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Related Experiment Video

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A Mouse Model of Intestinal Partial Obstruction

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Published on: March 5, 2018

Wild Banana Seed Phytobezoar Rectal Impaction Causing Intestinal Obstruction.

Feng Yih Chai¹, Sophia Si Ling Heng¹, Siti Mohd Desa Asilah¹

¹Department of Surgery, Hospital Keningau, KM5, Jalan Apin-Apin - Keningau, Peti Surat 11, 89009 Keningau, Sabah Malaysia.

The Indian Journal of Surgery

|August 31, 2016

Summary

This summary is machine-generated.

A rare case of wild banana seed phytobezoar causing rectal impaction and intestinal obstruction in an adult is reported. This condition, leading to severe symptoms, highlights the need for awareness and public caution regarding wild banana consumption.

Keywords:

Bezoar Borneo Faecal impaction Intestinal obstruction Malaysia Musa sp.

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Area of Science:

Gastroenterology
Colorectal Surgery
Toxicology

Background:

Phytobezoars, particularly those derived from wild banana seeds (Musa acuminata subsp. microcarpa), are exceptionally rare causes of adult rectal impaction.
Intestinal obstruction secondary to phytobezoars can lead to significant clinical complications.

Purpose of the Study:

To report a unique case of wild banana seed phytobezoar causing rectal impaction, intestinal obstruction, and fecal overflow incontinence in an adult.
To increase awareness of this rare clinical entity and its potential public health implications.

Main Methods:

Case presentation of a 75-year-old male with dementia presenting with abdominal pain, rectal bleeding, and overflow incontinence.
Diagnostic workup including clinical assessment, imaging, and identification of the causative agent.
Discussion of the patient's management and clinical course.

Main Results:

A large wild banana seed phytobezoar was identified as the cause of rectal impaction, leading to intestinal obstruction, stercoral ulceration, and fecal overflow incontinence.
The specific wild banana species was identified as Musa acuminata subsp. microcarpa.
Successful management of the condition was achieved.

Conclusions:

Wild banana seed phytobezoar impaction is a rare but serious condition that can cause significant gastrointestinal distress and obstruction in adults.
Public consumption of wild bananas should be discouraged to prevent such occurrences.
Increased clinical awareness and prompt identification are crucial for effective management.