Intestinal Bezoar: A Rare Cause of Small Bowel Obstruction in Children
Iranian Journal of Pediatric Surgery,
Vol. 10 No. 2 (2024),
30 Aban 2024
,
Page 193-202
https://doi.org/10.22037/irjps.v10i2.44256
Abstract
Introduction: Intestinal obstruction is a common disease encountered in pediatric population and among the most common causes of emergency admissions. Foreign bodies in the intestinal lumen are commonly seen in pediatric population and are mostly swallowed accidentally. Intestinal bezoars are a rare cause of intestinal obstruction in children. The aim of the study was to evaluate the patients of small intestinal obstruction due to a specific phytobezoar- persimmon seeds (date plum or amlook)- in pediatric age group in our region in terms of clinical presentation, management and complications.
Materials and Methods: Data of 100 patients of intestinal obstruction due to dry persimmon phytobezoar (date plum or amlook) were evaluated retrospectively by clinical presentation, clinical examination, radiological investigations and the management options, and intra-operative finding were noted from hospital records.
Results: Out of 100 patients' records were evaluated, and the commonest presentations were abdominal pain in 92 patients, abdominal distension in 91, nausea and vomiting in 85 and constipation in 30 patients. 18 patients were managed conservatively, 56 patients underwent exploratory laparotomy with milking of food bolus, 20 patients underwent enterotomy with removal of food bolus and in 6 patients' resection with end to end anastomosis (REEA) was done.
Conclusion: Intestinal obstruction due to dry persimmon phytobezoar (date plum or amlook) food bolus should be suspected in all patients where this fruit is commonly used as in our region and mass education of people in the region should be done.
- Dry persimmon seed
- Date Plum/ Amlook
- Exploratory Laparotomy
- Food Bolus Milking
How to Cite
References
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