title: Intussusception caused by dried apricot: A case report.
abstract: BACKGROUND
  An unusual cause of intussusception due to small bowel obstruction secondary to dried apricot consumption was encountered. Phytobezoar small bowel obstruction is a rare, but interesting pathology that accounts for 2-4% of small bowel obstructions (18). Even rarer, is an intussusception caused by dried fruit ingestion. We present the case of a 56-year-old female that presented with an intussusception after she ingested a large amount of dried apricots.
  
  
  METHODS
  The patient is a 56-year-old female with a small bowel obstruction secondary to intussusception in the distal ileum. She was taken to the operating room for a celiotomy where an intussusception of the distal small bowel was found. An enterotomy was performed which revealed dried apricots as the lead point. The intussusception was successfully reduced and the apricots removed.
  
  
  CONCLUSIONS
  Small bowel obstruction due to intussusception can be caused secondary to malignancy, Meckel's Diverticulum, benign neoplasm, and strictures. A less common cause for small bowel obstruction due to intussusception in adults is secondary to mechanical obstruction by bezoars. Risk factors for bezoar formation include previous gastric surgery, diabetes, and mastication problems.
  
  
  CONCLUSIONS
  Bezoars are an extremely rare cause of intussusception in adults. A high level of suspicion needs to exist in the presence of a history of eating dried fruit, history of gastric surgery, diabetes mellitus, and problems with mastication. Various treatment modalities exist to treat obstructions secondary to bezoars, including open reduction and removal of bezoar via enterotomy.
authors.affiliation: Department of General Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, United States. Electronic address: yana.puckett@ttuhsc.edu.
authors.forename: Yana
authors.initials: Y
authors.lastname: Puckett
authors.affiliation: Department of General Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, United States.
authors.forename: Jon
authors.initials: J
authors.lastname: Nathan
authors.affiliation: Department of General Surgery, Texas Tech University Health Sciences Center, Lubbock, TX, United States. Electronic address: Sharmila.Dissanaike@ttuhsc.edu.
authors.forename: Sharmila
authors.initials: S
authors.lastname: Dissanaike
keywords: Bezoar; Dried apricot; Intussusception; Phytobezoar; Small bowel obstruction