A case series of intestinal obstruction secondary to shiitake mushroom intake during Chinese New Year

Gaik Huey Ng, Li Ying Teoh, Mei Sze Teh, Suniza Jamaris, Mee Hoong See

doi:10.1093/jscr/rjaa328

A case series of intestinal obstruction secondary to shiitake mushroom intake during Chinese New Year

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Gaik Huey Ng

Department of Surgery, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
Li Ying Teoh

Breast Unit, Division of General Surgery, Department of Surgery, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
Mei Sze Teh

Breast Unit, Division of General Surgery, Department of Surgery, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
Suniza Jamaris

Breast Unit, Division of General Surgery, Department of Surgery, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
Mee Hoong See

Breast Unit, Division of General Surgery, Department of Surgery, University of Malaya Medical Centre, Kuala Lumpur, Malaysia

抄録

<jats:title>Abstract</jats:title> <jats:p>Shiitake mushroom is a common ingredient in East Asian cuisines. Food processing/preparation can cause the mushroom to be soft and slimy, leading to accidental swallowing. Due to its high insoluble fibre content, it remains the same size and shape in the intestinal tract. We present two cases of small bowel obstruction caused by shiitake mushroom requiring surgical intervention. Preoperative imaging showed dilated small bowel with a suspicious mass in the ileum. However, the exact cause was unclear. For both cases, exploratory laparotomy and enterotomy were then performed and undigested shiitake mushroom was found. Both patients recovered well from the surgery.</jats:p>