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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
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Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
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Enema of Traditional Chinese Medicine for Patients with Severe Acute Pancreatitis
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Enema of Traditional Chinese Medicine for Patients with Severe Acute Pancreatitis

Published on: January 27, 2023

Rectal bezoars due to pumpkin seeds.

Mohammad Salman Mirza1, Khalifa Al-Wahibi, Shafiq Baloch

  • 1Department of Surgery, Sultan Qaboos University Hospital, PO Box 38, Post Code 123, Muscat, Oman. drsalmanmirza@hotmail.com

Tropical Doctor
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PubMed
Summary

Rectal bezoars, often caused by undigested seeds, are common in children in Middle-Eastern and Mediterranean regions. These seed impactions may necessitate medical intervention, including manual removal under anesthesia.

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Area of Science:

  • Gastroenterology
  • Pediatrics
  • Public Health

Background:

  • Rectal bezoars are masses formed from indigestible material in the gastrointestinal tract.
  • Seed consumption, particularly dried seeds as a delicacy, is prevalent in specific geographic regions.

Observation:

  • Children in Mediterranean and Middle-Eastern countries are particularly susceptible to rectal bezoars.
  • Inadequate mastication or failure to remove seed hulls contributes to bezoar formation.

Findings:

  • Rectal bezoars composed of seeds are a recognized clinical issue in pediatric populations.
  • Impaction of these bezoars can lead to significant gastrointestinal distress.

Implications:

  • Understanding the etiology of seed bezoars is crucial for preventative strategies.
  • Clinical management may require procedures such as manual removal under general anesthesia.