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[Mushroom ileus without previous intestinal obstruction].

P Gerber1

  • 1Chirurgische Abteilung, Kantonales Spital, Wolhusen.

Schweizerische Medizinische Wochenschrift
|October 21, 1989
PubMed
Summary
This summary is machine-generated.

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Consuming large amounts of edible mushrooms, like Cantharellus cibarius, can cause small bowel obstruction. Proper preparation, including cutting and chewing, is crucial to prevent impaction, even without adhesions.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Edible mushrooms, such as Cantharellus cibarius, are a common food source.
  • Mushroom consumption can occasionally lead to gastrointestinal complications.

Observation:

  • A patient presented with small bowel obstruction following the ingestion of 500g of Cantharellus cibarius.
  • Laparotomy revealed no intra-abdominal adhesions or fibrous bands.
  • The patient had a defective dental prosthesis, impairing proper chewing.
  • Largely intact mushrooms were passed 11 days post-consumption.

Findings:

  • Undigested mushrooms can cause mechanical small bowel obstruction.
  • Impactions can occur even in the absence of prior intra-abdominal adhesions.
  • Radiographic evidence (barium meal) could retrospectively suggest mushroom impaction.

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Implications:

  • Thorough mastication and appropriate portioning of mushrooms are recommended.
  • Cutting mushrooms into smaller pieces is advised, especially for individuals with dental issues.
  • Awareness of potential mechanical obstruction from poorly prepared mushrooms is important for clinicians.