Medical Must-See: Doctors unpeel bowel obstruction case

The 86-year-old patient arrived at ED with diffuse abdominal pain with nausea and feculent emesis.
Rachel Fieldhouse
The resected small bowel demonstrating multiple full-thickness intraluminal ulcerations that formed extraluminal fibrinous exudates.

US surgeons have issued unusual — yet sage — advice to chew one’s unpeeled kumquats carefully before swallowing, after an elderly man who ate the fruit whole had a small bowel obstruction.

The team, which was “totally surprised” by the case, said the kumquats acted as bezoars and ultimately led to resection of a 70cm length of intestine.