NOT AGAIN! WHY? WHY? WHY? PLEASE! PLEASE! PLEASE! DO NOT SWALLOW SANTOL SEEDS!!!

NOT AGAIN!   WHY? WHY? WHY?  PLEASE!  PLEASE!  PLEASE!  DO NOT SWALLOW SANTOL SEEDS!!!

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

July 30, 2012

WHY? WHY? WHY? 

Why do people continue to swallow santol seeds and risk an intestinal perforation?

We (I, in particular) have been advising people not to swallow santol seeds since 2001 (for 11 years now!)

NOT AGAIN!

Today, July 30, 2012, a surgeon-colleague told me that yesterday he just operated on a 60-year-old Filipino female  from Bulacan who had perforation of the sigmoid colon caused by swallowed santol seeds.  The patient had swallowed 4 santol seeds.  The next day, she developed abdominal pain.  She had  consulted 3 other hospitals before  she finally had herself operated  by my surgeon-colleague.  The operation was done  5 days after ingestion.  On operation, there was a perforation of the sigmoid colon with 2 santol seeds outside the colon floating in the abdominal cavity.  There was severe infection of the abdominal cavity because of extensive fecal spillage.  A colostomy was done (see picture below).  She is now in the intensive care unit in critical condition.

Here is the segment of the resected colon with a perforation and the 2 santol seeds (courtesy of Thea).

Last  July 19, 2012, I shared a report of another patient with an intestinal perforation secondary to  swallowed santol seeds operated in Ospital ng Maynila Medical Center. https://rojosonfacebooknotes.wordpress.com/2012/07/19/santol-seed-the-seasonal-killer-is-on-the-loose-again-2012

Every year, since 2001, during the season of santol, I have been giving advisory on santol seeds – not to swallow.  The first post for this year was on June 30, 2012. https://rojosonfacebooknotes.wordpress.com/2012/06/30/rojoson-2012-advisory-beware-of-santol-seed-swallowing

PLEASE! PLEASE! PLEASE!

BEWARE OF SANTOL SEEDS!

DO NOT SWALLOW THEM!

THEY CAN CAUSE PREMATURE DEATH!

THEY CAN OBSTRUCT AND PERFORATE THE INTESTINES!

OPERATION IS NEEDED FOR THE INTESTINAL OBSTRUCTION AND PERFORATION!

TO AVOID PREMATURE DEATH AND OPERATION, DO NOT SWALLOW SANTOL SEEDS!

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