A Case of Diospyrobezoars which Caused Small Bowel Obstruction Twice Due to Incidentally Drinking Coca-cola

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  • コーラ飲用を誘引に2度の小腸イレウスを発症した柿胃石の1例

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We report herein on the case of an 82-year-old man who complained of nausea and abdominal pain for 3 days before the first admission. Computed tomography (CT) revealed a food-induced small bowel obstruction. As the conservative therapy with placement of a long tube was unsuccessful, the mass was removed by resection of small intestine. Twenty days after his discharge, the patient was readmitted because of recurrence of the food-induced small bowel obstruction. Another mass was removed in the second surgery. Both masses were made of fiber, and we surmised that they were bezoars. When we reviewed the first CT scan, a mass with the same size and form as that removed in the second operation was identified in the stomach. Further detailed interview revealed that he had eaten persimmons 5 months before the first admission. To improve the continuous uncomfortable halitosis, he had also consumed Coca-cola for the first time in his life 5 days before his first admission. We surmised that each diospyrobezoar had fallen into the small bowel one after another because of the partial dissolution by Coca-cola.

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