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박상규 ( Sang Gyu Park ),김광하 ( Gwang Ha Kim ),박호준 ( Ho Joon Park ),강동환 ( Dong Hwahn Kahng ),이봉은 ( Bong Eun Lee ),박도윤 ( Do Youn Park ) 대한소화기학회 2018 대한소화기학회지 Vol.72 No.1
An inflammatory myofibroblastic tumor (IMT) is a rare disease that can occur in a variety of locations, including the lung, orbit, parotid, pleura, and stomach. Despite multiple reports in various organs, a duodenal IMT is rare with limited case reports. We encountered a case of a 49-year-old male with a duodenal IMT. The patient underwent a laparoscopic wedge resection under the impression of a duodenal mesenchymal tumor, such as gastrointestinal stromal tumor, but the final diagnosis was a duodenal IMT. The patient was treated successfully with an oral nonsteroidal anti-inflammatory drug for the residual lesions. He was free of recurrence during the 12 month follow-up period. (Korean J Gastroenterol 2018;72:28-32)
최유이 ( Yu Yi Choi ),이지원 ( Ji Won Yi ),강동환 ( Dong Hwahn Kahng ),서형일 ( Hyung Il Seo ),김석 ( Suk Kim ),박도윤 ( Do Youn Park ) 대한내과학회 2013 대한내과학회지 Vol.84 No.5
췌장의 AVM은 매우 드문 질환이나 원인이 명확하지 않은 복통, 반복적인 상부위장관 출혈 환자에서 감별 진단으로 고려되어야 하며, 컬러 도플러 초음파나 컴퓨터단층촬영 등의 적극적인 검사로 빠르게 진단하여 치료하는 것이 필요하다. Pancreatic arteriovenous malformations (AVMs) are rare, and most cases occur as congenital anomalies. Many patients with AVM are asymptomatic, but occasionally present with abdominal pain or gastrointestinal bleeding. The increased portal vein flow that forms these malformations can lead to portal hypertension and gastrointestinal bleeding in the absence of primary liver pathology. Early diagnosis can lead to successful surgical resection or percutaneous transarterial embolization. We report a case of a patient with pancreatic AVM in the tail of the pancreas, in which endoscopic ultrasonography was helpful. This patient presented with abdominal pain and was subsequently treated with distal pancreatectomy. (Korean J Med 2013; 84:708-712)