{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T12:51:04Z","timestamp":1780059064451,"version":"3.54.0"},"reference-count":14,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,6,23]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>Small bowel obstruction (SBO) secondary to fruit pit impaction is rare. The presence of an ovoid, stony body in the bowel lumen on radiologic imaging in a patient presenting with signs and symptoms of SBO is likely to raise concern for gallstone ileus. We report the case of a 56-year-old man who presented with a 1-day history of intermittent left-sided abdominal pain and nausea associated with a single episode of vomiting. CT scan of the abdomen and pelvis revealed a 3.3 cm impacted stony mass in the terminal ileum resulting in high-grade partial SBO. The mass had a hypodense centre encased within a hyperdense, ridged outer layer. The diagnostic impression was gallstone ileus. The object was removed via enterotomy and was found to be a peach pit.<\/jats:p>","DOI":"10.1136\/bcr-2020-235363","type":"journal-article","created":{"date-parts":[[2020,7,29]],"date-time":"2020-07-29T02:25:27Z","timestamp":1595989527000},"page":"e235363","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Peach pit impaction presenting as gallstone ileus"],"prefix":"10.1136","volume":"13","author":[{"given":"Abdus Samad","family":"Syed","sequence":"first","affiliation":[{"name":"Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Bonte","sequence":"additional","affiliation":[{"name":"Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laith Adnan","family":"Allaham","sequence":"additional","affiliation":[{"name":"Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elliot R","family":"Goodman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mount Sinai Health System, New York, New York, USA"},{"name":"Department of Surgery, Beth Israel Medical Center, New York, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,7,28]]},"reference":[{"key":"2025082700580793000_13.7.e235363.1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.10.4998"},{"key":"2025082700580793000_13.7.e235363.2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1967.01330080128031"},{"key":"2025082700580793000_13.7.e235363.3","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1956.01270210041006"},{"key":"2025082700580793000_13.7.e235363.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1981.03320210012007"},{"key":"2025082700580793000_13.7.e235363.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-003-0482-3"},{"key":"2025082700580793000_13.7.e235363.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(02)70407-0"},{"key":"2025082700580793000_13.7.e235363.7","first-page":"543","article-title":"Small bowel obstruction caused by snail's shell: radiographic and CT findings","volume":"26","author":"Agramunt Lerma","year":"2002","journal-title":"J Comput Assist Tomogr"},{"key":"2025082700580793000_13.7.e235363.8","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1177\/014107680009300707","article-title":"Unusual causes of small-bowel obstruction","volume":"93","author":"Lohn","year":"2000","journal-title":"J R Soc Med"},{"key":"2025082700580793000_13.7.e235363.9","doi-asserted-by":"crossref","DOI":"10.3748\/wjg.v11.i14.2142","article-title":"Value of CT in the diagnosis and management of gallstone ileus","volume":"11","author":"Yu","year":"2005","journal-title":"World J Gastroenterol"},{"key":"2025082700580793000_13.7.e235363.10","first-page":"441","article-title":"Gallstone ileus: a review of 1001 reported cases","volume":"60","author":"Reisner","year":"1994","journal-title":"Am Surg"},{"key":"2025082700580793000_13.7.e235363.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2003.11.011"},{"key":"2025082700580793000_13.7.e235363.12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13244-019-0825-4","article-title":"Gallstones top to toe: what the radiologist needs to know","volume":"11","author":"Murphy","year":"2020","journal-title":"Insights Imaging"},{"key":"2025082700580793000_13.7.e235363.13","first-page":"e3767","article-title":"Intestinal obstruction caused by a fruit seed: a rare case without gastrointestinal disease","volume":"10","author":"Iwai","year":"2018","journal-title":"Cureus"},{"key":"2025082700580793000_13.7.e235363.14","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.ejrex.2006.01.003","article-title":"Peach stone ileus: CT appearances of impacted fruit stones","volume":"57","author":"Girvin","year":"2006","journal-title":"European Journal of Radiology Extra"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-235363","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:58:20Z","timestamp":1756281500000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-235363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":14,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2020,7,28]]},"published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1136\/bcr-2020-235363"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-235363","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}