Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2007

Open Access 01-12-2007 | Case report

Large bowel obstruction due to sesame seed bezoar: a case report

Authors: Aidan G Shaw, Oliver Peacock, Jonathan N Lund, Gillian M Tierney, Mike Larvin, William Speake

Published in: Journal of Medical Case Reports | Issue 1/2007

Login to get access

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.
Appendix
Available only for authorised users
Literature
1.
go back to reference Sawnani H, McFarlane-Ferreira Y: Proctological Crunch: sunflower seed bezoar. J La State Med Soc. 2003, 155 (3): 163-4.PubMed Sawnani H, McFarlane-Ferreira Y: Proctological Crunch: sunflower seed bezoar. J La State Med Soc. 2003, 155 (3): 163-4.PubMed
2.
go back to reference Andrus CH, Ponsky JL: Bezoars: classification, pathophysiology, and treatment. Am J Gastroenterol. 1988, 83 (5): 476-8.PubMed Andrus CH, Ponsky JL: Bezoars: classification, pathophysiology, and treatment. Am J Gastroenterol. 1988, 83 (5): 476-8.PubMed
3.
go back to reference Escamilla C, Robles-Campos R, Parrilla-Paricio P, Lujan-Mompean J, Liron-Ruiz R, Torralba-Martinez JA: Intestinal obstruction and bezoars. J Am Coll Surg. 1994, 179 (3): 285-8.PubMed Escamilla C, Robles-Campos R, Parrilla-Paricio P, Lujan-Mompean J, Liron-Ruiz R, Torralba-Martinez JA: Intestinal obstruction and bezoars. J Am Coll Surg. 1994, 179 (3): 285-8.PubMed
4.
go back to reference Tatekawa Y, Nakatani K, Ishii H, Paku S, Kasamatsu M, Sekiya N, Nakano H: Small bowel obstruction caused by a medication bezoar: Report of a case. Surgery Today. 1996, 26: 68-70. 10.1007/BF00311997.CrossRefPubMed Tatekawa Y, Nakatani K, Ishii H, Paku S, Kasamatsu M, Sekiya N, Nakano H: Small bowel obstruction caused by a medication bezoar: Report of a case. Surgery Today. 1996, 26: 68-70. 10.1007/BF00311997.CrossRefPubMed
5.
go back to reference O'Malley JA, Ferrucci JT, Goodgame JT: Medication bezoar: Intestinal obstruction by an isocal bezoar. Gastrointest Radiol. 1981, 6 (2): 141-144. 10.1007/BF01890238.CrossRefPubMed O'Malley JA, Ferrucci JT, Goodgame JT: Medication bezoar: Intestinal obstruction by an isocal bezoar. Gastrointest Radiol. 1981, 6 (2): 141-144. 10.1007/BF01890238.CrossRefPubMed
6.
go back to reference Chintamani , Durkhure R, Singh JP, Singhal V: Cotton Bezoar – a rare cause of intestinal obstruction: case report. BMC Surgery. 2003, 3: 5-10.1186/1471-2482-3-5. doi:10.1186/1471-2482-3-5CrossRefPubMedPubMedCentral Chintamani , Durkhure R, Singh JP, Singhal V: Cotton Bezoar – a rare cause of intestinal obstruction: case report. BMC Surgery. 2003, 3: 5-10.1186/1471-2482-3-5. doi:10.1186/1471-2482-3-5CrossRefPubMedPubMedCentral
7.
go back to reference Ortiz-Hidalgo C, Cuesta-Mejias T, Cervantes-Castro J: Dry fruit bezoar causing acute small intestinal obstruction. Int J Surg Pathol. 2007, 15 (1): 66-7. 10.1177/1066896906295686.CrossRefPubMed Ortiz-Hidalgo C, Cuesta-Mejias T, Cervantes-Castro J: Dry fruit bezoar causing acute small intestinal obstruction. Int J Surg Pathol. 2007, 15 (1): 66-7. 10.1177/1066896906295686.CrossRefPubMed
8.
go back to reference Chiu B, Ciaccio C, West M: Intestinal obstruction from furniture cushion foam bezoar. Surgery. 138 (5): 956-958. 10.1016/j.surg.2004.05.045. Chiu B, Ciaccio C, West M: Intestinal obstruction from furniture cushion foam bezoar. Surgery. 138 (5): 956-958. 10.1016/j.surg.2004.05.045.
9.
go back to reference Rubin M, Shimonov M, Grief F, Rotestein Z, Lelkuk S: Phytobezoar: a rare cause of intestinal obstruction. Dig Surg. 1998, 15: 52-54. 10.1159/000018586. doi: 10.1159/000018586CrossRefPubMed Rubin M, Shimonov M, Grief F, Rotestein Z, Lelkuk S: Phytobezoar: a rare cause of intestinal obstruction. Dig Surg. 1998, 15: 52-54. 10.1159/000018586. doi: 10.1159/000018586CrossRefPubMed
10.
go back to reference Purcell L, Gremse DA: Sunflower seed bezoar leading to fecal impaction. South Med J. 1995, 88 (1): 87-8.CrossRefPubMed Purcell L, Gremse DA: Sunflower seed bezoar leading to fecal impaction. South Med J. 1995, 88 (1): 87-8.CrossRefPubMed
11.
go back to reference Moons P, Dikken FP, Raven EE, Tan KG: Severe obstipation due to eating unshelled sunflower seeds. Ned Tijdschr Geneeskd. 144 (39): 1878-2000 Sep 23 Moons P, Dikken FP, Raven EE, Tan KG: Severe obstipation due to eating unshelled sunflower seeds. Ned Tijdschr Geneeskd. 144 (39): 1878-2000 Sep 23
12.
go back to reference Eitan A, Bickel A, Katz IM: Fecal impaction in adults: report of 30 cases of seed bezoars in the rectum. Dis Colon Rectum. 2006, 49: 1768-71. 10.1007/s10350-006-0713-0.CrossRefPubMed Eitan A, Bickel A, Katz IM: Fecal impaction in adults: report of 30 cases of seed bezoars in the rectum. Dis Colon Rectum. 2006, 49: 1768-71. 10.1007/s10350-006-0713-0.CrossRefPubMed
Metadata
Title
Large bowel obstruction due to sesame seed bezoar: a case report
Authors
Aidan G Shaw
Oliver Peacock
Jonathan N Lund
Gillian M Tierney
Mike Larvin
William Speake
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2007
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-1-159

Other articles of this Issue 1/2007

Journal of Medical Case Reports 1/2007 Go to the issue