이물로 인한 십이지장-맹장 간 누공 형성 1예 |
정우진·박혜원·황준영·박경식·조광범·황재석·안성훈·박승국 |
계명대학교 의과대학 내과학교실 |
A Case of Duodeno-cecal Fistula Developed due to Foreign Body |
Woo Jin Chung, M.D., Hea Won Park, M.D., Jun Young Hwang, M.D., Kyung Sik Park, M.D., Kwang Bum Cho, M.D., Jae Seok Hwang, M.D., Sung Hoon Ahn, M.D. and Soong Kook Park, M.D. |
Department of Internal Medicine, Keimyung University College of Medicine, Daegu, Korea |
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Abstract |
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Gastrointestinal foreign bodies are a common problem. It can be managed by observation, endoscopic removal, and/or surgical intervention. Bowel perforation, obstruction, bleeding, fistularization and abscess formation are common significant complications associated with foreign bodies. A 38-year-old woman with a toothbrush in the duodenum was referred to our hospital due to abdominal pain. Three years ago, she ingested a tooth brush. Esophagogastroduodenoscopy showed a tooth brush placed in the second portion of the duodenum. We removed a tooth brush by a snare and found a fistula at the junction of the second and third portion of the duodenum. Upper gastrointestinal series revealed a fistula between the duodenum and cecum. We report a case of duodeno-cecal fistula developed due to a toothbrush ingested 3 years before. (Korean J Gastrointest Endosc 2003;27:4245) |
Key Words:
Foreign body, Fistula, Duodenum, Cecum |
주요어:
위장관 이물, 누공, 십이지장, 맹장 |
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