Korean J Gastrointest Endosc > Volume 35(6); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(6): 410-414.
소장 폐색을 일으킨 버섯 위석 1예
김송이ㆍ김재우ㆍ홍진헌ㆍ조기원ㆍ박홍준ㆍ이일영ㆍ예창진ㆍ김현수ㆍ백순구ㆍ조미연*
연세대학교 원주의과대학 내과학교실, *병리학교실
A Case of Small Bowel Obstruction due to a Mushroom Bezoar
Song Yi Kim, M.D., Jae Woo Kim, M.D., Jin Hon Hong, M.D., Ki Won Jo, M.D., Hong Jun Park, M.D., Il Young Lee, M.D., Chang Jin Yea, M.D., Hyun Soo Kim, M.D.,Soon Koo Baik, M.D. and Mee Yon Cho, M.D.*
Department of Internal Medicine and *Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea
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. (Korean J Gastrointest Endosc 2007;35:410-414)
Key Words: Mushroom bezoar, Small bowel obstruction, Computed tomography
주요어: 버섯 위석, 소장 폐색, 전산화 단층촬영
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