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An unusual cause of small bowel obstruction: dried apricots

Identifieur interne : 004A80 ( Main/Exploration ); précédent : 004A79; suivant : 004A81

An unusual cause of small bowel obstruction: dried apricots

Auteurs : Metehan Gümüs [Turquie] ; Murat Kapan [Turquie] ; Akin Önder [Turquie] ; Güven Tekbas [Turquie] ; Yusuf Yagmur [Turquie]

Source :

Journal of the Pakistan Medical Association [ 0030-9982 ] ; 2011.

RBID : Pascal:12-0086914

Descripteurs français

Pascal (Inist)
- Occlusion intestinale, Intestin grêle, Médecine tropicale.

English descriptors

KwdEn :
- Intestine occlusion, Small intestine, Tropical medicine.

Abstract

Small bowel obstruction is rarely caused by bezoars. An important cause of phytobezoars are dried fruits. A 56 year old man presented to our department with symptoms of acute intestinal obstruction. Abdomen was distended and tender at the right and left lower quadrants. Bowel movements were decreased, and rectum was empty on digital examination. Upright plain films of the abdomen revealed multiple air-fluid levels and patient was immediately operated on. Due to the ischaemia of short small bowel segment, resection and end to end anastomosis were performed. After resection, bowel was opened and an apricot was found in the small bowel lumen. Although the dried apricot was small enough to pass through the pylorus spontaneously, it became swollen in fluid and started to obstruct the small bowel lumen especially in the terminal ileum. Obstruction by undigested food is rare and mostly seen in children, edentulous older people and patients with mental disorders. In conclusion, dried fruits, when swallowed without chewing, may cause intestinal obstruction.

Affiliations:

Turquie

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000090
to stream PascalFrancis, to step Curation: 000608
to stream PascalFrancis, to step Checkpoint: 000153
to stream Main, to step Merge: 004B20
to stream Main, to step Curation: 004A80

Le document en format XML

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<front><div type="abstract" xml:lang="en">Small bowel obstruction is rarely caused by bezoars. An important cause of phytobezoars are dried fruits. A 56 year old man presented to our department with symptoms of acute intestinal obstruction. Abdomen was distended and tender at the right and left lower quadrants. Bowel movements were decreased, and rectum was empty on digital examination. Upright plain films of the abdomen revealed multiple air-fluid levels and patient was immediately operated on. Due to the ischaemia of short small bowel segment, resection and end to end anastomosis were performed. After resection, bowel was opened and an apricot was found in the small bowel lumen. Although the dried apricot was small enough to pass through the pylorus spontaneously, it became swollen in fluid and started to obstruct the small bowel lumen especially in the terminal ileum. Obstruction by undigested food is rare and mostly seen in children, edentulous older people and patients with mental disorders. In conclusion, dried fruits, when swallowed without chewing, may cause intestinal obstruction.</div>
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An unusual cause of small bowel obstruction: dried apricots

An unusual cause of small bowel obstruction: dried apricots

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri