Fecal impaction by Spiny Monkey-orange seeds

Authors

Keywords:

fecal impaction, bezoars, seeds.

Abstract

Introduction: Fecal impaction is characterized by the presence of compact feces in the rectum or colon, which cannot be evacuated. Eating the fruit of the Spiny Monkey-orange tree (Strychnos spinosa Lam), which contains numerous seeds, is a dietary habit in some African countries.
Objective: To describe the particularities of the diagnosis and treatment of fecal impaction due to the ingestion of Spiny Monkey-orange seeds.
Clinical case: 12-year-old male, who ingested a large quantity of Spiny Monkey-orange seeds; he couldn't defecate or pass gas; She had abdominal and anal pain. Physical examination revealed tachycardia, abdominal distension, and increased air-fluid noises. A rectal examination revealed impaction with a stony consistency. When the extraction was not possible, in the emergency room, the fecal mass was fragmented and extracted, through the anus, with anesthetic sedation.
Conclusions: The ingestion of Spiny Monkey-orange seeds is a dietary habit in Africa and the bezoars or fecal impaction that this habit can produce are not considered a health problem. For the diagnosis it is necessary the antecedent of the ingestion of the fruit, to carry out an exhaustive physical examination of the abdominal and anorectal regions and finally, the extraction of the fecal mass.

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Author Biographies

Edeny Fando Couso, Hospital Dr. Luis Díaz Soto

departamento de Cirugía, Médico especiañista en Cirugía general

Yuri Valle Lara, Hospital Dr. Luis Díaz Soto

departamento de Cirugía, Médico especiañista en Cirugía general

Janny Aparicio Cáceres, Hospital Dr. Luis Díaz Soto

departamento de Cirugía, Médico especiañista en Cirugía general

Alexander Reyes de la Paz, Hospital Dr. Luis Díaz Soto

departamento de Cirugía, Médico especiañista en Cirugía general

Yorelis Acosta Hernández, Hospital Dr. Luis Díaz Soto

departamento de Cirugía, Médico especialista en Coloproctología

Liuba Luisa Arteche Hidalgo, UCIMED FAR

Jefe departamento de formación académica

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Published

2023-03-23

How to Cite

1.
Fando Couso E, Valle Lara Y, Aparicio Cáceres J, Reyes de la Paz A, Acosta Hernández Y, Arteche Hidalgo LL. Fecal impaction by Spiny Monkey-orange seeds. Rev Cubana Med Milit [Internet]. 2023 Mar. 23 [cited 2025 Apr. 10];52(2):e02302445. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2445

Issue

Vol. 52 No. 2 (2023): April - June

Section

Case Presentation

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