Ume (Japanese Apricot)-Induced Small Bowel Obstruction with Chronic Radiation Enteritis
Stricture formation is recognized as one of the complications of chronic radiation enteritis. Here, we present a case of a 73-year-old woman who presented with small bowel obstruction 16 years after pelvic irradiation for uterine cancer. Computed tomographic (CT) scan of the abdomen demonstrated a 1...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2007-12-01
|
| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/112653 |
| _version_ | 1828861340674949120 |
|---|---|
| author | Takuya Hashimoto Joji Kitayama Akio Hidemura Hironori Ishigami Shoichi Kaizaki Noriyoshi Fukushima Tetsuro Miyata Hirokazu Nagawa |
| author_facet | Takuya Hashimoto Joji Kitayama Akio Hidemura Hironori Ishigami Shoichi Kaizaki Noriyoshi Fukushima Tetsuro Miyata Hirokazu Nagawa |
| author_sort | Takuya Hashimoto |
| collection | DOAJ |
| description | Stricture formation is recognized as one of the complications of chronic radiation enteritis. Here, we present a case of a 73-year-old woman who presented with small bowel obstruction 16 years after pelvic irradiation for uterine cancer. Computed tomographic (CT) scan of the abdomen demonstrated a 1-cm foreign body in the terminal ileum. Laparotomy revealed a stone of ume (Japanese apricot) stuck in an ileal stricture, leading to complete impaction and perforation. She was successfully treated with ileocecal resection and ileocolic anastomosis without any complication. Pathological study revealed that the low compliance caused by fibrosis of the bowel wall prevented the small ume stone from passing through the irradiated ileum. Our case implies the specific risk of food-induced small bowel obstruction in patients with a history of pelvic irradiation. |
| first_indexed | 2024-12-13T02:59:30Z |
| format | Article |
| id | doaj.art-8a058406f35e434392322f72050d1768 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-13T02:59:30Z |
| publishDate | 2007-12-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-8a058406f35e434392322f72050d17682022-12-22T00:01:53ZengKarger PublishersCase Reports in Gastroenterology1662-06312007-12-011118418910.1159/000112653112653Ume (Japanese Apricot)-Induced Small Bowel Obstruction with Chronic Radiation EnteritisTakuya HashimotoJoji KitayamaAkio HidemuraHironori IshigamiShoichi KaizakiNoriyoshi FukushimaTetsuro MiyataHirokazu NagawaStricture formation is recognized as one of the complications of chronic radiation enteritis. Here, we present a case of a 73-year-old woman who presented with small bowel obstruction 16 years after pelvic irradiation for uterine cancer. Computed tomographic (CT) scan of the abdomen demonstrated a 1-cm foreign body in the terminal ileum. Laparotomy revealed a stone of ume (Japanese apricot) stuck in an ileal stricture, leading to complete impaction and perforation. She was successfully treated with ileocecal resection and ileocolic anastomosis without any complication. Pathological study revealed that the low compliance caused by fibrosis of the bowel wall prevented the small ume stone from passing through the irradiated ileum. Our case implies the specific risk of food-induced small bowel obstruction in patients with a history of pelvic irradiation.http://www.karger.com/Article/FullText/112653Radiation injuryIntestinal obstructionForeign bodiesEnteritis |
| spellingShingle | Takuya Hashimoto Joji Kitayama Akio Hidemura Hironori Ishigami Shoichi Kaizaki Noriyoshi Fukushima Tetsuro Miyata Hirokazu Nagawa Ume (Japanese Apricot)-Induced Small Bowel Obstruction with Chronic Radiation Enteritis Case Reports in Gastroenterology Radiation injury Intestinal obstruction Foreign bodies Enteritis |
| title | Ume (Japanese Apricot)-Induced Small Bowel Obstruction with Chronic Radiation Enteritis |
| title_full | Ume (Japanese Apricot)-Induced Small Bowel Obstruction with Chronic Radiation Enteritis |
| title_fullStr | Ume (Japanese Apricot)-Induced Small Bowel Obstruction with Chronic Radiation Enteritis |
| title_full_unstemmed | Ume (Japanese Apricot)-Induced Small Bowel Obstruction with Chronic Radiation Enteritis |
| title_short | Ume (Japanese Apricot)-Induced Small Bowel Obstruction with Chronic Radiation Enteritis |
| title_sort | ume japanese apricot induced small bowel obstruction with chronic radiation enteritis |
| topic | Radiation injury Intestinal obstruction Foreign bodies Enteritis |
| url | http://www.karger.com/Article/FullText/112653 |
| work_keys_str_mv | AT takuyahashimoto umejapaneseapricotinducedsmallbowelobstructionwithchronicradiationenteritis AT jojikitayama umejapaneseapricotinducedsmallbowelobstructionwithchronicradiationenteritis AT akiohidemura umejapaneseapricotinducedsmallbowelobstructionwithchronicradiationenteritis AT hironoriishigami umejapaneseapricotinducedsmallbowelobstructionwithchronicradiationenteritis AT shoichikaizaki umejapaneseapricotinducedsmallbowelobstructionwithchronicradiationenteritis AT noriyoshifukushima umejapaneseapricotinducedsmallbowelobstructionwithchronicradiationenteritis AT tetsuromiyata umejapaneseapricotinducedsmallbowelobstructionwithchronicradiationenteritis AT hirokazunagawa umejapaneseapricotinducedsmallbowelobstructionwithchronicradiationenteritis |