| Pseudomelanosis ilei associated with ingestion of charcoal: case report and review of literature. | |
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MedLine Citation:
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PMID: 20078667 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Melanosis or pseudomelanosis of the gastrointestinal tract refers to an accumulation of pigment deposits in the gastrointestinal mucosa. Pigmentation can affect the entire gastrointestinal tract. Melanosis of the colon is not uncommon, but black pigmentation of the small intestine is extremely rare. We report a case of pseudomelanosis of the terminal ileum in a 52-year-old woman who had ingested a tablespoon of charcoal powder daily for 2 years. Numerous small and medium-sized irregular grayish black pigmentations mostly on the background of geographic light grayish discolored mucosa and some on the normal-looking mucosa were seen on the terminal ileum. The finding was similar to a cut surface of a dragon fruit and we named the lesion 'dragon fruit ileum'. Follow up endoscopy 10 months later revealed no significant change in the pigmentation. We could not search any English literature on this lesion. However, we could find three cases from two papers from Korea describing similar lesions after chronic charcoal ingestion and the papers were reviewed with a report of our case. |
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Authors:
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Juhyung Kim; Jin Ki Hwang; Woo Seok Choi; Beom Jae Lee; Jong-Jae Park; Jae Seon Kim; Young-Tae Bak; Insun Kim |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society Volume: 22 ISSN: 1443-1661 ISO Abbreviation: Dig Endosc Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2010-01-18 Completed Date: 2010-03-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9101419 Medline TA: Dig Endosc Country: Australia |
Other Details:
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Languages: eng Pagination: 56-8 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Korea University Guro Hospital, Seoul, Korea. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Charcoal
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adverse effects*,
therapeutic use Colonoscopy Female Humans Ileal Diseases / diagnosis, etiology*, pathology Ileum / pathology Medicine, East Asian Traditional* Melanosis / diagnosis, etiology*, pathology Middle Aged Self Medication* |
| Chemical | |
Reg. No./Substance:
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16291-96-6/Charcoal |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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