대장폐색을 유발한 식물위석 1예 |
채정민ㆍ차재명ㆍ이정일ㆍ주광로ㆍ김선용ㆍ조욱ㆍ김민경ㆍ유정선 |
경희대학교 의과대학 강동경희대학교병원 내과학교실 |
A Case of Colonic Obstruction Due to Phytobezoars |
Jung Min Chae, M.D., Jae Myung Cha, M.D., Joung Il Lee, M.D., Kwang Ro Joo, M.D., Sunyong Kim, M.D., Uk Jo, M.D., Min Kyung Kim, M.D. and Jung Sun Yoo, M.D. |
Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine, Seoul, Korea |
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Abstract |
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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. (Korean J Gastrointest Endosc 2011;42:43-46) |
Key Words:
Phytobezoar, Colonic obstruction, Colonoscopy |
주요어:
식물위석, 대장폐색, 대장내시경 |
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