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Case Reports
. 2011 Jan;21(1):21-3.
doi: 10.4103/0971-3026.76049.

Case report: Colonic bezoar due to Box Myrtle seeds: A very rare occurrence

Affiliations
Case Reports

Case report: Colonic bezoar due to Box Myrtle seeds: A very rare occurrence

Narvir Singh Chauhan et al. Indian J Radiol Imaging. 2011 Jan.

Abstract

Large bowel seed bezoars are rare and are mostly due to seeds of sunflower, prickly pear cactus, sesame and cucumber. We present a rare case of sigmoid colon seed bezoar due to Box Myrtle seeds because of an underlying benign stricture.

Keywords: Box Myrtle; colonic bezoar; hyperechoic arc; kaiphal; seed bezoar; sigmoid stricture.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
USG of the left lower abdomen showing a hyperechoic arc (thick arrow) with a dense posterior acoustic shadow (thin arrows) in the location of the sigmoid colon
Figure 2
Figure 2
USG with a high-frequency probe showing the individual seeds (between cursors) and mild wall thickening of the sigmoid colon (thin arrows)
Figure 3
Figure 3
Axial contrast-enhanced CT scan showing the sigmoid colon seed bezoar along with the inflammatory wall thickening (arrows)
Figure 4
Figure 4
Volume-rendered CT scan showing the colonic seed bezoar (thick arrow) proximal to the sigmoid stricture (thin arrow)
Figure 5
Figure 5
Volume-rendered CT endoscopy image showing a tight sigmoid stricture (viewed from below)

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