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An unusual cause of small bowel obstruction: dried apricots.
J Pak Med Assoc. 2011 Nov; 61(11):1130-1.JP

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.

Authors+Show Affiliations

Department of General Surgery, Dicle University, Faculty of Medicine, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22125996

Citation

Gümüs, Metehan, et al. "An Unusual Cause of Small Bowel Obstruction: Dried Apricots." JPMA. the Journal of the Pakistan Medical Association, vol. 61, no. 11, 2011, pp. 1130-1.
Gümüs M, Kapan M, Onder A, et al. An unusual cause of small bowel obstruction: dried apricots. J Pak Med Assoc. 2011;61(11):1130-1.
Gümüs, M., Kapan, M., Onder, A., Tekbas, G., & Yagmur, Y. (2011). An unusual cause of small bowel obstruction: dried apricots. JPMA. the Journal of the Pakistan Medical Association, 61(11), 1130-1.
Gümüs M, et al. An Unusual Cause of Small Bowel Obstruction: Dried Apricots. J Pak Med Assoc. 2011;61(11):1130-1. PubMed PMID: 22125996.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An unusual cause of small bowel obstruction: dried apricots. AU - Gümüs,Metehan, AU - Kapan,Murat, AU - Onder,Akin, AU - Tekbas,Güven, AU - Yagmur,Yusuf, PY - 2011/12/1/entrez PY - 2011/12/1/pubmed PY - 2012/2/22/medline SP - 1130 EP - 1 JF - JPMA. The Journal of the Pakistan Medical Association JO - J Pak Med Assoc VL - 61 IS - 11 N2 - 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. SN - 0030-9982 UR - https://www.unboundmedicine.com/medline/citation/22125996/An_unusual_cause_of_small_bowel_obstruction:_dried_apricots_ L2 - http://jpma.org.pk/full_article-text.php?article_id=3118 DB - PRIME DP - Unbound Medicine ER -