A Case of Scoliosis Due to a Foreign Body(Pencil) in the Colon

결장 내 이물질(연필)에 의한 척추 측만증 1례

  • Seo, Jeong Sik (Department of Pediatrics, School of Medicine, The Catholic University of Korea) ;
  • Chung, Sun Mi (Department of Pediatrics, School of Medicine, The Catholic University of Korea) ;
  • Choi, Eun Jin (Department of Pediatrics, School of Medicine, The Catholic University of Korea) ;
  • Kim, Jin Kyung (Department of Pediatrics, School of Medicine, The Catholic University of Korea) ;
  • Nho, Un Seok (Department of Pediatrics, School of Medicine, The Catholic University of Korea) ;
  • Chung, Hai Lee (Department of Pediatrics, School of Medicine, The Catholic University of Korea) ;
  • Joo, Dae Hyun (Department of General Surgery, School of Medicine, The Catholic University of Korea) ;
  • Kim, Woo Taek (Department of Pediatrics, School of Medicine, The Catholic University of Korea)
  • 서정식 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 정선미 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 최은진 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 김진경 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 노은석 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 정혜리 (대구가톨릭대학교 의과대학 소아과학교실) ;
  • 주대현 (대구가톨릭대학교 의과대학 일반외과학교실) ;
  • 김우택 (대구가톨릭대학교 의과대학 소아과학교실)
  • Received : 2002.06.14
  • Accepted : 2002.07.23
  • Published : 2002.11.15

Abstract

Scoliosis describes a lateral curvature of the spine and is often associated with cosmetic and functional impairments due to severe deformity of the spine. The incidence of adolescent scoliosis is 2-4% of children between 10 and 16 years of age. Eighty five percent of them are idiopathic, in which the most common type of scoliosis is right side-bending. In addition, it is classified into congenital, and secondary scoliosis such as neuromuscular disease and neurofibromatosis. Congenital scoliosis is associated with abnormalities of urinary system(20%), congenital heart diseases(15%), and other abnormalities(10%) such as syringomyelia. We experienced a case of scoliosis by a foreign body(a pencil) in the colon which has never been reported up to date. A brief review of the literature was made.

저자들은 척추 측만증과 보행장애를 주소로 입원한 9세된 남아에서 단순 방사선 검사 및 복부 CT 검사에서 13 cm 길이의 나무연필에 의한 2차적인 척추 측만증 증례를 경험하였으며 아울러 요즘 사회적인 문제로 대두되는 학교집단폭행이나 학대에 의한 가능성이 높은 것으로 추정되어 이에 대한 심각성을 실감하게 되어 문헌 고찰과 함께 보고하는 바이다.

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