Biliary Obstruction Caused by Plant Seeds

Overview

Journal Clin J Gastroenterol

Specialty Gastroenterology

Date 2022 Oct 5

PMID 36198986

Authors

Kazuyuki Gyoten

Naohisa Kuriyama

Akinobu Hayashi

Yuhko Kobayashi

Issei Kobayashi

Aoi Hayasaki

Akihiro Tanemura

Yasuhiro Murata

Masashi Kishiwada

Shugo Mizuno

Affiliations

Soon will be listed here.

Abstract

Biliary obstruction is rarely caused by foreign objects; therefore, the precise diagnosis may be challenging. Even in rare situations, cases of biliary obstruction caused by plant seeds have not been reported previously. To our knowledge, herein, we report the first case of biliary obstruction caused by accumulated plant seeds forming a solid mass with inflammatory cells and bile juice, which were identified as Solanum lycopersicum, Brassica, and Citrus species by DNA analysis and pathological assessment of the specimen after surgical resection for biliary obstruction suggestive of cholangiocarcinoma.

References

CARPENTER H . Bacterial and parasitic cholangitis. Mayo Clin Proc. 1998; 73(5):473-8. DOI: 10.1016/S0025-6196(11)63734-8. View

Lokich J, Kane R, Harrison D, McDermott W . Biliary tract obstruction secondary to cancer: management guidelines and selected literature review. J Clin Oncol. 1987; 5(6):969-81. DOI: 10.1200/JCO.1987.5.6.969. View

Abdel Samie A, Theilmann L . Fully covered self-expandable metal stents for treatment of both benign and malignant biliary disorders. Diagn Ther Endosc. 2012; 2012:498617. PMC: 3384904. DOI: 10.1155/2012/498617. View

Kunovsky L, Tesarikova P, Sethi A, Kroupa R, Dastych M, Dolina J . Unusual Biliary Complication following Christmas Eve Dinner. Dig Dis. 2021; 39(5):549-552. PMC: 8491467. DOI: 10.1159/000514645. View

Calderon A, Irabien M . Endoscopic removal by ERCP of a foreign body (bullet) in the common bile duct. Gastrointest Endosc. 2021; 94(1):194-195. DOI: 10.1016/j.gie.2021.02.002. View

Yu M, Huang B, Lin Y, Nie Y, Zhou Z, Liu S . Acute obstructive cholangitis due to fishbone in the common bile duct: a case report and review of the literature. BMC Gastroenterol. 2019; 19(1):177. PMC: 6839197. DOI: 10.1186/s12876-019-1088-8. View

Tsai C, Mo L, Lin R, KUO J, Chang K, Yueh S . Delayed spontaneous migration of Gianturco-Rösch metallic stent from the biliary tree. Eur J Radiol. 1995; 20(3):221-3. DOI: 10.1016/0720-048x(95)00658-d. View

Razzano D, Gonzalez R . Disease, drugs, or dinner? Food histology can mimic drugs and parasites in the gastrointestinal tract. Virchows Arch. 2020; 477(4):593-595. DOI: 10.1007/s00428-020-02793-w. View

Campora M, Trambaiolo Antonelli C, Grillo F, Bragoni A, Cornara L, Migliora P . Seeds in the appendix: a 'fruitful' exploration. Histopathology. 2017; 71(2):322-325. DOI: 10.1111/his.13211. View

10.

Grillo F, Campora M, Carlin L, Cornara L, Parente P, Vanoli A . "Stranger things" in the gut: uncommon items in gastrointestinal specimens. Virchows Arch. 2021; 480(2):231-245. PMC: 8986674. DOI: 10.1007/s00428-021-03188-1. View

11.

Iwai T, Makino H, Yokoyama T, Maruyama H, Hirakata A, Miyasaka T . Intestinal Obstruction Caused by a Fruit Seed: A Rare Case Without Gastrointestinal Disease. Cureus. 2019; 10(12):e3767. PMC: 6389031. DOI: 10.7759/cureus.3767. View

12.

Fernando A, Bulathsinghela R, Samarasekera D . An unusual cause of small bowel obstruction due to an ingested mango seed: a case report. BMC Res Notes. 2017; 10(1):549. PMC: 5667479. DOI: 10.1186/s13104-017-2875-3. View

13.

Natarajan D, Homthavong P, Trehan I . Small Bowel Obstruction Secondary to Wild Banana Seed Ingestion. Am J Trop Med Hyg. 2020; 101(6):1195-1196. PMC: 6896850. DOI: 10.4269/ajtmh.19-0586. View

14.

Schoeffl V, Varatorn R, Blinnikov O, Vidamaly V . Intestinal obstruction due to phytobezoars of banana seeds: a case report. Asian J Surg. 2004; 27(4):348-51. DOI: 10.1016/s1015-9584(09)60067-1. View

15.

Held J, Graber K, Leubner-Metzger G, Kunkel T, Theilacker C, Kramme S . Photo Quiz: Mysterious Objects in a Pleural Biopsy Sample from a Patient with Recurrent Pleural Empyema. J Clin Microbiol. 2015; 53(7):2005, 2393. PMC: 4473219. DOI: 10.1128/JCM.02074-13. View

16.

Alice L, Campbell C . Phylogeny of Rubus (rosaceae) based on nuclear ribosomal DNA internal transcribed spacer region sequences. Am J Bot. 2011; 86(1):81-97. View

17.

Aykut B, Pushalkar S, Chen R, Li Q, Abengozar R, Kim J . The fungal mycobiome promotes pancreatic oncogenesis via activation of MBL. Nature. 2019; 574(7777):264-267. PMC: 6858566. DOI: 10.1038/s41586-019-1608-2. View

18.

Sugiyama M, Atomi Y, Wada N, Kuroda A, Muto T . Endoscopic transpapillary bile duct biopsy without sphincterotomy for diagnosing biliary strictures: a prospective comparative study with bile and brush cytology. Am J Gastroenterol. 1996; 91(3):465-7. View

19.

Ponchon T, Gagnon P, Berger F, Labadie M, Liaras A, Chavaillon A . Value of endobiliary brush cytology and biopsies for the diagnosis of malignant bile duct stenosis: results of a prospective study. Gastrointest Endosc. 1995; 42(6):565-72. DOI: 10.1016/s0016-5107(95)70012-9. View

20.

Yodice M, Choma J, Tadros M . The Expansion of Cholangioscopy: Established and Investigational Uses of SpyGlass in Biliary and Pancreatic Disorders. Diagnostics (Basel). 2020; 10(3). PMC: 7151166. DOI: 10.3390/diagnostics10030132. View