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

2020 ◽  
Vol 8 (1) ◽  
pp. 354
Author(s):  
Daniel Page ◽  
Emilia Dauway
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Plant Material ◽  
Closed Loop ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Emergency Laparotomy ◽  
Contributing Factors ◽  
Intraabdominal Adhesions

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.

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

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Mahmoud Al-Najjar ◽  
Thomas Arthur
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Significant Morbidity ◽  
Accidental Ingestion

Ingestion of a foreign body is a rare cause of small bowel obstruction. Ingested foreign bodies will usually pass without clinical sequelae, however on occasion can contribute to significant morbidity. Here we present an unusual case of small bowel obstruction and perforation as a result of accidental ingestion of a nectarine pit.

Unusual case of a closed-loop small bowel obstruction caused by Chilaiditi syndrome

2013 ◽  
Vol 83 (9) ◽  
pp. 694-695 ◽  
Author(s):  
Sae Byeol Choi ◽  
Kui Sun Choi ◽  
Sang Yong Choi
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Closed Loop ◽  
Unusual Case ◽  
Chilaiditi Syndrome

scholarly journals An unusual case of phytobezoar-induced small bowel obstruction

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Yasser Taha ◽  
Khaled Salman ◽  
Fahad Alrayyes ◽  
Saad Alrayyes
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Plant Material ◽  
Unusual Case ◽  
Past History ◽  
Unknown Origin ◽  
Exploratory Laparotomy ◽  
The Elderly ◽  
Fibre Diet

Abstract Bezoars, and to lesser extent phytobezoars, are among the rare causes of small bowel obstruction. A bezoar generally describes retained concretions of indigestible foreign material that accumulate and conglomerate in the gastrointestinal tract, most commonly in the stomach. We present an unusual case of phytobezoar-induced sub-acute small bowel obstruction originating from unfamiliar plant material in a 74-year-old woman. The past history was insignificant regarding comorbidities other than depression. Presenting complaints were history of abdominal pain and vomiting. Imaging studies and physical examination suggested small bowel obstruction. The patient underwent exploratory laparotomy after 1 day of conservative treatment. We found a 4.5 cm obstructing phytobezoar intraoperatively. The undigested plant material caused the obstruction. Postoperatively, the plant was identified as Scorzonera papposa. The patient was discharged uneventfully. The elderly patients should avoid semi-cooked vegetables, plants of unknown origin and high-fibre diet.

Unusual cause of recurrent small bowel obstruction in an incarcerated patient: ingested plastic foreign bodies

2020 ◽  
Author(s):  
Alexander Yip ◽  
Ankur Sidhu ◽  
Jawed Noori ◽  
Rebecca J. Lendzion ◽  
Rodney Woods
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Foreign Bodies

563 A Rare Case of Small Bowel Obstruction Secondary to Peritoneal Encapsulation, Congenital Adhesional Band and Gallstone Ileus

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
P Gungadin ◽  
A Taib ◽  
M Ahmed ◽  
A Sultana
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Case Presentation ◽  
Peritoneal Encapsulation ◽  
History Of ◽  
Gall Stone Ileus

Abstract Introduction Small bowel obstruction can be caused by multiple factors. We describe an unusual case of small bowel obstruction secondary to three rare factors: gallstone ileus, peritoneal encapsulation and congenital adhesional band. Case Presentation A seventy-nine-year-old male presented with a four-day history of obstipation and abdominal pain. CT abdomen pelvis revealed small bowel obstruction secondary to gallstone ileus. The patient was managed by laparotomy. The intraoperative findings revealed the presence of a congenital peritoneal encapsulation with an adhesional band and gallstone proximal to the ileo-caecal valve. Although there was some dusky small bowel, this recovered following the release of the band. Discussion Peritoneal Encapsulation is a rare congenital pathology resulting in the formation of an accessory peritoneal membrane around the small bowel. This condition is asymptomatic and rarely presents as small bowel obstruction. The diagnosis is often made at laparotomy. There are less than 60 cases reported in literature. Gallstone ileus is another rare entity caused by an inflamed gallbladder adhering to part of the bowel resulting in a fistula. Conclusions The rarity of these conditions mean that they are poorly understood. A combination of this triad of gall stone ileus in the presence of peritoneal encapsulation and congenital band has not been reported before. Knowledge of this would raise awareness, facilitate diagnosis and management of patients.

scholarly journals Transmesenteric hernia with closed-loop small bowel obstruction: A case report

2022 ◽  
pp. 103256
Author(s):  
Bibek Man Shrestha ◽  
Suraj Shrestha ◽  
Shiva Aryal ◽  
Susan Pradhan ◽  
Romi Dahal ◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Closed Loop ◽  
Transmesenteric Hernia

scholarly journals An unusual case of small bowel obstruction

2020 ◽  
Author(s):  
Thomas Worland ◽  
Ashley Bloom ◽  
Marcus Robertson
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case

scholarly journals Closed loop bowel obstruction secondary to left paraduodenal hernia (of Landzert)

2019 ◽  
Vol 12 (12) ◽  
pp. e232134
Author(s):  
Yeo Min Cho ◽  
Gamze Aksakal ◽  
Mohamed Ahmed Tawfik Ashour ◽  
Suzanne Moore
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Case ◽  
Closed Loop ◽  
Flank Pain ◽  
Paraduodenal Hernia ◽  
Good Recovery ◽  
Left Colic Artery ◽  
Unusual Phenomenon

A 34-year-old man presented with acute severe left-sided abdominal and flank pain with associated postprandial nausea and vomiting. CT imaging revealed findings suspicious for a closed loop small bowel obstruction. Intraoperative findings were that of a left paraduodenal hernia (of Landzert) secondary to a mesenteric defect immediately posterior to the ascending branch of the left colic artery. The defect was closed via minilaparotomy. Unfortunately, his postoperative course was complicated by small bowel obstruction which required further laparotomy and adhesiolysis. The patient eventually made a good recovery. Here, we present a rare case of intestinal obstruction and discuss the aetiologies and management of this unusual phenomenon.

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