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An unusual cause of small bowel obstruction due to an ingested mango seed: a case report

A R Fernando1, R Bulathsinghela2, D N Samarasekera3

  • 1Professorial Surgical Unit, National Hospital of Sri Lanka, Colombo, 00700, Sri Lanka. ashan.fernando.4@gmail.com.

BMC Research Notes
|November 4, 2017
PubMed
Abstract

Insights

A rare case of intestinal obstruction caused by a mango seed highlights the need for clinical suspicion. While surgery was required for retrieval, minimally invasive techniques may be an alternative for similar phytobezoar cases.

Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Intestinal obstruction is a common surgical emergency with diverse causes.
  • Phytobezoars, indigestible masses of plant material, can lead to bowel obstruction.
  • Obstruction specifically due to a mango seed is exceptionally rare in medical literature.

Observation:

  • A case report details a male patient who accidentally ingested a mango seed.
  • The patient presented with symptoms of intestinal obstruction.
  • The obstruction was localized to the terminal ileum.

Findings:

  • Surgical intervention via laparotomy was necessary for the mango seed retrieval.
  • Mango seed ingestion leading to intestinal obstruction is an extremely rare event.
  • High clinical suspicion is crucial for diagnosing such unusual cases.

Implications:

  • This case underscores the importance of considering rare foreign bodies in the differential diagnosis of intestinal obstruction.
  • Laparoscopic approaches have shown promise for removing ingested seeds, offering a less invasive alternative to laparotomy.
  • Further research into minimally invasive techniques for phytobezoar removal is warranted.
Keywords:
Intestinal obstructionLaparotomyMango seed

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