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Mango seed causing acute large bowel obstruction in descending colon-world's first reported case
Shariful Islam1, Sabrina Saroop1, Vinoo Bheem2
1San Fernando Teaching Hospital, San Fernando, Trinidad and Tobago; Department of Clinical Surgical Science, University of the West Indies, St. Augustine, Trinidad and Tobago.
International Journal of Surgery Case Reports
|September 18, 2018
Summary
Mango seeds can form phytobezoars, rarely causing large bowel obstruction. This case highlights the first instance of a mango seed phytobezoar obstructing the descending colon, emphasizing its importance in differential diagnosis.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Phytobezoars are rare causes of intestinal obstruction.
- Large bowel obstruction from phytobezoars is exceptionally uncommon.
- Mango seed phytobezoars causing large bowel obstruction have not been previously reported.
Purpose of the Study:
- To report the first case of a mango seed phytobezoar causing acute large bowel obstruction in the descending colon.
- To highlight the importance of considering phytobezoars in the differential diagnosis of large bowel obstruction.
Main Methods:
- Presentation of a clinical case of a 69-year-old female.
- Diagnosis based on clinical presentation and radiological findings of acute large bowel obstruction.
- Surgical intervention via laparotomy to identify and remove the obstruction.
Main Results:
- A phytobezoar composed of mango seeds was identified as the cause of obstruction.
- The obstruction was located in the descending colon.
- The patient presented with signs and symptoms of acute large bowel obstruction.
Conclusions:
- Phytobezoars, particularly from mango seeds, are a rare but critical consideration in large bowel obstruction.
- Early diagnosis and management of bezoar-induced obstruction are crucial to prevent severe complications.
- This case represents a unique presentation of a mango seed phytobezoar in the descending colon, adding to the English literature.