Jewish Holiday “Tu Bishvat” or Two Cases of Small Bowel Obstruction with Dried Apricot

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Kukeev I ◽  
◽  
Replyansky I ◽  
Czeiger D ◽  
Atias S ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Gastric Bypass Surgery ◽  
Surgical Removal ◽  
Cellulose Content ◽  
Lead Point ◽  
First Case ◽  
Dried Fruit ◽  
High Level

Introduction: Small bowel obstruction caused by bezoars is rare. One of the causes of phytobezoars is dried fruits. We present two cases of small bowel obstruction caused by dried apricots during Jewish holiday “Tu BiShvat”. Case Presentation: Two men, 54 and 86 years old hospitalized with acute abdomen attributed to small bowel obstruction. In the first case - intoxicated patient, due to suspicion of mesenteric ischemia underwent laparotomy. A lead point caused obstruction was found and after enterotomy whole dried apricot was removed. The patient swallowed it whole three days before hospitalization. In the second case, edentulous patient with small bowel obstruction and peritonitis underwent laparotomy. The cause of obstruction was a dried apricot swallowed whole by the patient. Discussion: Presentation of bezoar with features of acute surgical abdomen is extremely rare, accounting for only 1% of the patients. The expansion of phytobezoar that is high in cellulose content can absorb a large amount of fluid causing an obstruction of the small bowel. The treatment of small bowel obstruction caused by bezoars varies from dissolving with cellulase, papain and even Coca-Cola, followed by endoscopic and surgical removal. Conclusion: A high level of suspicion needs to exist in the presence of a history of eating dried fruit, which can cause gastrointestinal obstruction. Especially on background gastric bypass surgery and inadequate mastication.

Taxonomy and Imaging Spectrum of Small Bowel Obstruction After Roux-en-Y Gastric Bypass Surgery

2010 ◽  
Vol 194 (1) ◽  
pp. 120-128 ◽  
Author(s):  
Abhijit Sunnapwar ◽  
Kumaresan Sandrasegaran ◽  
Christine O. Menias ◽  
Mark Lockhart ◽  
Kedar N. Chintapalli ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery

scholarly journals Small bowel obstruction due to herniation into an extra-anatomical arterial bypass tunnel: a first case report

2010 ◽  
Vol 92 (2) ◽  
pp. e20-e22
Author(s):  
Jacqueline Simms ◽  
Karim El-Sakka ◽  
Domenico Valenti ◽  
Mark Tyrrell ◽  
Klaus-Martin Schulte
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bypass Graft ◽  
Small Bowel Resection ◽  
Critical Limb Ischaemia ◽  
Emergency Laparotomy ◽  
Limb Ischaemia ◽  
Arterial Bypass ◽  
First Case

Introduction We highlight the importance of considering rarer causes of small bowel obstruction in patients presenting after extra-anatomical arterial bypass. Case presentation Our patient underwent a left common iliac-to-bifemoral bypass extra-anatomical graft for critical limb ischaemia. The patient developed mechanical small bowel obstruction on the 20th postoperative day. Emergency laparotomy revealed incarcerated, obstructed small bowel trapped in the graft tunnel. Recovery was satisfactory following small bowel resection. Conclusions To the best of our knowledge, small bowel herniation into an arterial bypass graft tunnel, with successful treatment outcome, has not been reported to date.

Small-Bowel Obstruction After Laparoscopic Roux-en-Y Gastric Bypass Surgery

2009 ◽  
Vol 33 (3) ◽  
pp. 369-375 ◽  
Author(s):  
Gowthaman Gunabushanam ◽  
Sridhar Shankar ◽  
Donald R. Czerniach ◽  
John J. Kelly ◽  
Richard A. Perugini
Keyword(s):  
Gastric Bypass ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery

scholarly journals A Bezoar Causing Bowel Obstruction After Roux-en-Y Gastric Bypass: A Case Report

2019 ◽  
Author(s):  
Alireza Tavassoli ◽  
Mehrdad Fakhlaei ◽  
Fatemeh Sadat Abtahi Mehrjardi ◽  
Mehrdad Gazanchian
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Eating Habits ◽  
Gastric Surgery ◽  
Prior History ◽  
History Of ◽  
High Level

