개의 소장에서 관찰된 뼈와 같은 형태의 나무 이물

A Bone-like Small Intestinal Wooden Foreign Body in a Dog

  • 정석영 (강원대학교 수의학부대학) ;
  • 김두 (강원대학교 수의학부대학) ;
  • 안소저 (강원대학교 수의학부대학) ;
  • 박인철 (강원대학교 수의학부대학) ;
  • 우흥명 (강원대학교 수의학부대학) ;
  • 박선일 (강원대학교 수의학부대학)
  • Jeoung, Seok-Young (School of Veterinary Medicine, Kangwon National University) ;
  • Kim, Doo (School of Veterinary Medicine, Kangwon National University) ;
  • Ahn, So-Jeo (School of Veterinary Medicine, Kangwon National University) ;
  • Park, In-Chul (School of Veterinary Medicine, Kangwon National University) ;
  • Woo, Heung-Myong (School of Veterinary Medicine, Kangwon National University) ;
  • Pak, Son-Il (School of Veterinary Medicine, Kangwon National University)
  • 발행 : 2006.09.30

초록

Detection of wooden foreign body represents a clinical challenge. Wood is typically radiolucent, so wooden foreign bodies are generally cannot be seen on survey radiography. Failure to locate and remove foreign bodies can lead the patient to the long-term secondary inflammatory reactions or infections. The dog described in the present report ingested a wooden foreign body(cotton swab stick) a year ago. The foreign body remained in the intestinal tracts which were attached to each other due to the prior abdominal operation. The wooden piece in the intestine functioned as a nidus and inorganic matters were gathered forming calculus on the outer layer of foreign body. In the radiograph, the foreign body appeared to be a chicken bone which of it's inner area was more radiolucent than the outer layer. Because the wooden foreign bodies that have remained for long time in the intestinal tract can be seen like a bone by mineralization, the diagnosis of the wooden foreign bodies should be done prudently.

키워드

참고문헌

  1. Alberti-Flor JJ, Hemandez ME, Ferrer JP, Maldobado A, Saldivar R. Endoscopic removal of an impacted colonic foreign body (fish bone) complicated by a pelvic abscess. Gastrointest Endosc 1992; 38: 100-102
  2. Armbrust LJ, Biller DS, Radlinsky M, Hoskinson JJ. Ultrasonographic diagnosis of foreign bodies associated with chronic draining tracts and abscesses in dogs. Vet Radiol Ultrasound 2003; 44: 66-70 https://doi.org/10.1111/j.1740-8261.2003.tb01452.x
  3. Brennan SF, Connery N, Tobin E, Mooney CT, Jones BR. Gastrocutaneous fistula as a result of migration of a foreign body in a dog. J Small Anim Pract 2004; 54(6): 304-306
  4. Dugger K, Leby T, Brus M, Sahgal JB. Hepatic abscess resulting from gastric perforation of a foreign object. Am J Emerg Med 1990; 8: 323-325 https://doi.org/10.1016/0735-6757(90)90086-F
  5. Felts JF, Fox PR, Burk RL. Thread and sewing needles as gastrointestinal foreign bodies in the cat: a review of 64 cases. J Am Vet Med Assoc 1984; 184: 56-59
  6. Fossum TW. Surgery of the urinary bladder and urethra. In: Small animal surgery, St. Louis: Mosby. 1997: 499-503
  7. Guilford WG, Strombeck DR. Intestinal obstruction, pseudo-obstruction, and foreign bodies. In: Small animal gastroenterology, 3rd ed. Philadelphia: WB Saunders. 1996: 487-502
  8. Horton LK, Jacobon JA, Powell A, Fessell DP, Hayes CW. Sonography and radiography of soft tissue foreign bodies. Am J Radiol 2001; 176: 1155-1159
  9. Hunt GB, Worth A, Marchevsky A. Migration of wooden skewer foreign bodies from the gastrointestinal tract in eight dogs. J Small Anim Pract 2004; 45: 362-367 https://doi.org/10.1111/j.1748-5827.2004.tb00249.x
  10. Jacobson JA, Powell A, Craig JG, Bouffare JA, Van Holsbeek NT. Wooden foreign bodies in soft tissue: detection at US. Radiology 1998; 206: 45-48 https://doi.org/10.1148/radiology.206.1.9423650
  11. Mantri MB, Asha M, Vishwasrao SV. Incidence of foreign body syndrome in dogs. Indian Vet J 1992; 69: 346-348
  12. Matteucci ML, Spaulding K, Dassler C, Lee D. Ultrasound diagnosis: Intera-abdominal wood foreign body. Vet Radiol Ultrasound 1999; 40: 513-516 https://doi.org/10.1111/j.1740-8261.1999.tb00384.x
  13. O'Reilly A, Beck C, Mouatt JG, Stenner VJ. Exophthalmos due to a wooden foreign body in a dog. Aust Vet J 2002 May; 80(5): 268-71 https://doi.org/10.1111/j.1751-0813.2002.tb10835.x
  14. Penninck DG, Finn-Bodner S. Updates interventional ultrasound. Vet Clin North Am Small Anim Pract 1998; 28: 1017-1039 https://doi.org/10.1016/S0195-5616(98)50087-3
  15. Schwartz JT, Graham DY. Toothpick perforation of the intestines. Ann Surg 1997; 186: 195-196
  16. Staudte KL, Hopper BJ, Gibson NR, Read RA. Use of ultrasongraphy to facilities surgical removal of nonenteric foreign bodies in 17 dogs. J Small Anim Pract 2004; 45: 395-400 https://doi.org/10.1111/j.1748-5827.2004.tb00254.x
  17. Tarnasky PR, Newcomer MK, Branch MS. Colonoscopic diagnosis and treatment of chronic chicken bone perforation of the sigmoid colon. Gastrointest Endosc 1994; 40: 373-375 https://doi.org/10.1016/S0016-5107(94)70079-6
  18. Vemula NR, Madariga J, Brand DL, Hershey H. Colonscopic removal of a foreign body causing colocutaneous fistulas. Gastrointest Endosc 1982; 28: 195-196 https://doi.org/10.1016/S0016-5107(82)73057-3
  19. Wyatt KM, Marchevsky AM, Kelly A. An enterovesicular foreign body in a dog. Aust Vet J 1999; 77: 27-29 https://doi.org/10.1111/j.1751-0813.1999.tb12420.x
  20. Young B, Klopp L, Albrecht M, Kraft S. Imaging diagnosis: magnetic resonance imaging of a cervical wooden foreign body in a dog. Vet Radiol Ultrasound 2004; 45(6): 538-41 https://doi.org/10.1111/j.1740-8261.2004.04092.x
  21. 윤정석, 이정원, 박윤찬. 장폐색에서 발생한 생선뼈에 의한 소장 천공. 대한응급의학회지 2005; 16: 681-683
  22. 채경수, 이상무, 김지수, 백일현, 홍수진, 이명석, 김우중, 이재정. 복강내 종물로 발현된 생선뼈에 의한 대장천공 1예. 대한소화기학회 2002; 39: 429-431