Browsing by Author "Shrestha, Luna"
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Publication A Case of Intestinal Obstruction Due to Grapes(Public Health Concern Trust-Nepal (phect-NEPAL), 2024) Anand, Abhinaw; Shrestha, Manoj Krishna; Shrestha, Luna; Saurav Khetan,; Ranjit, Suvekshhya; Vranavydyam, Ranadheer Babu; Khanal, SagunAbstract: We present here a case of intestinal obstruction caused by grapes. A 10-month-old girl was admitted to our hospital with vomiting and reduced urinary output over the past two days. The child had no history of fever, rashes, abdominal pain or swelling, altered bowel habits or melena. Plain X-ray abdomen showed few air-fluid levels with paucity of abdominal gas suggestive of intestinal obstruction. Abdominal ultrasound was performed to rule out volvulus. Subsequently, CT scan illustrated an abrupt narrowing of the ileum with a proximally dilated bowel segment, suggesting ileal obstruction. Surgical exploration showed two grapes impacted in the distal ileum. The grapes were broken into pieces and milked out of the colon. The patient recovered well and was discharged two days post-surgery without any complications. Nutritional guidance post-surgery involves ensuring thorough food chewing and maintaining adequate fluid intake during meal, carried out under constant supervision of caretakers.