Elderly Male With Mesogastric Pain

Trotta, Manuela; Cesaretti, Manuela; Conzi, R.; Derchi, Lorenzo E.; Borgonovo, Giacomo

doi:10.1016/j.annemergmed.2011.04.031

Cited by 1 publication

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References 3 publications

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“…There are only two previously reported cases of SBO caused by an intact grape [3,4]. The skin of a grape is composed mainly of water, cellulose, pectin, and tannins covered by a waxy layer, or cuticle, which gives the grape its waterproof properties.…”

Section: Discussionmentioning

confidence: 99%

Phytobezoars, Small Bowel Obstruction, and Intestinal Infarction: The Case of the Grape Ileus

LiverisAnna

Zeidman

KimPeter

2016

Surgical Infections Case Reports

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Background: The majority of small bowel obstructions (SBOs) that require operations are caused by adhesions after previous operations, hernias, and cancer. Undigested foods of the appropriate size are an unusual source of endoluminal SBOs. Methods: Case report and review of the literature. An 83-year-old female with a history of dementia was admitted with increasing abdominal pain and tenderness. A computed tomography (CT) scan demonstrated a SBO with a small bowel mass at the transition point in the distal ileum. Urgent laparotomy revealed a closed loop SBO requiring an ileocectomy. Results: Analysis of the specimen revealed an undigested grape and multiple raisins. Conclusions: Phytobezoars are an unusual source of life-threatening SBO. Risk factors include poor dentition and dementia. The diagnosis can be made using careful history taking, physical exam, and appropriate imaging, preferably a CT scan. At risk patients should be counseled on appropriate dietary measures to prevent this dangerous condition.

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Section: Discussionmentioning

confidence: 99%