Rectal ulcer secondary to a fecal impaction due to pomegranate seed bezoar

Martínez-Pascual, Cristina; Martínez-Caselles, Alejandro; Antón-Ródenas, Gonzalo; Navarro-Noguera, Elena; Sánchez-Torres, Antonio; García-Pérez, Bartolomé; Carballo-Álvarez, Luis Fernando

doi:10.4321/s1130-01082012000500008

Rev. esp. enferm. dig.

2012

DOI: 10.4321/s1130-01082012000500008

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Rectal ulcer secondary to a fecal impaction due to pomegranate seed bezoar

Cristina Martínez-Pascual

Alejandro Martínez-Caselles

Gonzalo Antón-Ródenas

et al.

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Cited by 4 publications

(2 citation statements)

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“…Till the present day, only 2 papers of fecal impaction due to pomegranate seeds have been reported. 1 , 2 Eitan et al reported 30 cases of phytobezoars leading to fecal impaction including the first case due to pomegranate seeds. All 30 patients were treated with manual disimpaction under general anesthesia due to the severe pain.…”

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confidence: 99%

“… 1 The second reported case was a middle-aged man, who also treated with manual disimpaction. 2 Our image represents the third case in the published studies and provides endoscopic images captured during the sigmoidoscopy. The phenomenon of fecal impaction is mostly noted in the Middle East (specifically in Arab countries) due to the eating habits of fruits with their seeds.…”

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Rectal impaction by pomegranate seeds

El-Majzoub

Soweid

2014

Annals of Saudi Medicine

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mentioning

confidence: 99%

mentioning

confidence: 99%

Rectal impaction by pomegranate seeds

El-Majzoub

Soweid

2014

Annals of Saudi Medicine

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Unusual causes of large bowel obstruction

Farkas

Welman

Ross

et al. 2019

Current Problems in Surgery

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Acute hemorrhagic rectal ulcer: Experience in 11 patients at an urban acute care center in the USA

Sugawa

Culver²,

Diebel³

et al. 2020

Medicine

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Introduction: Acute hemorrhagic rectal ulcer (AHRU) is a rare entity which has most frequently been described in Japan and Taiwan literature. This study characterizes 11 AHRUs identified and managed at an urban acute care hospital in the United States of America (USA). Methods: A total of 2253 inpatients underwent colonoscopy. In 1172 patients (52%), colonoscopy was performed for evaluation of lower gastrointestinal (LGI) bleeding. Eleven (0.9%) of the 1172 patients with LGI bleeding had AHRU. Results: AHRU is characterized by a sudden onset of painless and massive lower rectal bleeding in elderly, bedridden patients (pts) with major underlying diseases. The endoscopic findings were classified into 4 types. All 11 ulcers were located in the distal rectum within 10 cm of the dentate line. All 11 patients required blood transfusion (mean = 3.7 units; range 2–9 units). Seven patients responded to blood, plasma, and platelet transfusions. The other 4 patients required endoscopic hemostasis. Three patients died within a month of colonoscopy from comorbidities. None had bleeding as a cause of death. Eight surviving patients did not have recurrent bleeding. Conclusion: AHRU does exist in the USA and should be considered as an important cause of acute lower GI bleeding in elderly, critically ill, and bedridden patients. AHRU should be recognized and managed correctly.

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Rectal ulcer secondary to a fecal impaction due to pomegranate seed bezoar

Cited by 4 publications

References 5 publications

Rectal impaction by pomegranate seeds

Rectal impaction by pomegranate seeds

Unusual causes of large bowel obstruction

Acute hemorrhagic rectal ulcer: Experience in 11 patients at an urban acute care center in the USA

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