• 제목/요약/키워드: Trichobezoars

검색결과 4건 처리시간 0.019초

Laparoscopic Removal of a Gastric Trichobezoar in an 8-Year-Old Girl - a Case Report -

  • 최규석;최병호;박진영
    • Advances in pediatric surgery
    • /
    • 제16권1호
    • /
    • pp.43-48
    • /
    • 2010
  • Gastric trichobezoars are commonly observed in young women with trichotillomania and trichophagia. We encountered an 8-year-old girl who had trichotillomania and trichophagia with abdominal pain and a mass, which was diagnosed as a large gastric trichobezoar. On physical examination, a huge, firm nontender mobile mass was palpated in her epigastrium. An upper gastrointestinal series and abdominal computed tomography (CT) scan showed a large mass in the stomach. Endoscopic removal was tried but failed. Laparoscopic removal was therefore performed. The trichobezoar was successfully retrieved through a gastrotomy and removed through an extended umbilical trocar incision. This case demonstrates that laparoscopic removal of large gastric trichobezoars is feasible and safe without a large abdominal incision.

  • PDF

간헐적 복통과 오심, 구토로 내원한 Trichobezoar 1례 (A Case of Trichobezoar in a Child Who Visited with Intermittent Abdominal Pain, Nausea and Vomiting)

  • 안승인;유정석;오경창;김봉림;김성섭;김연호;장진근
    • Clinical and Experimental Pediatrics
    • /
    • 제48권4호
    • /
    • pp.433-437
    • /
    • 2005
  • 위석은 비교적 흔하지 않은 질환이지만, 진단을 못할 경우 위궤양과 출혈, 장천공, 장중첩증, 장폐쇄, 복막염 등의 심각한 합병증을 동반할 수 있는 만성적 복통의 한 원인이며, 모발석 환아의 대부분은 발모벽과 식모증의 과거력이 있다. 저자들은 내원 4년 전까지 자기 머리카락을 뽑아서 먹는 습관이 있었고, 이후 간헐적 복통과 오심, 구토를 일으킨 11세 여아에서 모발석을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

소장 폐색이 동반된 모발석증 1예 (A Case of Trichobezoar with Small Bowel Obstruction)

  • 박진성;김홍주;정주영
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제12권2호
    • /
    • pp.230-234
    • /
    • 2009
  • 위석은 위장관계에 흡수되지 않는 이물질들이 축적, 응고되어 점점 그 크기가 증가하여 덩어리를 이룬 것을 말하며, 위장관계 폐색을 일으키거나, 진단이 늦어져 만성 복통의 원인이 되기도 한다. 그 중 모발석의 경우는 발모벽과 모식증의 과거력이 흔히 동반된다. 저자들은 담즙성 구토와 복부 산통 때문에 방문한 8세 여아에서 진단된 소장의 모발석 1예를 경험하여 문헌 고찰과 함께 보고한다.

  • PDF

Foreign bodies in the digestive system in the diarrheic Hanwoo calves: A retrospective study

  • Dong-Gun, Park;Byung-Hoon, Ko;Won-Jae, Lee
    • 한국동물위생학회지
    • /
    • 제45권4호
    • /
    • pp.293-304
    • /
    • 2022
  • Among several diseases of calves, diarrhea is the most prevalent disease and has been a major cause of economic loss to the cattle industry. The main etiologic agents of diarrhea in calves are bacteria, viruses, and protozoa, but non-infectious factors including foreign bodies obstruction in the digestive system also focused as the cause of calf diarrhea in the recent days. Because there is still limited information for foreign body-related diarrhea in calves, especially in Hanwoo, the present retrospective study reviewed the medical records for diarrheic calves with foreign body in the digestive system (n=32). The morbidity was determined as 3.03% and more than half of them presented the acidosis, hyponatremia, and azotemia. The mortality in laparotomy-operated calves to remove foreign bodies or in non-operated ones was 28% or 85.7%, respectively, implied the importance of aggressive decision for laparotomy when the foreign bodies were determined in the digestive system in diarrheic calves. During laparotomy, trichobezoars (hair balls) and hays were the main foreign bodies and prevalently placed in the abomasum. In the trials to predict prognosis by several clinical factors, the time for laparotomy over 2 days after first diagnosis, acidosis, and foreign body in the abomasum were highly associated with mortality. Therefore, we believe that prompt surgical procedure (laparotomy) is necessary upon obstruction in the digestive system by foreign bodies is tentatively diagnosed in the diarrheic calf. In addition, when differential diagnosis list is made, foreign body-related diarrhea is necessary to be included in case of diarrheic calf.