근위부 대장에 발생한 숙변성 궤양(Stercoral ulcer) 1예 |
김성은·정성애·심기남·권정미·박지영·하창윤·박수현·유 권·문일환 |
이화여자대학교 의과대학 내과학교실 |
A Case of Stercoral Ulcer in the Proximal Colon |
Seong-Eun Kim, M.D., Sung-Ae Jung, M.D., Ki-Nam Shim, M.D., Jung Mi Kwon, M.D., Ji Young Park, M.D., Chang Yoon Ha, M.D., Soo Hyun Park, M.D., Kwon Yoo, M.D. and Il-Hwan Moon, M.D. |
Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea |
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Abstract |
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Stercoral ulcer is the ulcerated colonic mucosa due to the pressure effects of hard, scybalous feces. It is a rare clinical entity that usually occurs in the elderly, or the bedridden patients with chronic constipation, and usually located in the rectosigmoid area. If stercoral ulcer is presented with fatal complications such as massive hemorrhage or perforation, emergent operation is needed. There has been very few reports of stercoral ulcer found in the proximal colon. We experienced an unusual case of stercoral ulcer in the proximal colon in a middle-aged woman who had not suffered any organic disease, and she recovered completely after medical conservative treatment only, so we report this case with a review of the literature. (Korean J Gastrointest Endosc 2003;26:163166) |
Key Words:
Stercoral ulcer, Fecal impaction |
주요어:
숙변성 궤양, 근위부 대장 |
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