A Case of Dissolution of Barium-impaction by Gastrografin

선천성 거대결장 환아에서 Gastrografin을 이용한 바륨-매복의 치험 1례

  • Wang, Ruey Tsai (Department of Pediatrics, College of Medicine, Korea University) ;
  • Kim, Hyung-Seok (Department of Pediatrics, College of Medicine, Korea University) ;
  • Lee, Kee-Hyong (Department of Pediatrics, College of Medicine, Korea University) ;
  • Lee, Jung-Hwa (Department of Pediatrics, College of Medicine, Korea University) ;
  • Son, Chang-Sung (Department of Pediatrics, College of Medicine, Korea University) ;
  • TockGo, Young-Chang (Department of Pediatrics, College of Medicine, Korea University) ;
  • Hong, Yoon-Sik (Department of General Sugery, College of Medicine, Korea University)
  • 왕서재 (고려대학교 의과대학 소아과학교실) ;
  • 김형석 (고려대학교 의과대학 소아과학교실) ;
  • 이기형 (고려대학교 의과대학 소아과학교실) ;
  • 이정화 (고려대학교 의과대학 소아과학교실) ;
  • 손창성 (고려대학교 의과대학 소아과학교실) ;
  • 독고영창 (고려대학교 의과대학 소아과학교실) ;
  • 홍윤식 (고려대학교 의과대학 일반외과학교실)
  • Received : 1999.07.06
  • Accepted : 1999.09.07
  • Published : 1999.09.30

Abstract

Ileus caused by impaction of hardened residual barium stagnated in the colon, a rare complication of barium-enema examination, constitutes a particularly serious problem when it occurs in congenital megacolon patients. The administration of gastrografin in such case has proven efficacy in dissolution of impacted barium refratory to routine means of evacuation. We experienced a case of barium-impaction occurred in 6-months old male who had congenital megacolon. Gastrografin enema was a safe and simple method used in the management of this case.

저자들은 선천성거대결장 환아에서 인공항문복원술을 위해 시행한 바륨관장의 부작용으로 발생된 1개월간의 바륨매복을 gastrografin관장으로 성공적으로 제거하였기에 이에 관한 문헌고찰과 더불어 보고하는 바이다.

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