INTESTINAL OBSTRUCTION DUE TO GASTRO-INTESTINAL DIOSPYROBEZOARS IN CHILDREN

Cover Page


Cite item

Full Text

Abstract

The article describes two observations of acquired mechanical intestinal obstruction in children that occurred due to diospyrobezoars (phytobezoars formed in a persimmon). In the first case the obstruction was removed endoscopically. Thus, the major part of the diospyrobezoar was removed from the stomach using fibrogastroscopy whereas small fragments left the stomach spontaneously. In the second case diagnostic laparoscopy failed to reveal the reason for intestinal obstruction. Conversion was done; a foreign body was found in the jejunal lumen in the course of intestinal revision. The body was smashed palpatory and moved into the large intestine. The presented observations show that it is possible to apply the methods of removal of intestinal obstruction due to diospyrobezoars without dissecting the lumen of a hollow organ.

About the authors

N. A. Okunev

Ogarev Mordovia State University;
Children’s Republican Clinical Hospital

Email: fake@neicon.ru
Doctor of Medical Sciences, Professor of the Department of Faculty Surgery with courses of topographic anatomy and surgery, urology and pediatric surgery of the Medical Institute Россия

A. I. Okuneva

Ogarev Mordovia State University

Author for correspondence.
Email: ToropkinaOkuneva@yandex.ru

Cand. of Medical Sciences., Senior Lecturer, Department of Faculty Surgery with courses of topographic anatomy and operative surgery, urology and pediatric surgery of the Medical Institute,

Ul. Kosareva 13/3–26, Saransk, Russia 430031

Россия

N. A. Pervova

Children’s Republican Clinical Hospital

Email: fake@neicon.ru

Doctor endoscopist,

Ul. R. Lüksemburg, 15 Saransk, Republic of Mordovia, 430032

Россия

A. A. Shilov

Ogarev Mordovia State University

Email: fake@neicon.ru
6th year student  of the Medical Institute Россия

References

  1. Arana A., Hauser B., Hachimi-Idrissi S., Vandenplas Y. Management of ingested foreign bodies in childhood and review of the literature. Eur J Pediatr. 2001;160:468–472. [PubMed] PMID: 1154818.
  2. Соколов Ю. Ю., Давидов М. И. Безоары желудочно-кишечного тракта у детей // Педиатрия. 2010; 2:60–65. [Sokolov Ju. Ju., Davidov M. I. Bezoars of the gastrointestinal tract in children [Bezoary zheludochno-kishechnogo trakta u detej] // Pediatrija. 2010; 2:60–65. (In Russ)].
  3. Петлах В. И., Сергеев А. В., Виноградов А. Я. Трихобезоары желудка у детей // Российский вестник перинатологии и педиатрии. 2013; 58(2):70–73. [Petlakh V. I., Sergeev A. V., Vinogradov A. Ya. Trichoesoirs of the stomach in children // Rossiiskii vestnik perinatologii i pediatrii. 2013; 58(2):70–73. (In Russ)].
  4. Давидов М. И., Никонова О. Е. Этиопатогенез формирования безоаров у детей и их профилактика // Медицинский альманах. 2016. № 2 (42). С. 91–94. [Davidov M. I., Nikonova O. E. Etiopathogenesis of the formation of bezoars in children and their prevention// Medicinskij Al’manah. 2016. № 2 (42). S. 91–94 (In Russ)].
  5. Soon-Ok Choi, Joong-Shin Kang. Gastrointestinal phytobezoars in childhood // Journal of Pediatric Surgery, 1988, Vol. 23, Issue 4, p. 338–341. DOI: http://dx.doi.org/10.1016/S0022–3468 (88) 80202–1.
  6. Ameh E. A., Nmadu P. T. Gastrointestinal obstruction from phytobezoars in child hood: report of two cases. East Afr Med J 2001; 78(11):619–20.
  7. Коновалов А. К., Петлах В. И., Константинова И. Н., Савельев С. Б., Ганиев Ш. А. Острая кишечная непроходи- мость как осложнение фитотрихобезоара // Российский вестник детской хирургии, анестезиологии и реанимато- логии. 2017;7(3):91–94. [Konovalov A. K., Petlakh V. I., Konstantinova I. N., Ganiev S. A., Savel’ev S. B. Acute intestinal obstruction as a complication of phytotryhobezoar // Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2017;7(3):91–94. (In Russ)].
  8. Zafar A., Ahmad S., Ghafoor A., Turabi M. R. Small bowel obstruction in children due to Persimmom Phytobezoars. J Coll Phys Surg Pak 2003; 13(8):443–5.
  9. Satish Kumar, Pramod Kumar Sharma, Suresh Gupta, Gupta A. K. Diospyrobezoars as a cause of intestinal obstruction in children – a case report. Medical Science, 2014, 7(25), 60–62; http://www.discovery.org.in/md.htm.
  10. Zahur Hussain, Vikrant Singh, Suneel Mattoo, Ashufta Rasool, Barinder Kumar, Shadi Lal Kachroo. Diospyrobezoar induced small bowel obstruction in Children. Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 34, April 27; Page: 5906–5912, doi: 10.14260/jemds/2015/864.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2018 Okunev N.A., Okuneva A.I., Pervova N.A., Shilov A.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ПИ № ФС 77 - 81892 от 24.09.2021 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies