본문 바로가기
KERD
논문KCI 등재

An Unusual Case of Duodenal Perforation Caused by a Lollipop Stick: A Case Report

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류내과학

초록

Most ingested foreign bodies often pass through the gastrointestinal tract uneventfully; however, complications such as perforation dooccur. Most cases of perforation are caused by thin, pointed objects such as needles, toothpicks, or fish and chicken bones. Herein, wereport an unusual case of duodenal perforation caused by a lollipop stick with blunt ends. A 23-year-old woman was admitted to theemergency department complaining of epigastric and right upper quadrant pain for the last 2 days. Abdominal computed tomographyscans confirmed the presence of a foreign body in the duodenum, with signs of duodenal perforation and inflammation. The patient wasnot aware of ingesting the foreign body. Endoscopy revealed the presence of a lollipop stick in the duodenum, which was removed withforceps. The duodenal perforation was successfully managed by using hemoclips and a detachable snare.

Abstract

Most ingested foreign bodies often pass through the gastrointestinal tract uneventfully; however, complications such as perforation dooccur. Most cases of perforation are caused by thin, pointed objects such as needles, toothpicks, or fish and chicken bones. Herein, wereport an unusual case of duodenal perforation caused by a lollipop stick with blunt ends. A 23-year-old woman was admitted to theemergency department complaining of epigastric and right upper quadrant pain for the last 2 days. Abdominal computed tomographyscans confirmed the presence of a foreign body in the duodenum, with signs of duodenal perforation and inflammation. The patient wasnot aware of ingesting the foreign body. Endoscopy revealed the presence of a lollipop stick in the duodenum, which was removed withforceps. The duodenal perforation was successfully managed by using hemoclips and a detachable snare.

참고문헌 (20)

  1. Velitchkov NG, "Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases", World J Surg, 20, pp.1001~1005 (1996)
  2. Goh BK, "Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies", World J Surg, 30, pp.372~377 (2006)
  3. Coulier B, "Spiral CT and multidetectorrow CT diagnosis of perforation of the small intestine caused by ingested foreign bodies", Eur Radiol, 14, pp.1918~1925 (2004)
  4. Chiu YH, "Diagnosis and endoscopic management of upper gastrointestinal foreign bodies", Am J Med Sci, 343, pp.192~195 (2012)
  5. Cheng W, "Foreign-body ingestion in children: experience with 1,265 cases", J Pediatr Surg, 34, pp.1472~1476 (1999)
  6. Marom T, "Battery ingestion in children", Int J Pediatr Otorhinolaryngol, 74, pp.849~854 (2010)
  7. Ambe P, "Swallowed foreign bodies in adults", Dtsch Arztebl Int, 109, pp.869~875 (2012)
  8. Smith MT, "Foreign bodies", Gastrointest Endosc Clin N Am, 17, pp.361~382 (2007)
  9. ASGE Standards of Practice Committee, "Management of ingested foreign bodies and food impactions", Gastrointest Endosc, 73, pp.1085~1091 (2011)
  10. Webb WA, "Management of foreign bodies of the upper gastrointestinal tract: update", Gastrointest Endosc, 41, pp.39~51 (1995)
  11. Ragazzi M, "Toothpick ingestion causing duodenal perforation", Pediatr Emerg Care, 26, pp.506~507 (2010)
  12. Binmoeller KF, "Endoscopic closure of a perforation using metallic clips after snare excision of a gastric leiomyoma", Gastrointest Endosc, 39, pp.172~174 (1993)
  13. Hachisu T, "A new detachable snare for hemostasis in the removal of large polyps or other elevated lesions", Surg Endosc, 5, pp.70~74 (1991)
  14. 임정묵, "생선가시에 의한 식도천공을 내시경 클립술로 봉합한 1예", Clinical Endoscopy, 41(3), pp.151~154 (2010), 대한소화기내시경학회
  15. 한우식, "내시경 클립술로 치료한 이물에 의한 식도천공 1예", Clinical Endoscopy, 35(1), pp.28~32 (2007), 대한소화기내시경학회
  16. Jones WG 2nd, "Esophageal perforation: a continuing challenge", Ann Thorac Surg, 53, pp.534~543 (1992)
  17. Kaneko T, "Nonsurgical treatment of duodenal perforation by endoscopic repair using a clipping device", Gastrointest Endosc, 50, pp.410~413 (1999)
  18. Boškoski I, "Endoscopic retrieval of a duodenal perforating teaspoon", World J Gastrointest Endosc, 5, pp.186~188 (2013)
  19. 남형석, "내시경 클립 및 박리성 올가미를 이용하여 천공을 봉합한 담관 플라스틱 배액관에 의한 십이지장 천공의 치료 1예", 대한소화기학회지, 57(2), pp.129~133 (2011), 대한소화기학회
  20. Mangiavillano B, "Endoscopic closure of acute iatrogenic perforations during diagnostic and therapeutic endoscopy in the gastrointestinal tract using metallic clips: a literature review", J Dig Dis, 11, pp.12~18 (2010)

관련 논문AI추천

이 간행물의 다른 논문 (8건)