{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T01:40:21Z","timestamp":1756345221060,"version":"3.44.0"},"reference-count":13,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>Sunflower seed bezoars are an indigestible mass created after consuming several unshelled sunflower seeds. We present the case of an 11-year-old who visited the emergency department with abdominal pain, constipation, and rectal bleeding. The rectal exam findings were consistent with a presumed stool ball. Symptoms persisted even after enema and polyethylene glycol administration. The patient was discharged, and after an attempted manual self-disimpaction at home, the patient\u2019s mother noted sunflower seed shell remnants in the stool. Upon further questioning, the patient endorsed consuming 10\u2009ounces of salt and pepper-flavored unshelled sunflower seeds ~1\u2009week before her first physician visit. Upon return to the emergency department, the patient underwent cross-sectional imaging, confirming the diagnosis of sunflower seed bezoar. Manual and instrumental disimpaction were performed under general anesthesia with symptomatic improvement. Seed bezoars should be considered for acute constipation refractory to laxatives in pediatric patients, especially after recent sunflower seed consumption.<\/jats:p>","DOI":"10.1177\/2050313x251364028","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T10:53:08Z","timestamp":1756119188000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Rectal sunflower seed bezoar in an 11-year-old: A case report"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5083-5538","authenticated-orcid":false,"given":"Sergine Cindy","family":"Zeufack","sequence":"first","affiliation":[{"name":"School of Medicine, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"De Castro","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amandine","family":"Godier-Furnemont","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Reid","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4575-4546","authenticated-orcid":false,"given":"Camila","family":"Cribb Fabersunne","sequence":"additional","affiliation":[{"name":"School of Medicine, University of California, San Francisco, CA, USA"},{"name":"Department of Pediatrics, University of California, San Francisco, CA, USA"},{"name":"Department of Pediatrics, Zuckerberg San Francisco General Hospital, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0006-3557","authenticated-orcid":false,"given":"Valerie","family":"Gribben","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of California, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,25]]},"reference":[{"key":"e_1_3_2_2_2","first-page":"37","article-title":"Bezoars: from mystical charms to medical and nutritional management","volume":"28","author":"Sanders M","year":"2004","unstructured":"Sanders M. Bezoars: from mystical charms to medical and nutritional management. Pract Gastroenterol 2004; 28: 37\u201350.","journal-title":"Pract Gastroenterol"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4253\/wjge.v7.i4.336"},{"issue":"11","key":"e_1_3_2_4_2","first-page":"776","article-title":"Gastrointestinal bezoars: history and current treatment paradigms","volume":"8","author":"Eng K","year":"2012","unstructured":"Eng K, Kay M. Gastrointestinal bezoars: history and current treatment paradigms. Gastroenterol Hepatol 2012; 8(11): 776\u2013778.","journal-title":"Gastroenterol Hepatol"},{"issue":"5","key":"e_1_3_2_5_2","article-title":"Gastrointestinal seed bezoars: a systematic review of case reports and case series","volume":"11","author":"Manatakis DK","year":"2019","unstructured":"Manatakis DK, Acheimastos V, Antonopoulou MI, et al. Gastrointestinal seed bezoars: a systematic review of case reports and case series. Cureus 2019; 11(5): e4686.","journal-title":"Cureus"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.01.048"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.epsc.2022.102457"},{"key":"e_1_3_2_8_2","first-page":"4826867","article-title":"Fecal impaction in the rectum and rectosigmoid colon secondary to sunflower seed ingestion","volume":"2021","author":"Lyons A","year":"2021","unstructured":"Lyons A, Lee J, Cares K. Fecal impaction in the rectum and rectosigmoid colon secondary to sunflower seed ingestion. Case Rep Pediatr 2021; 2021: 4826867.","journal-title":"Case Rep Pediatr"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0713-0"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2018.31.157.12539"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.091991"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13244-021-00985-9"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3181f048d6"},{"issue":"12","key":"e_1_3_2_14_2","article-title":"Seeds of discomfort: an unusual case of pediatric abdominal pain","volume":"15","author":"Salada KO","year":"2023","unstructured":"Salada KO, Jacobson E. Seeds of discomfort: an unusual case of pediatric abdominal pain. Cureus 2023; 15(12): e50625.","journal-title":"Cureus"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251364028","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X251364028","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251364028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T01:16:25Z","timestamp":1756343785000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X251364028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":13,"alternative-id":["10.1177\/2050313X251364028"],"URL":"https:\/\/doi.org\/10.1177\/2050313x251364028","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2025,8]]},"article-number":"2050313X251364028"}}