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March 1956

Chronic Duodenal Obstruction from Ingested Fruit Pits in Patients with Duodenal Ulcer: Report of Two Cases

Author Affiliations

New York
From the Departments of Surgery and Radiology, the Mount Sinai Hospital. Assistant Attending Surgeon (Dr. Dreiling); Associate Radiologist (Dr. Marshak).

AMA Arch Surg. 1956;72(3):411-414. doi:10.1001/archsurg.1956.01270210041006

The inadvertent ingestion of fruit pits is always attended by the possibility of mechanical ileus, although in most instances, unless the pit be extremely large, viz., a peach stone, or the subject a child, progression through the intestinal tract is prompt and asymptomatic. When impaction does occur, the site is usually a region of narrowing or flexure, e. g., the pylorus, the duodenojejunal flexure, or the ileocecal valve. However, in persons with gastrointestinal disease, the pit may be arrested in an area of pathology, viz., stenosis, stricture, or at a gastrointestinal anastomosis. This hazard is particularly great in patients with longstanding duodenal ulcers. In such subjects the pit may be stopped by a duodenal stenosis. The following case reports are presented to illustrate the latter phenomenon.


Case 1.  —A 49-year-old man in 1939, required hospitalization for melena. Gastrointestinal studies done at that time revealed a duodenal ulcer.

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