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nih.gov
Application of rubber band and clip traction for removal of a submucosal fecalith mimicking a submucosal tumor of the appendix under colonoscopy
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nih.gov
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nih.gov
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MyMerci | Med Student Study Essentials on Instagram: "[문제 해설] 충수 결석(appendicolith, fecalith)은 충수 내강의 석회화된 분변 덩어리입니다. ✅임상적 의미: ①천공 위험 증가(2-3배), ②증상 발현 전부터 존재, ③수술 적응증 강화, ④항생제 단독 치료 실패율 높음. ✅병태생리: 충수 내강 폐쇄 → 점액 분비 지속 → 내강 압력 증가 → 혈류 차단 → 허혈 → 천공. ✅CT에서 충수 결석 발견 시 조기 수술을 권장하며, 보존적 치료는 피해야합니다. 충수 결석은 천공성 충수염의 40-50%에서 관찰됩니다. ✅구체적으로, 결석이 내강을 막으면 점액 분비가 지속되면서 내부 압력이 급격히 상승합니다. 이로 인해 정맥 흐름이 먼저 차단되고, 이후 동맥 혈류까지 감소하여 충수 벽의 허혈과 괴사를 초래합니다. 이러한 연쇄 반응은 최종적으로 충수 천공(perforation) 위험을 2-3배 가량 높입니다. 임상적으로, 충수 결석
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