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題 名 | Small Intestinal Obstruction Caused by a Mushroom: A Case Report=香菇引起之急性腸阻塞:病例報告 |
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作 者 | 林杏麟; 林俊農; 郭良基; 李維哲; 陳昭文; 莊景勛; | 書刊名 | Medical Journal of South Taiwan |
卷 期 | 5:2 2009.12[民98.12] |
頁 次 | 頁94-97 |
分類號 | 415.55 |
關鍵詞 | 小腸阻塞; 腸道異物; 香菇; Small intestinal obstruction; Bezoar; Mushroom; |
語 文 | 英文(English) |
中文摘要 | 小腸異物阻塞並不常見。造成腸道異物阻塞在之前的文獻報告中包括植物或蔬菜纖維、柿子、毛髮及其他包含藥品和無機物。我們報告一位之前腹部沒有開過刀的病人,因為小腸急性阻塞被送到急診。他接受緊急開腹處理,結果是因為在三天前因為吃了香菇雞湯而造成的遠端小腸急性阻塞。香菇,在亞洲是一個很普遍與雞肉一起烹煮的食物,但在極少的情況下也有可能會造成腸道的阻塞。所以在年紀大的病人身上在服食這類的食物時應該要注意仔細的咀嚼。 |
英文摘要 | Obstruction of the small intestine due to bezoars is uncommon. The types of bezoars previously reported to cause gastrointestinal tract obstruction have included plant and vegetable fibers (phytobezoar), persimmons (disopyro bezoar), hair (trichobezoar), and mis- cellaneous materials such as medication and other inanimate objects. Previous gastric surgery, poor mastication, overindulgence of foods with high fiber contents is common factors predisposing to bezoars formation. Mushrooms, one of the most popular foods cooked with chicken in the Asian cuisine, may also be an uncommon cause of intestinal obstruction. We report a very rare patient who had no undergone any previous abdominal operations, but was diagnosed to have an acute small intestine obstruction with progressive abdominal pain. He received surgical intervention with the impression of appendicitis, but obstruction of the small intestine was found with a mushroom impaction in the ileocecal valve. The mushroom was cooked with chicken three days before and was indulgenced by him. However, the undigested mushroom impaction in the terminal ileum that causing small intestine obstruction. Therefore, mushroom is sometimes undigestibles in the small intestine, and it should be careful mastication when ingestion, especially in the elder people. |
本系統中英文摘要資訊取自各篇刊載內容。