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경구 섭취된 이물질로 인한 다양한 항문 질환

Anal Diseases from Ingested Foreign Bodies

대한대장항문학회지 2009년 25권 6호 p.387 ~ 392
김한석 ( Kim Han-Suk ) - 서울대학교 의과대학 외과학교실

유승범 ( Ryoo Seung-Bum ) - 서울대학교 의과대학 외과학교실
최은경 ( Choe Eun-Kyung ) - 서울대학교 의과대학 외과학교실
김도선 ( Kim Do-Sun ) - 대항병원 외과
이두한 ( Lee Doo-Han ) - 대항병원 외과
박규주 ( Park Kyu-Joo ) - 서울대학교 의과대학 외과학교실

Abstract


Purpose: Anal problems due to ingested foreign bodies are rare and usually present as acute anal pain. However, various clinical presentations are possible. This study was performed to identify the diverse manifestations of and the outcomes of treatments for anal diseases caused by ingested foreign bodies.

Methods: Between September 1995 and June 2003, seven patients were treated for anal diseases due to the impaction of ingested foreign bodies in Seoul National University Hospital and Daehang Hospital. We retrospectively reviewed the medical records of those unusual patients.

Results: All patients were males, and their mean age was 49.4 yr (range, 37 to 74 yr). The detected foreign bodies were fish bones (n=3), fish fins (n=2), a chicken bone (n=1), and a toothpick (n=1). Four patients had acute anal pain as the primary symptom while two patients presented anal pus discharge, and one patient presented anal bleeding. In the four patients with acute anal pain, the foreign bodies were easily found on digital rectal examination and inspection with anoscopy. Those patients underwent simple removal of the foreign body at the outpatient clinic. In three patients, the foreign bodies were found during surgery for hemorrhoids or fistulas. The two fistulas detected were complex types and needed seton placement.

Conclusion: Anal problems caused by ingested foreign bodies usually involve acute anal pain, but our results indicate that, in some cases, the anal foreign bodies are also the cause or an aggravating factor in chronic anal disease.

키워드

경구섭취;이물질;항문 질환
Ingestion;Foreign bodies;Anal disease
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