Abstract- We aimed to present a patient with phytobezoar causing small bowel obstruction after Roux-en-Y gastric bypass. Thirty-year-old woman with a history of prior Roux-en-Y gastric bypass due to morbid obesity three years ago presented with colicky abdominal pain, distention, nausea, vomiting, and obstipation. Initial abdominal X-ray showed various distended small bowel loops with air-fluid levels. The patient was taken to operation room for laparoscopic exploration, and a phytobezoar was found in distal jejunum. The bezoar was fragmented and flushed through cecum. The patient tolerated the surgery and her symptoms relieved without complication. Moreover, she received dietary consultation in order to prevent future recurrences. Small bowel obstruction in a patient with prior abdominal surgery is mainly caused due to adhesions, stenosis of anastomosis and hernias. An uncommon cause for obstruction is bezoar formation. The majority of patients with bezoars have a history of gastric surgery. Diagnostic imaging is not always helpful, and surgical exploration is sometimes required for diagnosis. Treatment is mainly surgical, but conservative medical treatment is also reported to be helpful. Apart from removal of bezoar, a dietary consultation is required to avoid eating habits leading to bezoar formation. Bariatric surgery is becoming more common; thus its complications are becoming more common as well. Majority of patients with bezoars have a prior history of gastric surgery. Therefore it is important to maintain a high level of suspicion for timely diagnosis of bezoars in patients with prior history of bariatric surgery, especially Roux-en-Y gastric bypass.

scholarly journals Small Bowel Obstruction Caused by Dried Persimmon

2018 ◽  
Vol 12 (1) ◽  
pp. 147-152 ◽  
Author(s):  
Mami Yamamoto ◽  
Kentaroh Yamamoto ◽  
Xueyi Bian ◽  
Qiang Guo ◽  
Takamitsu Sasaki ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Conservative Therapy ◽  
Asian Countries ◽  
Dried Fruit

Dried persimmon is a well-known dried fruit in Asian countries such as Japan, Korea, and China. Small bowel obstruction caused by phytobezoar is a rare but interesting pathogenesis that accounts for 2–4% of all small bowel obstructions. We present the case of an 87-year-old female who suffered from small bowel obstruction caused by ingestion of a huge, dried astringent persimmon. She was initially treated conservatively, but removal by enterotomy was performed after relief failed to be achieved with conservative therapy.

scholarly journals Small bowel obstruction due to dried fruit and vegetable bezoars in paediatric patients of northern India.

2018 ◽  
Vol 5 (1) ◽  
pp. 3427-3429
Author(s):  
Faheemul Hassan Andrabi ◽  
Gowher Nazir Mufti ◽  
Sajad Ahmad Wani ◽  
Mudasir Hamid ◽  
Nisar Ahmad Bhat ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Fruits And Vegetables ◽  
Abdominal Distension ◽  
Average Hospital ◽  
Northern India ◽  
Dried Fruit ◽  
Acute Small Bowel Obstruction ◽  
Operative Findings

Introduction: Many foods have been implicated in bezoar obstruction especially sun dried apricots, peaches, and prunes. Dried fruits and vegetable being hygroscopic imbibe water, swell in size and cause mechanical small bowel obstruction. We hereby submit our experience of dealing with patients who presented with acute small bowel obstruction (ASBO) due to dried phytobezoars. Materials and methods: This was a retrospective study which was conducted from March 2017 to March 2012. Operative records of the patients with ASBO due to phytobezoars were retrieved from Hospital Records Section. The clinical details, investigative work up, operative findings and intervention and type of bezoars were noted. Results: Over the period of 5 years, 12 patients of phytobezoars were admitted in the department. The mean age of the patients was 1.85 years with 7(58.3%) males and 5 females (41.6.5%). Vomiting was most common and was present in all the patients, bilious in 11 (91.7%). The other features included abdominal pain in 10 (83.3%), abdominal distension in 8 (66.7%), failure to pass stools in 9 (75%), failure to pass flatus in 9 (75%), diarrhoea 16 (25%), bleeding per rectum 2 (16.6% patients). All the patients were operated in emergency settings within the period of 8 ± 3 hours of admission. There were no significant operative complications and average hospital stay was 5.2±1 days. Conclusion: Dry fruits and vegetables like apricot, turnip and peach can lead to bezoar formation which subsequently leads to acute small bowel obstruction in these infants and young children. We also want to impress upon the treating physicians to keep in mind the probability of phytobezoars obstruction in patients presenting with mechanical ASBO especially in patients from Himalayan regions.

scholarly journals Small-bowel Obstruction due to Dried Fruit

BMJ ◽  
1945 ◽  
Vol 2 (4421) ◽  
pp. 426-426 ◽  
Author(s):  
T. F. J. Ryan ◽  
J. Nagle
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Dried Fruit
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