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A crunching colon: rectal bezoar caused by pumpkin seed consumption
Janaki R Manne1, Venu M Rangu, Uma Maheswara R Motapothula
1Department of Internal Medicine, Marshfield Clinic, 1000 North Oak Ave, Marshfield, WI 54449, USA. manne.janaki@marshfieldclinic.org
Rectal seed bezoars are rare, with pumpkin seed bezoars being exceptionally uncommon. This case highlights a 62-year-old man experiencing fecal impaction due to a large pumpkin seed bezoar requiring significant medical intervention.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Rectal seed bezoars are an infrequent cause of fecal impaction.
- Phytobezoars, particularly those composed of seeds, are uncommon in clinical practice.
Observation:
- A rare case of a rectal bezoar specifically composed of pumpkin seeds is presented.
- The patient, a 62-year-old male, presented with symptoms of fecal impaction.
Findings:
- The pumpkin seed bezoar caused significant complications requiring intensive treatment.
- Interventions included manual disimpaction and colonoscopy for removal.
Implications:
- This case underscores the importance of considering unusual etiologies for fecal impaction.
- Highlights the need for tailored treatment strategies for complex rectal bezoars.
- Contributes to the limited literature on pumpkin seed phytobezoars.
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