Korean J Gastrointest Endosc > Volume 41(1); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(1): 16-20.
전내장 역위증 환자에서 우연히 발생한 원발성 식도분석 1예
조용찬ㆍ전원정ㆍ김형일ㆍ김성균ㆍ김현수ㆍ최성규ㆍ류종선
전남대학교 의과대학 소화기내과학교실
A Case of Incidentally Found Primary Esophageal Bezoar in a Patient with Situs Inversus Totalis
Yong Chan Cho, M.D., Won Jung Jun, M.D., Hyung Il Kim, M.D., Sung Kyun Kim, M.D., Hyen Soo Kim, M.D., Sung Kyu Choi, M.D. and Jong Sun Rew, M.D.
Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Medical School, Hwasun, Korea
Abstract
Situs inversus totalis (SIT) is very rare autosomal recessive condition, and patients with SIT have complete mirror image reversal of the thoracic and abdominal viscera. There have been no case reports of esophageal bezoar in a patient with situs inversus totalis. Bezoars are retained concretions of indigestible foreign material, including food material, vegetable material and hair, and they are usually founded in the stomach, small intestine and rectum. Esophageal bezoars are very rare, but they are known to occur in patients with anatomical defects or esophageal motility disorders. The treatment of esophageal bezoar is usually based on endoscopic fragmentation and extraction, dissolution with papain, cellulose, pancreatic enzyme and/or Coca cola. We report here on a case of an endoscopically treated primary esophageal bezoar in a patient with situs inversus totalis, and the patient experienced no complications from the treatment. (Korean J Gastrointest Endosc 2010;41:16-20)
Key Words: Esophgeal bezoar, Situs inversus totalis, Endoscopic treatment
주요어: 식도 분석, 전내장 역위증, 내시경 치료
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