경구 섭취된 이물질로 인한 다양한 항문 질환 (Anal Diseases from Ingested Foreign Bodies)

서지정보

· 발행기관 : 대한대장항문학회
· 수록지 정보 : Annals of Coloproctolgy / 25권 / 6호 / 387 ~ 392페이지
· 저자명 : 김한석, 유승범, 최은경, 김도선, 이두한, 박규주

초록

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.

영어초록

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.

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