Small bowel obstruction with multiple perforations post chestnut ingestion

Ravindra, Raevin; Das, Atandrila; Chew, Grace; Daniel, Eric

doi:10.1136/bcr-2018-227999

Cited by 4 publications

(2 citation statements)

References 11 publications

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“…Our case was due to a wild grape phytobezoar. It can occur with all types of fruit with grains rich in fiber and cellulose: persimmon [17], chestnuts [18], aloe Vera [19], mushroom [20], mango [21], potato and broccoli [22].…”

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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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: 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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“…Although the perforation of the digestive tract by foreign bodies is a rare event, it usually results from the ingestion of sharp objects, with only 1% in cases of foreign body ingestion [ 6 ]. In this case, eighteen seeds were removed intraoperatively, which have elliptical ends and which probably compressed the wall of the sigmoid colon by impaction.…”

Section: Discussionmentioning

confidence: 99%

Rectosigmoid transition perforation by ingá (Inga laurina) seeds in the Brazilian amazon: Case report and surgical treatment

Rodriguez

Coelho²,

Villalaz

et al. 2021

Annals of Medicine and Surgery

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Introduction Foreign body ingestion is a common clinical scenario found in clinical practice. Perforations related to foreign bodies are rare, but they can present as a serious condition in emergency surgery services. The most common sites of perforation are angled areas, such as: ileocecal valve, sigmoid colon, duodenojejunal flexure and small intestine. We are going to describe a rare case of extensive perforation of rectosigmoid transition, without associated obstructive clinical picture, related to voluntary ingestion of foreign body caused by multiple seeds of a typical amazon fruit. Presentation of case This case report describes the presentation and management of a 46-year-old man who presented signs of acute perforating abdomen, without obstructive condition, after ingestion of foreign body. Imaging examination revealed the presence of foreign bodies with signs of intestinal perforation. Exploratory laparotomy was performed to treat the lesion and remove foreign bodies. Discussion Bowel perforation by a non-sharp foreign body is a rare complication of object ingestion. Object shape, quantity, narrowing of gastrointestinal tract are factors that can favor perforation. The clinic is not very specific, usually preceded by when obstructive or sub occlusive, and the clinical history is relevant for diagnostic formulation. Regions and cultures with a high intake of food with seeds may constitute an extra risk factor. Conclusion The importance of alerting surgical teams to the possibility of bowel perforation without associated occlusive conditions caused by multiple non-sharp seeds is highlighted, as well as the need for early treatment aiming at favorable clinical outcome.

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