kurma during bulan puasa

A brief history was taken before patient entered into OT..:)

A 55 years old Malay women,known case of HPT under OPD,she complaint of generalized and pain for the last 2 days.

Pain is sudden onset ,started from lower abdomen,colicky in nature,on & off and associated with nausea and vomitting,diarrhea.

Diarrhea-stool was brownish mixed with mucus,no malaena,no fresh bleed.

No hemetemesis,no fever,PU normal,LOA,LOW(can't quantified)

PMH-HPT,gastritis for past 1 year.

DH-has been taking NSAIDs on last 2 days to relieve pain.

FHX no history of malignancy.

Xray taken prior to operation:air under diaphragm(pneumoperitoneum)--suggesting perforation of bowel

During operation,surgeons found there's perforation on the sigmoid colon.

surprisingly,during the sanitation of the abdominal cavity,they saw something strange retained in the abdominal cavity.probably,these small seed-like thing makes the perforation in sigmoid colon.

everyone gathered around the kidney dish and try to figure it out...what the hell is this??

After few days, i walked to patient : "mak cik ah,apa makcik makan sebelum ini sampai biji2 tinggal dalam perut?"broken malay again but she understood anyway..:)

"saya makan kurma masa buka puasa...saya makan dengan biji la..."

"oh,jangan makan biji leh,makcik makan banyak actually kan?"...she smiled to me..well,she will be alright since she can smile back to me.=)

Wow,this is so weird still... = =