fragmenting the impacted mass and milking distally beyond the ileocaecal valve. Glatstein et al, described a case report of a four year old child with impacted phytobezoar in the distal ileum which was similarly managed [8]. Similar techniques have been used by Aslan et al, and Das et al, for phytobezoars in the terminal ileum [9,10].…”

Section: Discussionmentioning

confidence: 98%

Small Intestinal Obstruction Secondary to Jejunal Trichobezoar Removed Per Anum Without an Enterotomy: A Case Report

Adhikari

Vankipuram

Tiwari

et al. 2015

JCDR

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A 29-year-old woman presented to the emergency room with complaints of abdominal pain for five days, multiple episodes of vomiting, mild fever for two days and mild abdominal distention. On examination abdomen was soft with mild tenderness and distention. There was no palpable mass and hyperperistaltic bowel sounds were present. Per rectal examination showed soft stools. Routine blood investigations were normal. Naso gastric drainage was bilious around 100 ml on insertion. An erect plain X-ray of the abdomen showed few gas filled small bowel loops with a few air fluid levels. Ultrasound examination of the abdomen revealed multiple minimally dilated fluid filled bowel loops. Computerised tomograhy of the abdomen showed dilatation of small bowel loops 4 -5 cm in diameter with transistion point seen at the level of proximal ileum. The large bowel distally appeared collapsed [ ABSTRACTTrichobezoars can rarely present with obstruction. This is usually due to collection of a hair ball in the stomach. We encountered an interesting case of small bowel obstruction due to a jejunal trichobezoar. The treatment generally is an enterotomy with removal of the hair ball. We report a case of a 29-year-old post partum female who presented to us with sub acute intestinal obstruction. Exploratory laparotomy revealed an impacted mass in the distal jejunum which was removed per anum without an enterotomy. Postoperative gastroscopy did not show trichobezoar in the stomach. This case highlights the importance of trichobezoar as a differential diagnosis in young women with small bowel obstruction that can be treated without an enterotomy and avoiding the risks and morbidities associated with it.

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“…At least 80% of ingested foreign objects are passed spontaneously through the gastrointestinal tract without complication [ 3 ]. Although rare, bezoars are a recognized cause of intraluminal bowel obstruction [ 6 ]. Other complications associated with bezoars and foreign body ingestion include bleeding, impaction, obstruction, and perforation [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Rare Appendicitis-Like Syndrome: The Case of the Obstructing Broccoli

Jones

Narh-Martey

Patel

et al. 2014

Case Reports in Medicine

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The diagnosis of acute appendicitis can be somewhat obscure in a patient that presents with right lower quadrant abdominal pain. The advancement and ease of imaging have made CT scanning readily available in the emergency department. Management can be challenging when the patient has a high likelihood of appendicitis based on clinical suspicion and negative CT scan. The purpose of this case report is to demonstrate how an obstructing bezoar caused an appendicitis-like syndrome in a patient with negative CT scan and clinical diagnosis of acute appendicitis. This case report will discuss the appendicitis-like syndrome of an obstructing bezoar and an approach at management.

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An Unusual Cause of Small Bowel Obstruction in a Child: Ingested Rhubarb

Cited by 9 publications

References 7 publications

Small Bowel Obstruction Induced by Phytobezoar: A Case Report in Innocent Abdomen and Literature Review

Small Bowel Obstruction Induced by Phytobezoar: A Case Report in Innocent Abdomen and Literature Review

Small Intestinal Obstruction Secondary to Jejunal Trichobezoar Removed Per Anum Without an Enterotomy: A Case Report

Rare Appendicitis-Like Syndrome: The Case of the Obstructing Broccoli

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