Shiitake mushroom bezoar: a rare cause of small bowel obstruction in Vietnam and lessons in diagnosis and management
Small Bowel Obstruction (SBO) caused by shiitake mushroom bezoars is a rare clinical entity, with no prior cases documented in Vietnam despite the frequent consumption of these mushrooms in traditional dishes. We report the case of a 69-year-old male who presented with SBO symptoms after ingesting a...
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PAGEPress Publications
2025-07-01
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| Series: | Emergency Care Journal |
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| Online Access: | https://www.pagepressjournals.org/ecj/article/view/13766 |
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| author | Tri-Nhan Pham Minh-Quang Tran Phu-Cuong Pham My-Tran Trinh Quang-Duy Ngo Kim-Long Le |
| author_facet | Tri-Nhan Pham Minh-Quang Tran Phu-Cuong Pham My-Tran Trinh Quang-Duy Ngo Kim-Long Le |
| author_sort | Tri-Nhan Pham |
| collection | DOAJ |
| description | Small Bowel Obstruction (SBO) caused by shiitake mushroom bezoars is a rare clinical entity, with no prior cases documented in Vietnam despite the frequent consumption of these mushrooms in traditional dishes. We report the case of a 69-year-old male who presented with SBO symptoms after ingesting a whole shiitake mushroom without chewing due to significant molar tooth loss. Computed Tomography (CT) imaging revealed characteristic features of a bezoar, and exploratory laparoscopy confirmed an obstructing shiitake mushroom bezoar, which was removed via enterotomy. This case highlights the diagnostic challenges of radiolucent bezoars and the critical importance of dietary history and characteristic CT findings. Preoperative assessments could facilitate less invasive surgical strategies, reducing the risks associated with enterotomy, such as anastomotic leakage. Clinicians should remain aware of regional dietary practices to enhance diagnostic precision and optimize management strategies, especially in high-risk populations with compromised mastication.
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| format | Article |
| id | doaj-art-183b82dd81e4413d9ba7a03be2ddfdd9 |
| institution | Kabale University |
| issn | 2282-2054 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Emergency Care Journal |
| spelling | doaj-art-183b82dd81e4413d9ba7a03be2ddfdd92025-08-20T03:27:22ZengPAGEPress PublicationsEmergency Care Journal2282-20542025-07-0110.4081/ecj.2025.13766Shiitake mushroom bezoar: a rare cause of small bowel obstruction in Vietnam and lessons in diagnosis and managementTri-Nhan Pham0Minh-Quang Tran1Phu-Cuong Pham2My-Tran Trinh3Quang-Duy Ngo4Kim-Long Le5Department of Gastroenterology Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City; Department of Surgery, Pham Ngoc Thach University of Medicine, Ho Chi Minh CityDepartment of Surgery, Pham Ngoc Thach University of Medicine, Ho Chi Minh City; Department of Hepato-Pancreato-Biliary, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City1Department of Gastroenterology Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh City; Department of Surgery, Pham Ngoc Thach University of Medicine, Ho Chi Minh CityDepartment of Surgery, Pham Ngoc Thach University of Medicine, Ho Chi Minh City; Department of Hepato-Pancreato-Biliary, Nhan Dan Gia Dinh Hospital, Ho Chi Minh CityDepartment of Gastroenterology Surgery, Nhan Dan Gia Dinh Hospital, Ho Chi Minh CityDepartment of Surgery, Pham Ngoc Thach University of Medicine, Ho Chi Minh City; Department of Hepato-Pancreato-Biliary, Nhan Dan Gia Dinh Hospital, Ho Chi Minh CitySmall Bowel Obstruction (SBO) caused by shiitake mushroom bezoars is a rare clinical entity, with no prior cases documented in Vietnam despite the frequent consumption of these mushrooms in traditional dishes. We report the case of a 69-year-old male who presented with SBO symptoms after ingesting a whole shiitake mushroom without chewing due to significant molar tooth loss. Computed Tomography (CT) imaging revealed characteristic features of a bezoar, and exploratory laparoscopy confirmed an obstructing shiitake mushroom bezoar, which was removed via enterotomy. This case highlights the diagnostic challenges of radiolucent bezoars and the critical importance of dietary history and characteristic CT findings. Preoperative assessments could facilitate less invasive surgical strategies, reducing the risks associated with enterotomy, such as anastomotic leakage. Clinicians should remain aware of regional dietary practices to enhance diagnostic precision and optimize management strategies, especially in high-risk populations with compromised mastication. https://www.pagepressjournals.org/ecj/article/view/13766Shiitake mushroom bezoarsmall bowel obstructionemergency surgerycase report |
| spellingShingle | Tri-Nhan Pham Minh-Quang Tran Phu-Cuong Pham My-Tran Trinh Quang-Duy Ngo Kim-Long Le Shiitake mushroom bezoar: a rare cause of small bowel obstruction in Vietnam and lessons in diagnosis and management Emergency Care Journal Shiitake mushroom bezoar small bowel obstruction emergency surgery case report |
| title | Shiitake mushroom bezoar: a rare cause of small bowel obstruction in Vietnam and lessons in diagnosis and management |
| title_full | Shiitake mushroom bezoar: a rare cause of small bowel obstruction in Vietnam and lessons in diagnosis and management |
| title_fullStr | Shiitake mushroom bezoar: a rare cause of small bowel obstruction in Vietnam and lessons in diagnosis and management |
| title_full_unstemmed | Shiitake mushroom bezoar: a rare cause of small bowel obstruction in Vietnam and lessons in diagnosis and management |
| title_short | Shiitake mushroom bezoar: a rare cause of small bowel obstruction in Vietnam and lessons in diagnosis and management |
| title_sort | shiitake mushroom bezoar a rare cause of small bowel obstruction in vietnam and lessons in diagnosis and management |
| topic | Shiitake mushroom bezoar small bowel obstruction emergency surgery case report |
| url | https://www.pagepressjournals.org/ecj/article/view/13766 |
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