지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소화관운동학회(현 대한소화기능성질환.운동학회) Journal of Neurogastroenterology and Motility (JNM) Journal of Neurogastroenterology and Motility (JNM) Vol.13 No.1
- 발행연도
- 2007.1
- 수록면
- 81 - 87 (7page)
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초록· 키워드
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Constipation with fecal impaction is a commonly overlooked problem. Fecaloma is an extreme variety of fecal impaction. Untreated colonic obstruction from fecaloma can lead to stercoral ulcers and perforation at the site of the obstruction or in the proximally dilated colon. Therefore, early diagnosis and proper managements are required. A 16-year-old female patient with constipation presented with left lower abdominal discomfort, anorexia and weight loss for 1 month. Investigations revealed the huge fecaloma in the rectosigmoid megacolon. There were non-specific abnormalities on the etiologic evaluation of her constipation. All the conservative managements such as oral laxatives, repeated enemas, digital evacuation and sigmoidoscopic fragmentations failed to evacuate the stubborn fecaloma. She was successfully treated by manual disimpaction during numerous sessions under general anesthesia without operation. We report here that a huge impacted fecaloma with an idiopathic megacolon was successfully treated by manual disimpaction. (Kor J Neuro-gastroenterol Motil 2007;13:81-85)
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