노인에서 발생한 소장폐색의 원인을 수술로서 확인한 Phytobezoar 1예
A case of small intestinal obstruction due to phytobezoar, revealed after operation in elderly
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초록
저자 등은 오심을 동반한 복통을 주소로 내원한 환자에서 초음파 및 전산화 단층촬영상 소장 내강의 확장이외에 원인을 알 수 없었던 경우에 수술로 확인된 식물위석에 의한 소장 폐색 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
The major causes of small bowel obstruction are postoperative adhesion, hernia, intussusception and malignancies. However, in cases of uncommon causes of small bowel obstruction, surgeons are in a dilemma because the preoperative diagnosis and making a decision to operate are frequently difficult and delayed. Phytobezoars are unusual cause of small bowel obstruction. They are mostly due to ingestion of stringent immature fruits following gastric surgery. They are usually formed in stomach and do not migrate to the other intestinal tract, but can lead to the serious complication of acute small bowel obstruction. We are reporting a case of acute small bowel obstruction due to phytobezoar about 2×2×3 cm³ size in a 90 year old female.
참고문헌 (15)
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