An Unusual Cause of Small Bowel Obstruction in a Child: Ingested Rhubarb
Small bowel obstruction is rarely caused by bezoars concretions formed from undigested foreign material in the gastrointestinal tract. An important cause of bezoars is phytobezoars, formed from vegetables or fruits. A four-year-old boy presented to our emergency department with symptoms of acute int...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/497214 |
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| author | Miguel Glatstein Dana Danino Ayelet Rimon Sergei Keidar Dennis Scolnik |
| author_facet | Miguel Glatstein Dana Danino Ayelet Rimon Sergei Keidar Dennis Scolnik |
| author_sort | Miguel Glatstein |
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| description | Small bowel obstruction is rarely caused by bezoars concretions formed from undigested foreign material in the gastrointestinal tract. An important cause of bezoars is phytobezoars, formed from vegetables or fruits. A four-year-old boy presented to our emergency department with symptoms of acute intestinal obstruction. Upright plain abdominal radiography revealed multiple air fluid levels. Ultrasound showed no abnormalities, and because of worsening symptoms computed tomography of abdomen was performed. It showed intraluminal obstruction of the terminal ileum. Exploratory laparotomy revealed a phytobezoar consisting of undigested rhubarb. The mass was milked through the large bowel and out the anus. Although rare in humans, bezoars are a well-documented cause of small bowel obstruction and should be considered when intraluminal bowel obstruction occurs. Bezoars causing small bowel obstruction may require surgical treatment. |
| format | Article |
| id | doaj-art-f5c914aa517040efa02a69302bb622fa |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-f5c914aa517040efa02a69302bb622fa2025-02-03T01:23:50ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/497214497214An Unusual Cause of Small Bowel Obstruction in a Child: Ingested RhubarbMiguel Glatstein0Dana Danino1Ayelet Rimon2Sergei Keidar3Dennis Scolnik4Division of Pediatric Emergency Medicine, Department of Pediatrics, Dana-Dwek Children’s Hospital, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 64239 Tel-Aviv, IsraelDivision of Pediatric Emergency Medicine, Department of Pediatrics, Dana-Dwek Children’s Hospital, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 64239 Tel-Aviv, IsraelDivision of Pediatric Emergency Medicine, Department of Pediatrics, Dana-Dwek Children’s Hospital, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 64239 Tel-Aviv, IsraelDepartment of Pediatric Surgery, Dana-Dwek Children’s Hospital, Tel-Aviv Sourasky Medical Center and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, IsraelDivisions of Pediatric Emergency Medicine and Clinical Pharmacology and Toxicology, Department of Pediatrics, The Hospital for Sick Children, University of Toronto, CanadaSmall bowel obstruction is rarely caused by bezoars concretions formed from undigested foreign material in the gastrointestinal tract. An important cause of bezoars is phytobezoars, formed from vegetables or fruits. A four-year-old boy presented to our emergency department with symptoms of acute intestinal obstruction. Upright plain abdominal radiography revealed multiple air fluid levels. Ultrasound showed no abnormalities, and because of worsening symptoms computed tomography of abdomen was performed. It showed intraluminal obstruction of the terminal ileum. Exploratory laparotomy revealed a phytobezoar consisting of undigested rhubarb. The mass was milked through the large bowel and out the anus. Although rare in humans, bezoars are a well-documented cause of small bowel obstruction and should be considered when intraluminal bowel obstruction occurs. Bezoars causing small bowel obstruction may require surgical treatment.http://dx.doi.org/10.1155/2013/497214 |
| spellingShingle | Miguel Glatstein Dana Danino Ayelet Rimon Sergei Keidar Dennis Scolnik An Unusual Cause of Small Bowel Obstruction in a Child: Ingested Rhubarb Case Reports in Surgery |
| title | An Unusual Cause of Small Bowel Obstruction in a Child: Ingested Rhubarb |
| title_full | An Unusual Cause of Small Bowel Obstruction in a Child: Ingested Rhubarb |
| title_fullStr | An Unusual Cause of Small Bowel Obstruction in a Child: Ingested Rhubarb |
| title_full_unstemmed | An Unusual Cause of Small Bowel Obstruction in a Child: Ingested Rhubarb |
| title_short | An Unusual Cause of Small Bowel Obstruction in a Child: Ingested Rhubarb |
| title_sort | unusual cause of small bowel obstruction in a child ingested rhubarb |
| url | http://dx.doi.org/10.1155/2013/497214 |
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