다발성 모발석(Trichobezoar)에 의한 소장폐쇄 1예
A Case of Small Bowel Obstruction due to Multiple Trichobezoars
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초록
모발석(trichobezoar)은 인간이나 동물의 위장관 내에 존재하는 머리카락, 섬유질로 구성된 고물로 국내에서는 드물게 보고되고 있다. 주로 소아기, 청소년기에 흔하며, 식모증, 우울증, 정신지체를 동반하는 경우가 많다. 모발석은 위에 단독으로 발생하는 경우가 대부분이고, 드물게 소장 및 대장에서 발견되며, 때로 소장폐쇄를 유발한다. 저자들은 위 및 소장의 다발성 모발석으로 인한 소장폐쇄가 발현되어 수술로 치료한 1예를 경험하였기에 보고하는 바이다.
Abstract
Trichobezoars are gastric concretions that are composed of hair or fibers. They are more common in children and adolescents and are usually associated with a pica, emotional disturbance, or mental retardation. Trichobezoar is quite rare in Korea. In most cases, trichobezoars tend to form a cast of the stomach. However, in rare cases, portions of the trichobezoar may separate from the gastric mass, migrate distally, and obstruct the small bowel. We report a case of small bowel obstruction due to multiple trichobezoars in a 14 year-old-girl who had a habit of swallowing hairs until 12 years of age. The patient was treated successfully surgically.
참고문헌 (17)
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