Intestinal obstruction in a blue-faced Leicester ram associated with a phytobezoar lodged at the pelvic inlet

Nd, Sargison; Pr, Scott; Ka, Dun

doi:10.1136/vr.137.9.222

Cited by 4 publications

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“…When discovered in the stomach, they have been known to cause anorexia, bloating, early satiety, dyspepsia, malaise, weakness, weight loss, headaches, and a feeling of fullness or heaviness in the epigastrum; in the small bowel pancreatitis, obstruction, obstructive jaundice, and perforation [15,16,17]. Of the eight reported cases of rectal bezoar presentations have included; constipation, abdominal pain, urinary obstruction, diarrhea, and other various gastrointestinal symptoms [1,2,3,4,5,6,7,8,9]. Of the eight reported cases of rectal bezoar presentations have included; constipation, abdominal pain, urinary obstruction, diarrhea, and other various gastrointestinal symptoms [1,2,3,4,5,6,7,8,9].…”

Section: Discussionmentioning

confidence: 99%

“…Less commonly bezoars are found in the small intestine and the colon, and only nine cases of rectal bezoar have been reported in the literature [1,2,3,4,5,6,7,8,9]. Less commonly bezoars are found in the small intestine and the colon, and only nine cases of rectal bezoar have been reported in the literature [1,2,3,4,5,6,7,8,9].…”

Section: Introductionmentioning

confidence: 99%

“…A study which found patients to be harboring gastric trichobezoars for 15-20 years prior to presentation demonstrates the asymptomatic presentation of gastric bezoars [14]. Of the eight reported cases of rectal bezoar, presentations include: constipation, abdominal pain, urinary obstruction, diarrhea, and other various gastrointestinal symptoms [1,2,3,4,5,6,7,8,9]. In the colon the few reported cases have presented with constipation, intestinal obstruction, chronic diarrhea, and encopresis [18,19,20,21,22,23].…”

Section: Introductionmentioning

confidence: 99%

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Prickly pear fruit bezoar presenting as rectal perforation in an elderly patient

Steinberg

Eitan

2003

Int J Colorectal Dis

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Background and aims:Prickly pear fruit rectal seed bezoars are an extremely rare entity. Only nine cases of rectal seed bezoar have been reported, only one of which involved the prickly pear fruit seed. Furthermore, to our knowledge, this is also the first reported case presenting as rectal perforation. Patients and methods: We report a case of prickly pear fruit bezoar occurring in the elderly whom presented with rectal perforation. Consistent with physical signs, laboratory results, and radiological findings the patient was diagnosed with acute perforation of the rectum. A Hartman procedure was performed, and a colostomy was placed. Results: Currently there are very few data regarding seed bezoars reaching the rectum. There are even fewer data concerning this occurrence in the elderly, and the literature contains no report of this phenomenon presenting or even progressing into perforation. We report this rare entity to the existing literature. Conclusion: We report a rare but important case. A prickly pear fruit phytobezoar presenting as rectal perforation. This case may add to the increasing awareness of the danger associated with ingestion of certain foodstuffs. The previously benign sunflower and psyllium seeds are now known to cause bezoar. We feel that the prickly pear fruit should join this small but important list.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prickly pear fruit bezoar presenting as rectal perforation in an elderly patient

Steinberg

Eitan

2003

Int J Colorectal Dis

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“…An annual prevalence of 1.95% abomasal phytobezoariasis in sheep from Urmia (northwestern Iran) has been reported (Azizi et al, 2010). The occurrence of abomasal phytobezoariasis in ruminants is rare, and usually occurs in the sporadic form (Sherman, 1981;Ravikumar et al, 1989;Sargison et al. 1995).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and pathology of abomasal abnormalities in sheep in southern Iran

Khodakaram-Tafti¹,

Hajimohammadi²,

Amiri³

2015

BJVM

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SummaryKhodakaram-Tafti, A., A. Hajimohammadi & F. Amiri, 2015. Prevalence and pathology of abomasal abnormalities in sheep in southern Iran. Bulg. J. Vet. Med., 18, No 3,[270][271][272][273][274][275][276] Abomasal abnormalities impose economic constraints on sheep production, most of which are subclinical and cannot be easily detected by routine clinical examination. In this survey, morphopathological lesions of 100 abomasa of sheep slaughtered in Fars Province, southern Iran were studied from spring to autumn of 2011. Grossly, raised pale to whitish nodular areas to irregularly thickened mucosa, different types of erosions or ulcers, phytotrichobezoars, and serosal cysts of Cysticercus tenuicollis were seen. Histopathologic examination revealed ostertagiasis (79%), erosive-ulcerative abomasitis (75%), eosinophilic abomasitis (14%), Cysticercus tenuicollis cysts on the serosal surface (9%), chronic hypertrophic abomasitis (4%), coccidiosis (3%) and submucosal granulomatous abomasitis (1%). Microscopic features of the coccidial schizonts were consistent with previous descriptions of Eimeria (Globidium) gilruthi. Based on the results, it could be concluded that ostertagiosis was the most common abnormality in the abomasum of the sheep that can cause important economical losses. In addition, abomasal coccidiosis was reported for the first time and further research is required to clarify the pathogenesis and its epidemiologic importance in sheep.

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“…Radiography and ultrasonography have been suggested as useful techniques for diagnosis of bezoars in the rumen or abomasum of calves, sheep and goats (Anderson 2009), and ultrasonography was used for detection of a duodenal phytobezoar in a ram (Sargison et al 1995). Radiography and ultrasonography have also been used for detection of duodenal trichophytobezoar in New World camelids (Sullivan et al 2005).…”

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confidence: 99%

Radiographic findings in sheep with abomasal phytobezoariasis

Hashemi-Asl¹,

Azizi²,

Torkamani³

2016

Vet. Med. - Czech

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ABSTRACT:The purpose of this study was to characterise the radiographic appearance of abomasal phytobezoars in sheep as well as to evaluate the utility of abdominal radiography to identify them. Twenty-seven fattailed Herrick sheep with a clinical suspicion of abomasal impaction were examined radiographically. Abdominal survey radiographs in right lateral recumbency were taken. Abomasal phytobezoars (AP) were seen in abdominal survey radiographs in 25/27 sheep (92%). Their radiographic survey appearance was round-to-oval masses with radiopaque margins and radiopacity similar to the ingesta centrally. An additional gastrographic barium study was performed in six of the sheep, followed by exploratory laparotomy where phytobezoars were removed through abomasotomy. The optimal time to visualise the APs was 48 h post-contrast. A significant correlation was noted between phytobezoars size in radiology and surgery (r = 0.651, P < 0.001). Use of the barium study can improve the phytobezoar-ingesta contrast and visibility of the phytobezoars. Plain radiography with sheep positioned in right lateral recumbency is a useful supplementary technique which can be used to evaluate abomasal phytobezoariasis. This study shows that radiography is a suitable diagnostic method for detecting the presence of, but not the number of, abomasal phytobezoars in sheep.

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Intestinal obstruction in a blue-faced Leicester ram associated with a phytobezoar lodged at the pelvic inlet

Cited by 4 publications

References 0 publications

Prickly pear fruit bezoar presenting as rectal perforation in an elderly patient

Prickly pear fruit bezoar presenting as rectal perforation in an elderly patient

Prevalence and pathology of abomasal abnormalities in sheep in southern Iran

Radiographic findings in sheep with abomasal phytobezoariasis

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