title: Wild Banana Seed Phytobezoar Rectal Impaction Causing Intestinal Obstruction.
abstract: Wild banana (Musa acuminata subsp. microcarpa) seed phytobezoar rectal impaction in adult is a rare entity. Here, we report a 75-year-old male with dementia who presented with lower abdominal pain, per-rectal bleeding and overflow faecal incontinence. Our investigation discovered a large wild banana seed phytobezoar impacted in the rectum causing intestinal obstruction, stercoral ulcer and faecal overflow incontinence. In this article, we discuss the patient's clinical findings, imaging and management. The culprit plant was identified and depicted. This may be the first report of its kind. Public consumption of these wild bananas should be curtailed. It is hoped that this report would increase the awareness of such condition and its identification.
authors: Department of Surgery, Hospital Keningau, KM5, Jalan Apin-Apin - Keningau, Peti Surat 11, 89009 Keningau, Sabah Malaysia.
authors: Feng Yih
authors: FY
authors: Chai
authors: Department of Surgery, Hospital Keningau, KM5, Jalan Apin-Apin - Keningau, Peti Surat 11, 89009 Keningau, Sabah Malaysia.
authors: Sophia Si Ling
authors: SS
authors: Heng
authors: Department of Surgery, Hospital Keningau, KM5, Jalan Apin-Apin - Keningau, Peti Surat 11, 89009 Keningau, Sabah Malaysia.
authors: Siti Mohd Desa
authors: SM
authors: Asilah
authors: Department of Surgery, Hospital Keningau, KM5, Jalan Apin-Apin - Keningau, Peti Surat 11, 89009 Keningau, Sabah Malaysia.
authors: Irene Nur Ibrahim
authors: IN
authors: Adila
authors: Department of Surgery, Hospital Keningau, KM5, Jalan Apin-Apin - Keningau, Peti Surat 11, 89009 Keningau, Sabah Malaysia.
authors: Yew Eng
authors: YE
authors: Tan
authors: Department of Surgery, Hospital Keningau, KM5, Jalan Apin-Apin - Keningau, Peti Surat 11, 89009 Keningau, Sabah Malaysia.
authors: Hock Chin
authors: HC
authors: Chong
keywords: Bezoar; Borneo; Faecal impaction; Intestinal obstruction; Malaysia; Musa sp.