アケビ（モクツウ）過食による直腸炎の2例

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  • Two Cases of Acute Proctitis Induced by Excessive Eating of Akebiae Caulis Fruits

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Kuni-village, located northwest of Gunma prefecture, is blessed with good natural environment. In autumn, wild Akebiae Caulis fruits ripen and are harvested in the mountains and bushes by villagers. Since the seeds of the fruit taste bitter, most people will spit it out immediately, but people who love this fruit will eat and swallow the whole fruit. This report will present two cases of hemorrhagic proctitis induced by excessive eating of this fruit.<br> Case 1 ; male, age 72. His first medical examination was on October 12, 1989 when he came in complaining of bloody stool and abdominal distension. He had eaten over 50 pieces of the fruit the day before. The results of endoscopic examination showed large amounts of the fruit seeds stacked in the rectum and hemorrhagic and erosive rectal mucosa were observed. The patient was administered an enema and stool extraction resulting in discharging large amount of seeds. After two weeks of treatments, the endoscopic examination showed that the mucosa was back to its normal condition.<br> Case 2 ; female, age 44. Her first medical examination was on October 5, 1995 when she came in complaining of bloody stool and abdominal distension. She had eaten over 20 pieces of the fruit the day before. Since the endoscopic examination showed the same results as mentioned in case 1, the patient was admitted an enema and stool extraction.<br> Two cases demonstrated above were acute hemorrhagic proctitis induced by some stimulation with Akebiae Caulis seeds. It is suggested that from these cases the seeds of the fruit should be spit out immediately to prevent sickness.

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