A Case of Small Bowel Obstruction due to a Mushroom Bezoar.
- Author:
Song Yi KIM
1
;
Jae Woo KIM
;
Jin Hon HONG
;
Ki Won JO
;
Hong Jun PARK
;
Il Young LEE
;
Chang Jin YEA
;
Hyun Soo KIM
;
Soon Koo BAIK
;
Mee Yon CHO
Author Information
1. Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. jawkim96@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Mushroom bezoar;
Small bowel obstruction;
Computed tomography
- MeSH:
Adult;
Agaricales*;
Bezoars*;
Causality;
Constriction, Pathologic;
Female;
Gastrectomy;
Humans;
Ileum;
Mastication;
Vagotomy
- From:Korean Journal of Gastrointestinal Endoscopy
2007;35(6):410-414
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A mushroom bezoar is an unusual type of bezoar and a rare cause of small bowel obstruction, with the only cases being previously described in the foreign literature. Common sites of obstruction are the gastric outlet, the terminal ileum as well as segments of pre-existing gastrointestinal stenosis of various etiologies. Predisposing factors include a high fiber intake, inadequate chewing, gastric hyposecretion and hypomotility, and a previous gastrectomy and vagotomy. Computed tomography has the capability of directly showing the bezoar and displaying the resulting small bowel obstruction. We report a case of incomplete small bowel obstruction in a 38-year-old woman, caused by a mushroom bezoar in the terminal ileum.
