Wild Banana Seed Phytobezoar Rectal Impaction Causing Intestinal Obstruction

Wild banana ( Musa acuminata subsp. microcarpa ) seed phytobezoar rectal impaction in adult is a rare entity. Here, we report a 75-year-old male with dementia who presented with lower abdominal pain, per-rectal bleeding and overflow faecal incontinence. Our investigation discovered a large wild bana...

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Bibliographic Details
Published in:Indian journal of surgery 2016-08, Vol.78 (4), p.326-328
Main Authors: Chai, Feng Yih, Heng, Sophia Si Ling, Asilah, Siti Mohd Desa, Adila, Irene Nur Ibrahim, Tan, Yew Eng, Chong, Hock Chin
Format: Article
Language:English
Subjects:
Abdominal surgery
Bowel disease
Cardiac Surgery
Case Report
Colon
Intestinal obstruction
Large intestine
Medicine
Medicine & Public Health
Neurosurgery
Pediatric Surgery
Plastic Surgery
Seeds
Surgery
Thoracic Surgery
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Summary:Wild banana ( Musa acuminata subsp. microcarpa ) seed phytobezoar rectal impaction in adult is a rare entity. Here, we report a 75-year-old male with dementia who presented with lower abdominal pain, per-rectal bleeding and overflow faecal incontinence. Our investigation discovered a large wild banana seed phytobezoar impacted in the rectum causing intestinal obstruction, stercoral ulcer and faecal overflow incontinence. In this article, we discuss the patient’s clinical findings, imaging and management. The culprit plant was identified and depicted. This may be the first report of its kind. Public consumption of these wild bananas should be curtailed. It is hoped that this report would increase the awareness of such condition and its identification.
ISSN:0972-2068
0973-9793
DOI:10.1007/s12262-015-1411-8