Small bowel obstruction caused by dried apple

Ooi, Sally; Hong, Khiem

doi:10.1016/j.ijscr.2015.03.038

Cited by 10 publications

(7 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The likely underlying mechanism of them causing small bowel obstruction is the high cellulose content as per all phytobezoars with the capability to absorb large quantities of water with subsequent rapid expansion in size and then luminal obstruction of the bowel. 5,6 One experimental study looked at the rate of expansion of dehydrated apple and found they can increase their dehydrated diameter by up to 35%. 6 Diagnosing dehydrated fruit and phytobezoars as a causes of small bowel obstruction is challenging.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 One experimental study looked at the rate of expansion of dehydrated apple and found they can increase their dehydrated diameter by up to 35%. 6 Diagnosing dehydrated fruit and phytobezoars as a causes of small bowel obstruction is challenging. Although CT is useful at demonstrating a small bowel obstruction and associated complications, and probable transition points it is poor at specifically demonstrating phytobezoars.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A fruity bowel obstruction: ingested dehydrated apple as a cause for small bowel obstruction

Page¹,

Dauway²

2020

Int Surg J

View full text Add to dashboard Cite

Small bowel obstructions are common acute surgical presentations often as a result of intraabdominal adhesions or herniations; rarer causes include malignancies, strictures, foreign bodies and bezoars. Phytobezoars (bezoars composed of undigested plant material) account for<4% of small bowel obstructions. Here we report an unusual case of a 56-year-old male with a virgin abdomen presenting with a small bowel obstruction, a CT scan of his abdomen and pelvis was suggestive of a closed loop small bowel obstruction. The patient progressed to have an emergency laparotomy and was found to have multiple intraluminal obstructing foreign bodies within the distal ileum. On making an enterotomy to remove and examine these, they were found to be rehydrated apple segments that the patient had ingested in the dehydrated form several hours earlier. This is an example of a phytobezoar causing bowel obstruction, contributing factors to the occurrence of these include poor gastrointestinal motility and problems of mastication; in this instance the patient had poor dentition that likely pre-disposed him to this problem.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A fruity bowel obstruction: ingested dehydrated apple as a cause for small bowel obstruction

Page¹,

Dauway²

2020

Int Surg J

View full text Add to dashboard Cite

show abstract

“…[8][9][10] Most of these are managed by surgery after variable periods of conservative treatment. The most common mode of presentation for BLH consists of abdominal pain, particularly "colicky abdominal pain", 11 and nausea and/or vomiting. Listing the full variety of presentations would be extensive, as throughout the literature symptoms such as distended abdomen, constipation, diarrhea, and headaches have all been mentioned.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Strangulated Broad Ligament Hernia

et al. 2018

View full text Add to dashboard Cite

Introduction: Broad ligament hernia was first reported post-autopsy by Quain in 1861. In a 1995 review article, only 61 cases had ever been reported. This paper presents a case report of broad ligament hernia and explores the literature surrounding this topic. Case Presentation: The patient presented with no significant past medical history, acute lower abdominal pain (several hours), nausea, and vomiting. Clinical examination showed a heart rate of 85 beats per minute; normal temperature, blood pressure, and respiratory rate; and a mildly distended abdomen with tenderness across the right lower quadrant. A plain abdominal X-ray showed dilated small bowel loops, and a blood test showed leukocytosis. Urgent diagnostic laparoscopy showed a broad ligament strangulated hernia with small bowel infarction. Reduction of the small bowel, resection, and side-side anastomosis were performed. The patient had an uneventful recovery, and follow up reported no postoperative complications. Conclusion: Laparoscopic management of small bowel obstruction due to broad ligament internal hernia is a safe and effective option.

show abstract

“…Ingested foreign bodies are particularly rare in adults and can obstruct the intraluminal small bowel. Observed obstructions often include food items, plastics, metals, plants, soil, hair, and insects [1, 2]. Obtaining a comprehension history of a patient's diet as well as clinical imaging renders preoperative diagnosis of ingested foreign bodies possible.…”

Section: Introductionmentioning

confidence: 99%

Intraluminal Apple as a Rare Cause of Small Bowel Obstruction

Inukai

Usui

Yamada

et al. 2018

Case Reports in Gastrointestinal Medicine

View full text Add to dashboard Cite

Small bowel obstruction due to ingested foreign bodies is rare in adults. A 48-year-old male visited our hospital with abdominal pain and vomiting. Computed tomography revealed intestinal obstruction by a 3 × 4 cm apple-shaped foreign body. Emergency surgery was performed to clear the obstruction which, upon inspection, was caused by a sexual toy made of rubber. Flexible rubber products that are ingested should be carefully followed after they pass thorough the pylorus. For obstructions related to sexual behavior, the patient's sense of shame often delays the process of seeking medical attention, thereby making preoperative diagnosis difficult.

show abstract

Small bowel obstruction caused by dried apple

Abstract: HighlightsSmall bowel obstruction in a virgin abdomen can be caused by food bezoar such as rehydrated fruits.Dried apple has a potential to reabsorb fluid and expand up to 35% of its initial size within 72 h.The most common site of small bowel obstruction is proximal to ileocecal valve.

Cited by 10 publications

References 7 publications

A fruity bowel obstruction: ingested dehydrated apple as a cause for small bowel obstruction

A fruity bowel obstruction: ingested dehydrated apple as a cause for small bowel obstruction

Laparoscopic Management of Strangulated Broad Ligament Hernia

Intraluminal Apple as a Rare Cause of Small Bowel Obstruction

Contact Info

Product

Resources

About