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A Case of Obstructive Ileus due to Marijuana Seeds

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  • 大麻の種子による閉塞性イレウスの1例

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A 24 year old male presented with abdominal pain, nausea and vomiting on May, 2001 and was admitted to our hospital because of increased abdominal pain. An abdominal X-ray showed small intestinal gas, a niveau image, and an oval shadow 4 cm in size containing several small radiolucent masses at the right flank. An abdominal computed tomogram also showed a foreign body in the small intestine consistant with the abdominal X-ray findings. The patient was diagnosed as having foreign body ileus. A detailed history was obtained from him again which revealed that he had swallowed marijuana seeds wrapped in a condom. An emergency operation was performed on the same day. The ileum contained a hard mass 3×5cm in size which was removed through an enterotomy, and which fumed out to be the marijuana seeds wrapped in the condom.


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