Korean J Gastrointest Endosc > Volume 33(2); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(2): 94-99.
위벽을 관통한 이쑤시개에 의해 발생한 간농양 1예
한림대학교 의과대학 내과학교실
A Case of Liver Abscess Caused by Toothpick Penetrating Gastric Wall
Hyun Cheol Koo, M.D., Jae Pil Han, M.D., Ick Keun Kim, M.D., In Il Park, M.D., Jue Yong Lee, M.D., Kyung Min Sohn, M.D., Kwang Ho Baik, M.D., Jin Bong Kim, M.D. and Dong Jun Kim, M.D.
Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea
The ingestion of foreign bodies into the gastrointestinal tract is common, and most are passed out spontaneously without causing any problems. However, a perforation can cause a variety of complications involving considerable morbidity and mortality. Moreover, clinical presentation of a perforation can vary and patients are often unaware of the episode. Hence, a pre-operative diagnosis is difficult under these circumstances. We report an unusual case of a liver abscess that developed secondary to a toothpick that had penetrated the gastric wall and migrated to the liver. The liver abscess was treated successfully with internal drainage by inserting an endoscopic pigtail catheter through the hepato-gastric fistula. The toothpick was removed using an endoscopic snare. (Korean J Gastrointest Endosc 2006;33:94⁣99)
Key Words: Liver abscess, Toothpick, Foreign body, Hepato-gastric fistula, Internal drainage
주요어: 간농양, 이쑤시개, 이물질, 간-위 누공, 위 내 배농
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