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Related Experiment Video

Updated: Jun 17, 2025

A Mouse Model of Intestinal Partial Obstruction

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Avoid the Peel: Citrus Fruit Bezoar Causing Intestinal Perforation.

Wayne Tse^1,2, William Hope^3,2, Ryan Johnson^4,2

¹Surgery, Central Virginia Veterans Affairs (VA) Health Care System, Richmond, USA.

|August 12, 2024

Summary

This summary is machine-generated.

An 86-year-old man experienced small bowel obstruction and perforation after eating unpeeled kumquats. Surgical intervention was successful, resolving the intestinal issues caused by the fruit.

Keywords:

bezoar citrus fruit intestinal obstruction intestinal perforation kumquats

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Area of Science:

Gastroenterology
Surgical Case Report

Background:

Small bowel obstruction is a common surgical emergency.
Ingestion of foreign bodies can cause gastrointestinal complications.

Observation:

An elderly male presented with abdominal pain, nausea, and vomiting after consuming whole, unpeeled kumquats.
Clinical signs of peritonitis and elevated lactate levels necessitated urgent surgical exploration.

Findings:

Intraoperative findings revealed multiple areas of full-thickness ulceration and fibrous exudates in the distal jejunum and proximal ileum.
A partially obstructing intraluminal mass composed of unpeeled kumquats was identified as the cause.

Implications:

This case highlights an unusual cause of small bowel obstruction and perforation.
Dietary indiscretion, even with seemingly innocuous foods like kumquats, can lead to severe gastrointestinal emergencies.