Duodenal Obstruction Secondary to Bay Leaf Impaction
Authors: Tat-Kin Tsang
Journal: Annals of Internal Medicine (1999)

Letters20 April 1999Duodenal Obstruction Secondary to Bay Leaf ImpactionTat-Kin Tsang, MD, Michael J. Flais, MD, and Gary Hsin, BATat-Kin Tsang, MDNorthwestern University Medical School; Evanston, IL 60201 (Tsang)Northwestern University Medical School; Evanston, IL 60201 (Flais)Northwestern University Medical School; Evanston, IL 60201 (Hsin)Search for more papers by this author, Michael J. Flais, MDNorthwestern University Medical School; Evanston, IL 60201 (Tsang)Northwestern University Medical School; Evanston, IL 60201 (Flais)Northwestern University Medical School; Evanston, IL 60201 (Hsin)Search for more papers by this author, and Gary Hsin, BANorthwestern University Medical School; Evanston, IL 60201 (Tsang)Northwestern University Medical School; Evanston, IL 60201 (Flais)Northwestern University Medical School; Evanston, IL 60201 (Hsin)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-8-199904200-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Bay leaf impaction has been described in the esophagus and hypopharynx (1). We report a case of duodenal obstruction secondary to bay leaf impaction in the duodenum.A 67-year-old man with a history of type 2 diabetes, hypertension, and osteoarthritis presented with nausea, vomiting, and crampy epigastric pain 1.5 hours after eating a spaghetti dinner. He took famotidine without relief. His symptoms were initially relieved after vomiting but returned 30 minutes later. He reported no other symptoms and had a normal bowel movement that evening. His medications included glyburide, sustained-release nifedipine, and ibuprofen.On physical examination, the ...References1. Buto SK, Tsang TK, Sielaff GW, Gutstein LL, Meiselman MS. Bay leaf impaction in the esophagus and hypopharynx. Ann Intern Med. 1990;113:82-3. LinkGoogle Scholar2. Palin WE, Richardson JD. Complication from bay leaf ingestion [Letter]. JAMA. 1983;249:729-30. CrossrefMedlineGoogle Scholar3. Lingenfelser T, Adams G, Solomons D, Marks IN. Bay leaf perforation of the small bowel in a patient with chronic calcific pancreatitis. J Clin Gastroenterol. 1992;14:174-6. MedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Tat-Kin Tsang, MD; Michael J. Flais, MD; Gary Hsin, BAAffiliations: Northwestern University Medical School; Evanston, IL 60201 (Tsang)Northwestern University Medical School; Evanston, IL 60201 (Flais)Northwestern University Medical School; Evanston, IL 60201 (Hsin) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byBay Leaf: Leaf of the European Laurel 20 April 1999Volume 130, Issue 8Page: 701-702KeywordsDuodenumEsophagusGastrointestinal tractMorbidityOsteoarthritisResearch laboratoriesStomachType 2 diabetesVital signsVomiting ePublished: 15 August 2000 Issue Published: 20 April 1999 Copyright & PermissionsCopyright © 1999 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...