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Fruit pit obstruction. "The propitious pit."

J E Price, S L Michel, L Morgenstern

    Archives of Surgery (Chicago, Ill. : 1960)
    |July 1, 1976
    PubMed
    Summary
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    Fruit pits can cause intestinal obstruction, even when not initially recognized. This case series highlights how pits can complete existing blockages, leading to earlier diagnosis and treatment of conditions like ileitis and colon cancer.

    Area of Science:

    • Gastroenterology
    • Radiology
    • Surgical Pathology

    Background:

    • Ingestion of fruit pits is common and usually harmless.
    • Medical literature rarely reports complications from fruit pit ingestion.
    • Intestinal obstruction is a serious condition requiring prompt diagnosis and intervention.

    Observation:

    • Four cases of intestinal obstruction were reported.
    • Fruit pits were identified as the cause of complete obstruction in these cases.
    • Obstructions occurred in the terminal ileum and transverse colon.

    Findings:

    • Fruit pits completed pre-existing incomplete intestinal obstructions.
    • One case involved obstruction in the terminal ileum due to regional ileitis.
    • Three cases involved obstruction in the transverse colon at the site of annular carcinomatous lesions.

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  • Radiological imaging had visualized the pit in one case but it was not recognized.

    • Implications:

    • Fruit pit ingestion should be considered in the differential diagnosis of intestinal obstruction.
    • The presence of fruit pits can expedite the diagnosis and treatment of underlying conditions.
    • This phenomenon underscores the importance of thorough radiological interpretation in cases of bowel obstruction.