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KMID : 0359020070350060410
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.35 No. 6 p.410 ~ p.414
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A Case of Small Bowel Obstruction due to a Mushroom Bezoar
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Kim Song-Yi
Kim Jae-Woo
Hong Jin-Hon
Jo Ki-Won
Park Hong-Jun
Lee Il-Young
Yea Chang-Jin
Kim Hyun-Soo
Baik Soon-Koo
Cho Mee-Yon
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Abstract
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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. Commonsites 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.
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KEYWORD
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Mushroom bezoar, Small bowel obstruction, Computed tomography
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