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Case Report
Rare case of prickly pear seeds phytobezoar causing rectal impaction
1 BMed Sci, MBBS, General Surgical Resident, Department of General Surgery, Goulburn Valley Health, Shepparton, Victoria, Australia
2 MBBS, General Surgical Registrar, Department of General Surgery, Goulburn Valley Health, Shepparton, Victoria, Australia
3 MBBS, General Surgical Consultant, Department of General Surgery, Goulburn Valley Health, Shepparton, Victoria, Australia
Address correspondence to:
Muhammad Shehzaad Peerbux
42 Graham Street, Shepparton, VIC 3630,
Australia
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Article ID: 100084Z12MP2021
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How to cite this article
Peerbux MS, Ho S, Abdullah M. Rare case of prickly pear seeds phytobezoar causing rectal impaction. J Case Rep Images Surg 2021;7:100084Z12MP2021.ABSTRACT
Rectal impaction due to phytobezoar is a rare surgical phenomenon associated with significant morbidity and often requires timely treatment to avoid complications such as urinary obstruction, fecal impaction, and colonic perforation. In this novel case, a 43-year-old man developed constipation and perianal pain from rectal impaction due to consumption of approximately five kilograms of prickly pears. This was identified during examination under anesthesia and treated by manual disimpaction which resulted in full resolution of symptoms. Common complications of such illnesses include fecal loading resulting in bowel obstruction, urinary obstruction, and colonic or rectal perforation. The case highlights the need for greater awareness of prickly pear seeds causing fecal impaction by primary care practitioners and the wider community and rapid diagnosis and timely interventions are crucial to avoid documented complications.
Keywords: Prickly pear, Rectal impaction
SUPPORTING INFORMATION
Author Contributions
Muhammad Shehzaad Peerbux - Acquisition of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Simon Ho - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Muhammad Abdullah - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Muhammad Shehzaad Peerbux et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
