2023 Volume 65 Issue 11 Pages 2297-2303
Case 1 is a 65-year-old man admitted to our hospital with abdominal distension and vomiting. Small intestinal ileus was found on abdominal CT. Dietary ileus was suspected because the nasal ileus tube was invalid and CT imaging eventually showed movement of the occlusion origin from the jejunum to the ileum. Because of difficulties in colonoscopy, the foreign body was removed by laparoscopically-assisted endoscopy. The content was shiitake mushrooms. Case 2 is a 77-year-old man who visited our hospital with complaints of abdominal distension and vomiting. Abdominal CT showed small intestinal ileus with a high-density mass. Based on the clinical course, dietary ileus was suspected and a colonoscopy was performed. A konjac mass was found at the end of the ileum and removed endoscopically. Both patients had no organic stenosis in the intestinal tract; although they had missing teeth, they did not use dentures. Detailed interviews and CT imaging were considered important for the definitive diagnosis of dietary ileus.
