title: Mushroom Bezoar Causing Small Bowel Obstruction.
abstract: A bezoar is a concretion of foreign or indigestible matter in the alimentary canal and is usual cause of gastric obstruction. Bezoars can become fragmented and migrate downward leading to intestinal obstruction. Diagnosis of phytobezoar has become challenging in clinical practice due to lack of patient history and inability of patient to correlate preceding events with the episode of bowel obstruction. Bezoar associated small bowel obstruction rarely occurs and is usually found in patients with history of gastrointestinal surgery. Very few cases are reported of small bowel obstruction due to bezoar in healthy population without prior illness or surgery. We present a case of small bowel obstruction due to mushroom bezoar in a 62-year patient with no past history of medical illness or gastric surgery. Enterotomy was performed and a whole piece of undigested mushroom measuring 5 x 3 cm was successfully removed.
authors.affiliation: Urology Unit, Department of Surgery, School of Medical Sciences, Universiti Sains, Malaysia.
authors.forename: Azhar Amir
authors.initials: AA
authors.lastname: Hamzah
authors.affiliation: Urology Unit, Department of Surgery, School of Medical Sciences, Universiti Sains, Malaysia.
authors.forename: Chin Kim
authors.initials: CK
authors.lastname: Keow
authors.affiliation: Urology Unit, Department of Surgery, School of Medical Sciences, Universiti Sains, Malaysia.
authors.forename: Azreen
authors.initials: A
authors.lastname: Syazri
authors.affiliation: Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang 11800, Malaysia.
authors.forename: Tauqeer Hussain
authors.initials: TH
authors.lastname: Mallhi
authors.affiliation: Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang 11800, Malaysia.
authors.forename: Amer Hayat
authors.initials: AH
authors.lastname: Khan
authors.affiliation: Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang 11800, Malaysia.
authors.forename: Yusra Habib
authors.initials: YH
authors.lastname: Khan
authors.affiliation: Chronic Kidney Disease Resource Centre, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerain 16150, Kelantan, Malaysia.
authors.lastname: Adnan
mesh_terms: D000363:Agaricales; D001630:Bezoars / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007082:Ileum; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged