삼킨 자석으로 인한 위-결장 사이의 누공 형성과 복막염 1예

A Case of Gastro-colic Fistula with Peritonitis Due to Ingested Magnets

  • 조용덕 (경희대학교 의과대학 내과학교실) ;
  • 장영운 (경희대학교 의과대학 내과학교실) ;
  • 조창현 (경희대학교 의과대학 내과학교실) ;
  • 황보영 (경희대학교 의과대학 내과학교실) ;
  • 심재준 (경희대학교 의과대학 내과학교실) ;
  • 장재영 (경희대학교 의과대학 내과학교실) ;
  • 김효종 (경희대학교 의과대학 내과학교실) ;
  • 김병호 (경희대학교 의과대학 내과학교실)
  • Cho, Yong-Duck (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Chang, Young-Woon (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Cho, Chang-Hyun (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • HwangBo, Young (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Shim, Jae-Joon (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Jang, Jae-Young (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Kim, Hyo-Jong (Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Kim, Byung-Ho (Department of Internal Medicine, Kyung Hee University College of Medicine)
  • 투고 : 2010.06.14
  • 심사 : 2010.08.03
  • 발행 : 2010.09.30

초록

한 개의 자석 이물을 삼킨 경우 크기와 형태를 고려하여 제거 여부를 결정하지만 여러 개의 자석을 삼킨 경우 위천공, 위장관 누공 형성 등의 합병증이 발생할 수 있다. 저자들은 정신질환 병력이 없는 32세 남자가 여러 개의 자석을 삼킨 후 위-결장 누공 형성과 복막염이 발생하여 수술로 제거 후 호전된 1예를 경험하여 이를 보고한다.

The ingestion of a foreign body is common in children. But in adults, especially in those who have a mental illness, dysphagia, and consciousness disorders often occur. If a patient ingests more than two magnets, he can develop numerous complications such as bowel necrosis, perforation, and fistula formation. Here we report a case of a 32-year-old patient with gastro-colic fistula and peritonitis following ingestion of multiple magnets. In accidental ingestion of multiple magnets, early exploration should be considered.

키워드

참고문헌

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