Small Bowel Obstruction Due to Mochi (Rice Cake): A Case Report and Review of the Literature

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  • Park Daeho
    *Department of Community-based Family Medicine, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan † Department of Community-based Family Medicine, Hino Hospital, Hino 689-4504, Japan
  • Inoue Kazuoki
    *Department of Community-based Family Medicine, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan † Department of Community-based Family Medicine, Hino Hospital, Hino 689-4504, Japan
  • Hamada Toshihiro
    *Department of Community-based Family Medicine, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan † Department of Community-based Family Medicine, Hino Hospital, Hino 689-4504, Japan
  • Taniguchi Shin-ichi
    *Department of Community-based Family Medicine, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan † Department of Community-based Family Medicine, Hino Hospital, Hino 689-4504, Japan
  • Sato Naoki
    ‡Department of Surgery, Hino Hospital, Hino 689-4504, Japan
  • Koda Masahiko
    §Department of Internal Medicine, Hino Hospital, Hino 689-4504, Japan

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<p>A 66-year-old man presented at our emergency department with severe intermittent abdominal pain. His history revealed that he had eaten several mochi (rice cakes) without sufficiently chewing them before swallowing. Following computed tomography that showed a high value, he was diagnosed with an obstruction caused by mochi. Although mochi obstruction can sometimes improve with conservative treatment, this case required laparotomy. Medical literature in English on small bowel obstruction due to mochi is rare, but fortunately in this case we were able to collect complete laboratory and imaging data. Furthermore, due to the surgical findings, we could clearly diagnose the pathophysiology of mochi obstruction. Here we describe a case of small bowel obstruction due to mochi, and review the literature to determine the characteristics of intestinal obstruction caused by it.</p>

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  • Yonago Acta Medica

    Yonago Acta Medica 61 (1), 082-086, 2018

    ヨナゴ・アクタ・メディカ刊行会

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