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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 86 - 91 (6page)
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Although foreign body ingestion is relatively common in children aged 6 months-3 years, small bowel obstruction rarely develops, and few cases require surgical interventions. We report a case of 12-month-old girl who presented to the emergency department with new-onset seizure after projectile bilious vomiting. The initial diagnosis was seizure caused by hyponatremia based on laboratory findings, plain abdominal radiograph, brain magnetic resonance imaging, and electroencephalography. Despite fluid resuscitation, clinical manifestations did not improve, and severe ileal obstruction was found on computed tomography. Emergency laparoscopy showed a foreign body (a water bead [superabsorbent polymer], 3 cm in diameter) that was subsequently removed by enterotomy. After the surgery, bilious vomiting continued, and gastrografin did not pass on fluoroscopy. The second laparoscopy showed a residual foreign body that was crushed and then removed by minimal enterotomy. She was discharged in good condition 5 days after the second surgery. This case suggests a particular danger of water beads as foreign bodies and the need for differential diagnosis of multiple foreign bodies in children with poor communication skills.
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참고문헌 (13)
참고문헌 신청
Seo JK. / 1999 / Endoscopic management of gastrointestinal foreign bodies in children / Indian J Pediatr 66(1 Suppl):S75~S80
Kay M / 2005 / Pediatric foreign bodies and their management / Curr Gastroenterol Rep 7:212~218
Singh AP / 2016 / Foreign body in duodenum mimicking a duplication cyst on imaging / APSP J Case Rep 7:35
Dahshan A. / 2001 / Management of ingested foreign bodies in children / J Okla State Med Assoc 94:183~186
Vijaysadan V / 2006 / Revisiting swallowed troubles: intestinal complications caused by two magnets:a case report, review and proposed revision to the algorithm for the management of foreign body ingestion / J Am Board Fam Med 19:511~516
Kay M / 2005 / Pediatric foreign bodies and their management / Curr Gastroenterol Rep 7:212~218
Singh AP / 2016 / Foreign body in duodenum mimicking a duplication cyst on imaging / APSP J Case Rep 7:35
Dahshan A. / 2001 / Management of ingested foreign bodies in children / J Okla State Med Assoc 94:183~186
Vijaysadan V / 2006 / Revisiting swallowed troubles: intestinal complications caused by two magnets:a case report, review and proposed revision to the algorithm for the management of foreign body ingestion / J Am Board Fam Med 19:511~516
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