리튬전지 제거 후 합병된 식도궤양과 가성식도게실 1례
A Caes of Button-Type Lithium Battery Impaction at Esophagus Complicated Esophageal Ulcer and Pseudodiverticulum
배선환, 고재성, 손근찬,
소속 상세정보
배선환 ( Bae Sun-Hwan )
을지대학교 의과대학 소아과학교실
고재성 ( Ko Jae-Sung )
서울대학교 의과대학 소아과학교실
손근찬 ( Sohn Keun-Chan )
서울대학교 의과대학 소아과학교실
KMID : 0816120030060010054
Abstract
식도에 박힌 소형전지의 제거가 늦어지면 합병증의 위험을 높일 수 있으므로 조속한 제거가 필수적이다. 저자들은 소형전지가 식도에 박히면서 광범위한 식도궤양을 유발하고, 가성게실을 합병하였던 환아를 경험하였기에 보고하는 바이다.
A 16-month-old boy swallowed accidentally a button type lithium battery with diameter 23 mm. The battery impacted at the upper esophagus was removed by endoscpy in 9 hours. At the time of removal, dark-crust and erythematous mucosal lesion was noted where the battery impacted. At the first hospital day, fever over 38.5 degrees C developed, and NPO, antibiotics and H-2 blocker started. At the third hospital day, he had melena, and endoscopy revealed huge active esophageal ulceration ranging from upper esophagus and lower body of the esophagus. Steroid started. At the 10th hospital day, endoscopy revealed much smaller-sized ulceration, but mucosa where the battery impacted initially showed deep depression which might imply developing diverticulum. At the 17th hospital day, endoscopy revealed complete diverticulum. At the 27th hospital day, endoscopy revealed complete resolution of diverticulum.
키워드
Disk battery;Esophageal ulcer;Esophageal pseudodiverticulum;Children
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