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Small bowel obstruction caused by dried apple.

Ooi S, Hong K - Int J Surg Case Rep (2015)

Bottom Line: We postulate that in our patient that the dried apple was originally small enough to pass through the pylorus.A simple in-vitro experiment discovered that dried apple has a potential to reabsorb fluid and expand up to 35% of its initial size within 72h.This report illustrates the potential for dried food substances to cause intra-luminal SBO after significant expansion with rehydration.

View Article: PubMed Central - PubMed

Affiliation: Campbelltown Public Hospital, Sydney South West Local Health District, Therry Rd., Campbelltown, New South Wales 2560, Australia. Electronic address: smso562@uowmail.edu.au.

No MeSH data available.


Related in: MedlinePlus

Tight hairpin loop causing small bowel obstruction with palpable sausage shape object.
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img0005: Tight hairpin loop causing small bowel obstruction with palpable sausage shape object.

Mentions: Given the diagnosis of SBO in a virgin abdomen, the patient underwent an emergency explorative laparatomy. Distended small bowel and a moderate amount of ascites were identified. In the distal ileum, at about 50 cm proximal to ileocecal junction, the bowel was adherent to itself forming a tight hairpin loop (Image 1). A sausage-shaped luminal obstructing foreign body was palpable proximal to the hairpin loop. A 4 cm anti-mesenteric enterotomy was performed to deliver the foreign body. Small bowel run to duodenojejunal flexure did not identify any other abnormality. The foreign body extracted appeared to be a donut-shaped dried apple that had rehydrated, and folded in half into the shape of a sausage. It was approximately 7 cm in length and 2 cm in diameter when folded like a sausage (Image 2).


Small bowel obstruction caused by dried apple.

Ooi S, Hong K - Int J Surg Case Rep (2015)

Tight hairpin loop causing small bowel obstruction with palpable sausage shape object.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4430109&req=5

img0005: Tight hairpin loop causing small bowel obstruction with palpable sausage shape object.
Mentions: Given the diagnosis of SBO in a virgin abdomen, the patient underwent an emergency explorative laparatomy. Distended small bowel and a moderate amount of ascites were identified. In the distal ileum, at about 50 cm proximal to ileocecal junction, the bowel was adherent to itself forming a tight hairpin loop (Image 1). A sausage-shaped luminal obstructing foreign body was palpable proximal to the hairpin loop. A 4 cm anti-mesenteric enterotomy was performed to deliver the foreign body. Small bowel run to duodenojejunal flexure did not identify any other abnormality. The foreign body extracted appeared to be a donut-shaped dried apple that had rehydrated, and folded in half into the shape of a sausage. It was approximately 7 cm in length and 2 cm in diameter when folded like a sausage (Image 2).

Bottom Line: We postulate that in our patient that the dried apple was originally small enough to pass through the pylorus.A simple in-vitro experiment discovered that dried apple has a potential to reabsorb fluid and expand up to 35% of its initial size within 72h.This report illustrates the potential for dried food substances to cause intra-luminal SBO after significant expansion with rehydration.

View Article: PubMed Central - PubMed

Affiliation: Campbelltown Public Hospital, Sydney South West Local Health District, Therry Rd., Campbelltown, New South Wales 2560, Australia. Electronic address: smso562@uowmail.edu.au.

No MeSH data available.


Related in: MedlinePlus