Samuel Shirly, Sharko Artem, Shrestha Jishna, Sherchan Robin, Baig Shaji
Internal Medicine, Northwestern Medicine McHenry Hospital, Rosalind Franklin University of Medicine and Science, McHenry, USA.
Cureus. 2021 Apr 6;13(4):e14330. doi: 10.7759/cureus.14330.
Small bowel obstruction can occur due to multiple etiologies, including intra-abdominal adhesions, hernias, strictures, Crohn's disease, and malignancies. An infrequent cause of small bowel obstruction can be seed bezoars. We present a case of a 72-year-old male who presented to the emergency department with a clinical picture of small bowel obstruction without any apparent risk factors for this condition. After thorough questioning, it was revealed that he had consumed a large number of sunflower seeds prior to the onset of symptoms. This eventually was proved to be the cause of his symptoms. The case is presented with the intent to highlight the necessity of acquiring dietary history in patients with high suspicion for bowel obstruction without any predisposing risk factors.
小肠梗阻可由多种病因引起，包括腹腔内粘连、疝气、狭窄、克罗恩病和恶性肿瘤。小肠梗阻的一个罕见原因可能是籽类粪石。我们报告一例72岁男性患者，他因小肠梗阻的临床表现就诊于急诊科，而该病症并无任何明显的风险因素。经过详细询问，发现他在症状发作前食用了大量葵花籽。这最终被证实是其症状的病因。呈现该病例旨在强调，对于高度怀疑肠梗阻但无任何易感风险因素的患者，获取饮食史的必要性。
