Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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A Case of Colonic Obstruction Due to Phytobezoars

대장폐색을 유발한 식물위석 1예

  • Chae, Jung-Min (Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine) ;
  • Cha, Jae-Myung (Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine) ;
  • Lee, Joung-Il (Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine) ;
  • Joo, Kwang-Ro (Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine) ;
  • Kim, Sun-Yong (Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine) ;
  • Jo, Uk (Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine) ;
  • Kim, Min-Kyung (Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine) ;
  • Yoo, Jung-Sun (Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine)
  • 채정민 (경희대학교 의과대학 강동경희대학교병원 내과학교실) ;
  • 차재명 (경희대학교 의과대학 강동경희대학교병원 내과학교실) ;
  • 이정일 (경희대학교 의과대학 강동경희대학교병원 내과학교실) ;
  • 주광로 (경희대학교 의과대학 강동경희대학교병원 내과학교실) ;
  • 김선용 (경희대학교 의과대학 강동경희대학교병원 내과학교실) ;
  • 조욱 (경희대학교 의과대학 강동경희대학교병원 내과학교실) ;
  • 김민경 (경희대학교 의과대학 강동경희대학교병원 내과학교실) ;
  • 유정선 (경희대학교 의과대학 강동경희대학교병원 내과학교실)
  • Published : 2011.01.30
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Abstract

Colonic phytobezoars are defined as conglomerate masses of fruit or vegetable matter in the colon, and these have rarely reported as a cause of colon obstruction. Because it is extremely rare, its correct diagnosis might be delayed even with the aid of abdominal computed tomography. We report here on a case of diagnosed colonic obstruction due to colonic phytobezoars in a 67-year-old female with diabetic end stage renal disease and chronic constipation. Although abdomino- pelvic computed tomography did not demonstrate the presence of phytobezoars, multiple phytobezoars impacted in the colon were found and these were removed by colonoscopy. This is a rare case in that colonic obstruction due to phytobezoar was diagnosed early and it was treated by colonoscopy.

과일이나 식물 덩어리들이 뭉쳐서 종괴를 형성하는 식물위석은 대장폐색의 매우 드문 원인이다. 대장 식물위석이 매우 드물고 분변 종괴로 오인할 수 있기 때문에, 복부 전산화단층 촬영의 도움에도 불구하고 정확한 진단이 지연되어 심각한 합병증이 유발 될 수 있다. 저자들은 당뇨병성 말기신부전과 만성 변비를 가진 67세 여자에서 식물위석으로 인한 대장폐색을 대장내시경으로 진단한 증례를 보고한다. 본 증례는 복부 전산화단층촬영에서 식물위석을 진단할 수 없었지만, 대장내시경을 이용하여 대장에 박혀있는 다발성 식물위석을 진단하고 제거할 수 있었다. 식물위석에 의한 대장폐색을 대장내시경 검사를 통해 조기에 진단하고 치료하여 수술적 치료를 피할 수 있었던 증례를 문헌고찰과 함께 보고한다.

Keywords

References

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