A Case of Bowel Obstruction Due to Consumption of Rice Cakes

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  • 餅摂食による腸閉塞の1例

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<p>A 53-year-old woman without a previous history of abdominal surgery presented to our hospital with abdominal pain, a day after eating 12 rice cakes. She reported severe pain across the entire abdomen, and abdominal physical examination revealed signs of peritoneal irritation. Abdominal computed tomography (CT) showed a large high-density mass in the stomach and jejunum, as well as dilatation of the jejunum. Another mass (considered to be the rice cakes) was identified in the small intestine. Based on the aforementioned findings, the patient was diagnosed as having bowel obstruction caused by rice cakes, and she was hospitalized. Her symptoms were relieved by nil-by-mouth instruction and gastrointestinal decompression using a nasogastric tube. Subsequently, she resumed her food intake and was discharged from the hospital. Bowel obstruction has been reported to be caused by various food items. Patients developing bowel obstruction following intake of rice cakes usually present with severe abdominal pain and signs of peritoneal irritation. Therefore, perforated peritonitis is usually suspected in such patients, who subsequently undergo unnecessary surgery. However, this condition can be easily diagnosed by CT and conservative management should be considered first. We report a case of bowel obstruction in a patient following the intake of rice cakes and also present a review of the literature.</p>

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