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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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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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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Esophageal Strictures-II: Clinical Features and Management01:26

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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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Related Experiment Video

Updated: Apr 15, 2026

A Mouse Model of Intestinal Partial Obstruction
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Small bowel obstruction caused by dried apple.

Sally Ooi1, Khiem Hong1

  • 1Campbelltown Public Hospital, Sydney South West Local Health District, Therry Rd., Campbelltown, New South Wales 2560, Australia.

International Journal of Surgery Case Reports
|April 5, 2015
PubMed
Summary
This summary is machine-generated.

A rare case of small bowel obstruction (SBO) was caused by a rehydrated piece of dried apple. This undigested food bezoar expanded significantly in the small intestine, leading to a blockage.

Keywords:
BezoarDried appleSmall bowel obstructionVirgin abdomen

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Small bowel obstruction (SBO) is uncommon in virgin abdomens.
  • While malignancy and IBD are common causes, food bezoars are rare.
  • Undigested food bezoars, particularly from dried fruits, present a unique diagnostic challenge.

Purpose of the Study:

  • To report a rare case of SBO caused by a rehydrated dried apple bezoar.
  • To highlight the potential for dried food items to cause obstruction after rehydration.
  • To investigate the expansion properties of dried apple in the gastrointestinal tract.

Main Methods:

  • Case report of a 69-year-old male with SBO symptoms.
  • Diagnostic imaging including X-ray and CT scan confirmed SBO.
  • Emergency explorative laparotomy identified and removed the obstructing apple bezoar.

Main Results:

  • A rehydrated, donut-shaped piece of dried apple was found obstructing the distal ileum.
  • In vitro experiments showed dried apple can expand up to 35% within 72 hours.
  • The rehydrated bezoar caused significant small bowel obstruction.

Conclusions:

  • Dried food substances can cause intra-luminal SBO due to significant rehydration and expansion.
  • The high absorbable nature of dried apple led to its expansion and obstruction.
  • This case underscores the importance of considering food bezoars in SBO etiology.