Intestinal obstruction caused by phytobezoar composed of jaboticaba seeds: case report and literature review

Luporini, Rafael Luís; Weirich, Lícia Deon; Marciano, Marcelo Rodolfo; Sipriani, Luiz Vagner; Filho, Francisco de Assis Gonçalves; Sabbag, Anwar Fausto Félix; Melo, Marcelo Maia Caixeta de; Ronchi, Luiz Sérgio; Cunrath, Geni Satomi; Netinho, João Gomes

doi:10.1590/s2237-93632012000300016

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…When ingesting multiple objects, psychiatric conditions and illegal transport of substances, often narcotics, are more incidents [ 8 , 9 ]. Fruit/fruit intake is related to complications when there is no digestion of the seeds, with their accumulation and compaction forming a single object, known as phytobezoar [ 10 ]. Despite this, bezoar is more related to obstructive conditions of the proximal digestive tube, and rarely evolve to perforation [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…The psychiatric and cultural aspect must be evaluated. Fruit seed bezoars such as jabuticaba or granadilla are reported in places with high consumption of these foods [ 10 , 11 ]. In the case reported here, there was no formation of bezoars, but an acute ingestion of ingá seeds ( Inga laurina species), probably due to the patient's regional costume, and not due to a psychiatric condition, different from trichobezoars [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

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Rectosigmoid transition perforation by ingá (Inga laurina) seeds in the Brazilian amazon: Case report and surgical treatment

Rodriguez

Coelho²,

Villalaz

et al. 2021

Annals of Medicine and Surgery

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Introduction Foreign body ingestion is a common clinical scenario found in clinical practice. Perforations related to foreign bodies are rare, but they can present as a serious condition in emergency surgery services. The most common sites of perforation are angled areas, such as: ileocecal valve, sigmoid colon, duodenojejunal flexure and small intestine. We are going to describe a rare case of extensive perforation of rectosigmoid transition, without associated obstructive clinical picture, related to voluntary ingestion of foreign body caused by multiple seeds of a typical amazon fruit. Presentation of case This case report describes the presentation and management of a 46-year-old man who presented signs of acute perforating abdomen, without obstructive condition, after ingestion of foreign body. Imaging examination revealed the presence of foreign bodies with signs of intestinal perforation. Exploratory laparotomy was performed to treat the lesion and remove foreign bodies. Discussion Bowel perforation by a non-sharp foreign body is a rare complication of object ingestion. Object shape, quantity, narrowing of gastrointestinal tract are factors that can favor perforation. The clinic is not very specific, usually preceded by when obstructive or sub occlusive, and the clinical history is relevant for diagnostic formulation. Regions and cultures with a high intake of food with seeds may constitute an extra risk factor. Conclusion The importance of alerting surgical teams to the possibility of bowel perforation without associated occlusive conditions caused by multiple non-sharp seeds is highlighted, as well as the need for early treatment aiming at favorable clinical outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%