Melanosis ilei induced by prolonged charcoal ingestion
대한외과학회지 2011년 81권 1호 p.66 ~ p.69
김건민(Kim Gun-Min) - Catholic University School of Medicine Department of Internal Medicine
전은정(Jun Eun-Jung) - Catholic University School of Medicine Department of Internal Medicine
김용철(Kim Yong-Cheol) - Catholic University School of Medicine Department of Internal Medicine
박진민(Park Jin-Min) - Catholic University School of Medicine Department of Internal Medicine
홍석인(Hong Seok-In) - Catholic University School of Medicine Department of Internal Medicine
정대영(Cheung Dae-Young) - Catholic University School of Medicine Department of Internal Medicine
김진일(Kim Jin-Il) - Catholic University School of Medicine Department of Internal Medicine
이연수(Lee Youn-Soo) - Catholic University School of Medicine Department of Hospital Pathology
Abstract
Gastrointestinal melanosis is observed most frequently in the colon it also can develop in the ileum, duodenum and esophagus very rarely. Melanosis ilei was thought that causative materials such as aluminum, magnesium, silicate, titanium and other compounds entered the body through the ingestion of agents. We experienced a case of melanosis in the terminal ileum that a 65-year-old female patient ingested 10 g edible charcoal everyday for 3 years to address symptoms of chronic abdominal pain. In Korea, edible charcoal has been considered to be an effective folk remedy for patients with diarrhea or chronic abdominal pain. In our case, a follow up colonoscopy was performed 3.5 years after the termination of the ingestion of edible charcoal, at which point pigmentation was faded color intensity. In conclusion, it is thought that melanosis ilei is a rare disease by ingestion of causative materials and is discontinuous, local and reversible disease.
키워드
Melanosis, Ileum, Charcoal, Capsule endoscopy, Electron microscopy
KMID :
0371320110810010066
원문 및 링크아웃 정보
등재저널 정보
유효성결과(Recomendation)
capsule endoscopy was performed, and black pigmentation was observed only in the terminal ileum.