Phytobezoar causing intestinal obstruction in a neonate: A case report
Author(s) -
Ravi Patcharu,
Karunesh Chand,
Badal Parikh
Publication year - 2020
Publication title -
journal of neonatal surgery
Language(s) - English
Resource type - Journals
ISSN - 2226-0439
DOI - 10.47338/jns.v10.704
Subject(s) - medicine , etiology , exploratory laparotomy , phytobezoar , presentation (obstetrics) , laparotomy , surgery , pediatrics , general surgery , bezoar , pathology
Background: Phytobezoars are concretions of non-digestible vegetative matter in the gastrointestinal tract and are a rare cause of intestinal obstruction in children.Case presentation: We report a case of intestinal obstruction in a 2-day-old neonate with no specific radiological features pointing to any common etiology. On exploratory laparotomy, a swollen raisin was found impacted in the ileum causing intestinal obstruction. The history taken in retrospect revealed that the elder sibling had witnessed her father perform a traditional ritual of putting a drop of honey into the mouth of the newborn and she imitated the same with a raisin, which led to the obstruction.Conclusion: A careful detailed history of local traditional rituals is at times, the most important pointer towards the etiology of a clinical condition. The basic clinical skill of history taking is still very important, despite the availability of advanced radiological investigations.
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