이물질에 의한 위, 대장 천공 2예 |
박형천·박창환·조성범·주소영·박선영·조 석·이승환·윤경원·이완식·김현수·최성규·유종선 |
전남대학교 의과대학 내과학교실 |
Two Cases of Gastrointestinal Perforation by Foreign Bodies |
Hyeong-Cheon Park, M.D., Chang-Hwan Park, M.D., Sung-Bum Cho, M.D., So-Young Joo, M.D., Seon-Young Park, M.D., Suck Cho, M.D., Seung-Hwan Lee, M.D., Kyoung-Won Yoon, M.D., Wan-Sik Lee, M.D., Hyun-Soo Kim, M.D., Sung-Kyu Choi, M.D. and Jong-Sun Rew, M.D. |
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea |
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Abstract |
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About 80∼90% of ingested foreign bodies usually pass through the gastrointestinal tract spontaneously without any specific symptoms or gastrointestinal injury. Most of the foreign bodies in the stomach are passed along by gastrointestinal movement, and they are usually evacuated once they pass over the pylorus, Treitz ligament, the ileocecal valve and the rectosigmoid junction. Yet those foreign bodies that are sharp and/or pointed have a high risk of perforation, bleeding and abscess formation. We report here on two cases of a nail in the stomach and toothpicks in the sigmoid colon, and both cases were complicated by perforation. Both patients didn't know that they swallowed the foreign bodies. These patients were treated by surgery and antibiotics. As seen in our cases, we should keep in mind that a sharp, pointed foreign body in the gastrointestinal tract could induce severe complications such as perforation or abscess formation. |
Key Words:
Foreign body, Perforation |
주요어:
위장관 천공, 이물질 |
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