Chai Feng Yih, Heng Sophia Si Ling, Asilah Siti Mohd Desa, Adila Irene Nur Ibrahim, Tan Yew Eng, Chong Hock Chin
Department of Surgery, Hospital Keningau, KM5, Jalan Apin-Apin - Keningau, Peti Surat 11, 89009 Keningau, Sabah Malaysia.
Indian J Surg. 2016 Aug;78(4):326-8. doi: 10.1007/s12262-015-1411-8. Epub 2015 Nov 19.
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.
野生香蕉（小果野蕉亚种）种子植物粪石导致的成人直肠嵌塞是一种罕见病症。在此，我们报告一例75岁患有痴呆症的男性患者，其表现为下腹部疼痛、直肠出血及大便失禁。我们的检查发现一枚巨大的野生香蕉种子植物粪石嵌顿于直肠，导致肠梗阻、粪性溃疡及大便失禁。在本文中，我们讨论了患者的临床发现、影像学表现及治疗。确定并描述了致病植物。这可能是此类报告中的首例。应限制公众食用这些野生香蕉。希望本报告能提高对此类病症及其识别的认识。
