Fecal Impaction in the Rectum and Rectosigmoid Colon Secondary to Sunflower Seed Ingestion

A 35-month-old male who had eaten a bag of sunflower seeds initially presented to the emergency department (ED) with visible seeds in the anus and was discharged home with a stool softener after manual disimpaction. He then returned to the hospital 2 days later, and abdominal radiographs confirmed s...

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Main Authors: Alexander Lyons, Jamie Lee, Kristen Cares
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2021/4826867
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author Alexander Lyons
Jamie Lee
Kristen Cares
author_facet Alexander Lyons
Jamie Lee
Kristen Cares
author_sort Alexander Lyons
collection DOAJ
description A 35-month-old male who had eaten a bag of sunflower seeds initially presented to the emergency department (ED) with visible seeds in the anus and was discharged home with a stool softener after manual disimpaction. He then returned to the hospital 2 days later, and abdominal radiographs confirmed significant fecal material within the rectum and rectosigmoid colon. After failed oral and rectal laxative therapy attempts, subsequent disimpaction under anesthesia revealed an undigested sunflower seed bezoar in the rectum extending to the distal segment of his sigmoid colon. This case highlights the dangers and possible complications of seed ingestion even in small quantities in children along with the pathophysiology of impaction. This is one of the youngest cases reported in the United States involving the rectum and rectosigmoid colon with a sunflower bezoar.
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institution Kabale University
issn 2090-6803
2090-6811
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Pediatrics
spelling doaj-art-94bf61f921a54b3bb84609c64d83110a2025-02-03T05:47:38ZengWileyCase Reports in Pediatrics2090-68032090-68112021-01-01202110.1155/2021/48268674826867Fecal Impaction in the Rectum and Rectosigmoid Colon Secondary to Sunflower Seed IngestionAlexander Lyons0Jamie Lee1Kristen Cares2Children’s Hospital of Michigan, Detroit, MI, USADivision of Pediatric Gastroenterology, Children’s Hospital of Michigan, Detroit, MI, USADivision of Pediatric Gastroenterology, Children’s Hospital of Michigan, Detroit, MI, USAA 35-month-old male who had eaten a bag of sunflower seeds initially presented to the emergency department (ED) with visible seeds in the anus and was discharged home with a stool softener after manual disimpaction. He then returned to the hospital 2 days later, and abdominal radiographs confirmed significant fecal material within the rectum and rectosigmoid colon. After failed oral and rectal laxative therapy attempts, subsequent disimpaction under anesthesia revealed an undigested sunflower seed bezoar in the rectum extending to the distal segment of his sigmoid colon. This case highlights the dangers and possible complications of seed ingestion even in small quantities in children along with the pathophysiology of impaction. This is one of the youngest cases reported in the United States involving the rectum and rectosigmoid colon with a sunflower bezoar.http://dx.doi.org/10.1155/2021/4826867
spellingShingle Alexander Lyons
Jamie Lee
Kristen Cares
Fecal Impaction in the Rectum and Rectosigmoid Colon Secondary to Sunflower Seed Ingestion
Case Reports in Pediatrics
title Fecal Impaction in the Rectum and Rectosigmoid Colon Secondary to Sunflower Seed Ingestion
title_full Fecal Impaction in the Rectum and Rectosigmoid Colon Secondary to Sunflower Seed Ingestion
title_fullStr Fecal Impaction in the Rectum and Rectosigmoid Colon Secondary to Sunflower Seed Ingestion
title_full_unstemmed Fecal Impaction in the Rectum and Rectosigmoid Colon Secondary to Sunflower Seed Ingestion
title_short Fecal Impaction in the Rectum and Rectosigmoid Colon Secondary to Sunflower Seed Ingestion
title_sort fecal impaction in the rectum and rectosigmoid colon secondary to sunflower seed ingestion
url http://dx.doi.org/10.1155/2021/4826867
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