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종격기종을 유발한 Mallory-Weiss 증후군 1 예
김창덕,현진해,주영만,황일순,천종철,김현위 대한내과학회 1989 대한내과학회지 Vol.36 No.2
Mediastinal emphysema may arise spontaneous or result from trauma. Esophageal perforation is the most common and important cause of mediastinal emphysema. Esophageal perforation may rarely occur in Boerhaave`s syndrome and Mallory-Weiss syndrome after vomiting. We experienced one case of Mallory-Weiss syndrome causing esophageal perforation and mediastinal emphysema. The patient was a 45-year-old male, who complained of vomiting, hematemesis and epigastric pain one day before admission. The gastroendoscopy revealed a deep hemorrhagic laceration (length, about 3㎝) in the mucosa of esophagogastric junction. The bleeding lesion was electrocoagulated. Two hours after electrocoagulation, he complained of dyspnea and retrosternal pain. So the roentgen examination (chest P-A and lateral view) was performed and revealed mediastinal emphysema and subcutaneous emphysema. He was transferred to chest surgery department and emergent operation was performed. So we report this case with review of literature.
이만호,이상종,김명숙,주영만,배원길,서정경 대한내과학회 1992 대한내과학회지 Vol.43 No.1
Lymphangiomas are infrequent tumors of the alimentary canal, About ten duodenal lymphangiomas have been reported. An 33-year-old housewife was admitted to this hospital because of epigastric pain associated with nausea and vormiting. She has been in excellent health until a week ago when she has been intermitent epigastric aching pain, nausea, and vormiting after meal. She has pregnant twice. Both family- and past histories are unremarkable. Endoscopic examination of the duodenum was shown two small cauliflower like polypoid lesions on the duodenal bulb. The lesion was sucessfu1ly removed by the surgeon. A case of lympghangiama of the duodenum is presented, the pathologic findings are described, and the literature is reviewed.