Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Peritoneal Loose Body in a Child

소아 복강 내 유리소체 1예

  • Shin, Sae-Ron (Department of Pediatrics, Wonkwang University School of Medicine) ;
  • Choi, Du-Young (Department of Family Medicine, Wonkwang University School of Medicine)
  • 신새론 (원광대학교 의과대학 소아과학교실) ;
  • 최두영 (원광대학교 의과대학 가정의학과교실)
  • Received : 2009.01.13
  • Accepted : 2009.03.13
  • Published : 2009.03.30
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Abstract

A peritoneal loose body is reported to develop because of torsion and separation of the epiploic appendages. The condition is usually symptomless and may be incidentally during abdominal surgery or autopsy. It usually occurs in middle-aged and elderly adults and is very rare in children. In this paper, we report a case of a peritoneal loose body in the pelvic cavity of a 10-year old-girl who presented with urinary frequency and left lower abdominal discomfort. A second plain X-ray film of the abdomen, obtained before surgery, in a different view than the first, revealed that the calcified mass had migrated to a lower position. The mass was laparoscopically resected, and histological examination revealed it to be a fibrotic nodule with central liquefaction and calcification.

복강내 유리소체는 epiploic appendage의 염전과 분리로 인해 생성 되며 대개 증상이 없고 간혹 수술이나 검시에서 우연히 발견 된다. 대부분 중년이상의 연령에서 발견되며 소아에서는 극히 드물며, 특히 국내 소아 연령에서는 보고가 없다. 저자들은 10세 여아가 4일 동안의 빈뇨와 하복부 동통으로 개인의원에서 시행한 복부 단순 X-ray 촬영에서 복강 내 종괴가 있어 전원 되어 복강경 수술 후 복강내 유리소체로 진단되었던 1예를 경험하였기에 보고하는 바이다.

Keywords

References

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