The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Fish-Bone Penetration of the Gastrointestinal Tract Extending into the Pancreas: Report of Two Cases

위장관을 관통하여 췌장까지 침범한 생선가시 2예

  • Lee, Gil-Sun (Department of Internal Medicine, Sungkyunkwan University School of Medicine) ;
  • Lee, Eun-Young (Department of Internal Medicine, Sungkyunkwan University School of Medicine) ;
  • Park, Eun-Jung (Department of Internal Medicine, Sungkyunkwan University School of Medicine) ;
  • Park, Ha-Na (Department of Internal Medicine, Sungkyunkwan University School of Medicine) ;
  • Heo, Jin-Seok (Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Jong-Kyun (Department of Internal Medicine, Sungkyunkwan University School of Medicine)
  • 이길선 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 이은영 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 박은정 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 박하나 (성균관대학교 의과대학 삼성서울병원 내과) ;
  • 허진석 (성균관대학교 의과대학 삼성서울병원 외과) ;
  • 이종균 (성균관대학교 의과대학 삼성서울병원 내과)
  • Published : 2012.06.01
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Abstract

Most ingested foreign bodies pass through the gastrointestinal tract uneventfully within 1 week of ingestion, and so gastrointestinal tract perforation is rare, occurring in less than 1% of patients. The occurrence of a pancreas penetration secondary to foreign-body perforation is even rarer. Here we report two cases of foreign-body penetration of the gastrointestinal tract extending into the pancreas and retroperitoneum. The findings of these cases serve to remind all clinicians that the diagnosis of a foreign-body perforation should always be kept in mind in a patient with abdominal symptoms, and physicians should endeavor to determine the history of ingestion and be aware of foreign bodies in CT scans.

이물질을 섭취하게 되면 대부분은 1주 이내에 별다른 문제없이 위장관을 통과한다. 이물질이 위장관을 관통하여 이차적으로 췌장까지 침범하는 경우는 매우 드물다. 저자들은 이물질이 위장관을 관통하여 췌장까지 침범한 2예를 경험하여 이를 보고하고자 한다. 위장관을 관통한 이물이 흔치 않게 장기를 침범할 수 있으며, 임상적으로 비전형적으로 나타날 수 있으므로 복부증상을 주소로 내원한 환자에서 이물섭취의 가능성을 염두에 둔 세심한 진료가 필요하다.

Keywords

References

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