Peach pit impaction presenting as gallstone ileus.

Abdus Samad Syed, Alexander Bonte, Laith Adnan Allaham, Elliot R Goodman

BMJ case reports 2020 Jul 28

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Small bowel obstruction (SBO) secondary to fruit pit impaction is rare. The presence of an ovoid, stony body in the bowel lumen on radiologic imaging in a patient presenting with signs and symptoms of SBO is likely to raise concern for gallstone ileus. We report the case of a 56-year-old man who presented with a 1-day history of intermittent left-sided abdominal pain and nausea associated with a single episode of vomiting. CT scan of the abdomen and pelvis revealed a 3.3 cm impacted stony mass in the terminal ileum resulting in high-grade partial SBO. The mass had a hypodense centre encased within a hyperdense, ridged outer layer. The diagnostic impression was gallstone ileus. The object was removed via enterotomy and was found to be a peach pit. © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.

Citation

Abdus Samad Syed, Alexander Bonte, Laith Adnan Allaham, Elliot R Goodman. Peach pit impaction presenting as gallstone ileus. BMJ case reports. 2020 Jul 28;13(7)