Small intestinal obstruction by sunflower seed bezoar

Bezoars are rare mass formations in the gastrointestinal tract caused by consumption of indigestible materials such as plant fibers (Phytobezoars) or hair (Trichobezoars). We report a case of a 12-year-old boy who presented with abdominal pain, nausea and vomiting without any other clinical findings...

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Main Authors: Tatiana de Warren, Melanie B. LaPlant, Daniel A. Saltzman, Donavon J. Hess
Format: Article
Language:English
Published: Elsevier 2019-07-01
Series:Journal of Pediatric Surgery Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576619300831
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author Tatiana de Warren
Melanie B. LaPlant
Daniel A. Saltzman
Donavon J. Hess
author_facet Tatiana de Warren
Melanie B. LaPlant
Daniel A. Saltzman
Donavon J. Hess
author_sort Tatiana de Warren
collection DOAJ
description Bezoars are rare mass formations in the gastrointestinal tract caused by consumption of indigestible materials such as plant fibers (Phytobezoars) or hair (Trichobezoars). We report a case of a 12-year-old boy who presented with abdominal pain, nausea and vomiting without any other clinical findings. Radiographic findings showed an area of obstruction in the small bowel, which we confirmed by performing an exploratory laparotomy. The treatment consisted of surgical removal of the obstructing bezoar from the distant ileum as well as excision of an incidentally identified Meckel's diverticulum. Postoperative discussions revealed, that the patient had ingested a large amount of unshelled sunflower seeds, which had caused a mass formation and obstruction of his small bowel. The patient did not suffer any complications during or after surgery and experienced a rapid recovery. Bezoars should be considered among adolescents presenting with intestinal obstruction, especially among baseball players.
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spelling doaj.art-898440ce93be48909b091d3f7632cf862022-12-21T18:47:36ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662019-07-0146Small intestinal obstruction by sunflower seed bezoarTatiana de Warren0Melanie B. LaPlant1Daniel A. Saltzman2Donavon J. Hess3Department of Surgery, University of Minnesota, Minneapolis, MN 55454, USADepartment of Surgery, University of Minnesota, Minneapolis, MN 55454, USADepartment of Surgery, University of Minnesota, Minneapolis, MN 55454, USACorresponding author. Department of Surgery, University of Minnesota, 2450 Riverside Ave S., MB 505, Minneapolis, MN, 55454, USA.; Department of Surgery, University of Minnesota, Minneapolis, MN 55454, USABezoars are rare mass formations in the gastrointestinal tract caused by consumption of indigestible materials such as plant fibers (Phytobezoars) or hair (Trichobezoars). We report a case of a 12-year-old boy who presented with abdominal pain, nausea and vomiting without any other clinical findings. Radiographic findings showed an area of obstruction in the small bowel, which we confirmed by performing an exploratory laparotomy. The treatment consisted of surgical removal of the obstructing bezoar from the distant ileum as well as excision of an incidentally identified Meckel's diverticulum. Postoperative discussions revealed, that the patient had ingested a large amount of unshelled sunflower seeds, which had caused a mass formation and obstruction of his small bowel. The patient did not suffer any complications during or after surgery and experienced a rapid recovery. Bezoars should be considered among adolescents presenting with intestinal obstruction, especially among baseball players.http://www.sciencedirect.com/science/article/pii/S2213576619300831
spellingShingle Tatiana de Warren
Melanie B. LaPlant
Daniel A. Saltzman
Donavon J. Hess
Small intestinal obstruction by sunflower seed bezoar
Journal of Pediatric Surgery Case Reports
title Small intestinal obstruction by sunflower seed bezoar
title_full Small intestinal obstruction by sunflower seed bezoar
title_fullStr Small intestinal obstruction by sunflower seed bezoar
title_full_unstemmed Small intestinal obstruction by sunflower seed bezoar
title_short Small intestinal obstruction by sunflower seed bezoar
title_sort small intestinal obstruction by sunflower seed bezoar
url http://www.sciencedirect.com/science/article/pii/S2213576619300831
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