tailieunhanh - Báo cáo khoa hoc:" Large bowel obstruction due to sesame seed bezoar: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Large bowel obstruction due to sesame seed bezoar: a case report | Journal of Medical Case Reports BioMed Central Case report Open Access Large bowel obstruction due to sesame seed bezoar a case report Aidan G Shaw 1 Oliver Peacock2 Jonathan N Lund1 Gillian M Tierney2 Mike Larvin1 and William Speake2 Address Department of Gastrointestinal Surgery University of Nottingham Derby UK and 2Department of Colorectal Surgery Derby City General Hospital Derby UK Email Aidan G Shaw - drshaw@ Oliver Peacock - Jonathan N Lund - Gillian M Tierney - Mike Larvin - William Speake - Corresponding author Published 29 November 2007 Received 19 September 2007 I lozrnmojv I iro Accepted 29 November 2007 Journal of Medical Case Reports 2007 1 159 doi l752-l947-l-l59 This article is available from http content l l l59 2007 Shaw et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract We report a case of a 79 year old man with a known benign anastomotic stricture presenting with large bowel obstruction. At laparotomy the obstruction was found to be caused by a large sesame seed bezoar. Seed bezoars are well known to cause impaction in the rectum but have never been previously reported to cause large bowel obstruction. We recommend that patients with known large bowel strictures should be advised not to eat seeds as this could ultimately lead to obstruction ischaemia or perforation. Introduction A bezoar is a mass of swallowed foreign indigestible material found within the gastrointestinal tract. They have been known to occur in animals and man for centuries. Classification .