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Intussusception caused by dried apricot: A case report
Yana Puckett1, Jon Nathan1, Sharmila Dissanaike1
1Department of General Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, United States.
A rare case of small bowel obstruction in a 56-year-old female was caused by intussusception, triggered by consuming a large quantity of dried apricots. This phytobezoar highlights an unusual cause of this serious condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Phytobezoar-induced small bowel obstruction is a rare condition, accounting for 2-4% of all small bowel obstructions.
- Intussusception caused by dried fruit ingestion is exceptionally uncommon, particularly in adults.
Purpose of the Study:
- To report a unique case of intussusception secondary to dried apricot consumption.
- To discuss the etiology, risk factors, and management of phytobezoar-induced intussusception in adults.
Main Methods:
- A case study of a 56-year-old female presenting with symptoms of small bowel obstruction.
- Surgical exploration (celiotomy) revealing ileal intussusception with dried apricots as the lead point.
- Successful reduction of intussusception and removal of the phytobezoar via enterotomy.
Main Results:
- The patient experienced a small bowel obstruction due to intussusception in the distal ileum.
- Dried apricots were identified as the direct cause (lead point) of the intussusception.
- Surgical intervention successfully resolved the obstruction.
Conclusions:
- Phytobezoars, particularly from dried fruit, are an infrequent but significant cause of intussusception in adults.
- Risk factors include a history of gastric surgery, diabetes mellitus, and mastication difficulties.
- High clinical suspicion and prompt surgical intervention are crucial for managing such cases.
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