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간외담관 낭선종 ( Extrahepatic Biliary Cystadenoma )
강진경(Jin Kyung Kang),최흥재(Heung Jai Choi),박인서(In Suh Park),정재복(Jae Bock Chung),전재윤(Chae Yoon Chon),김원호(Won Ho Kim),박찬일(Chan Il Park),송시영(Si Young Song),박영년(Young Nyun Park),이경식(Kyoung Sik Lee) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.3
Cystic tumor of the intra- or extra- hepatic bile ducts is a rare but distinctive neoplasm, similar to that occurring in the pancreas or ovary. The cystadenomas of the extrahepatic biliary tree are extremely rare, and most of them are usually intrahepatic, and rarely diagnosed preoperatively. We report a 63-year-old woman admitted because of intermittent abdominal pain for 1 month. Abdominal ultrasonography revealed a 2.5 cm hypoechoic oval mass with hyperechoic rim in dilatecl common hepatic duct and common bile duct. Abdominal computerized tomography revealed a hypodense mass surrounded by a thick dense outer rim. A 2.5*1.5 cm filling defect hanging from the right hepatic duct with a stalk was noticed on endoscopic retrograde cholangiography (ERC). Under the diagnosis of benign tumor originating from extrahep:,stic bile duct, laparotomy was performed. A 2.5* 1.8 * 0.6 cm mass, clinged with stalk from the right hepatic duct was noted and could be removecl by segmcntal resection of the common bile duct and the common hepatic duct. On cut section, greenisherous fluid containing multilocular cysts surrounded by a smooth wall with 0.3 cm thickness was seen. Microscopic findings revealed a cystadenoma lined by a single layer of columnar epitheliuni containing intracellular mucin pools without evidence of cellular atypism or mitosis.
송준현(Jun Hyeon Song),함기백(Ki Baik Hahm),조홍근(Hong Keun Cho),강진경(Jin Kyoung Kang),박인서(In Suh Park),김은영(Eun Young Kim),임대순(Dae Sonn Yim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
Multiseptate gallbladder is a rare congenital anornaly. Only 23 cases have been reported pre- viously in the world literature. Since the failure of fusion of numerous intraepithelial clefts has been considered to be a conceivable mechanism for the production of multiseptate gallbladder, the genesis of t.his anomaly is of embryologic interest. The multiseptate gallbladder has its spe- cific radiologic appearance. The septations appear as fine, radiolucent defects within the con- trast filled gallbladder, sirnulating honeycomb appearance. These septat,ions are very thin and have been over looked and confused with stones, so that careful inspection is necessary. In this case report, we described a 49 year-old female patients, whose ERCP and ultrasono- graphic findings were compatible with multiseptate gallbladder and reviewed cases which has been reported in literature. (Korean J Gastroenterol 1994; 26: 607-613)
위장관을 침범한 hench - Schoenlein Purpura 2예 - 내시경적 소견을 중심으로 -
김원호(Won Ho Kim),박찬일(Chan Il Park),송영구(Young Goo Song),박상진(Sang Jin Park),강진경(Jin Kyoung Kang),박인서(In Seo Park),이상엽(Sang Yup Lee) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.6
Henoch-Schoenlein purpura (H-S purpura) is a systemic vasculitis of unknown cause that is characterized by palpable purpura (usually on the lower extremities and over the buttocks), arthralgias, gastrointestinal symptoms, and glomerulonephritis. Diagnosis of H-S purpura is sometimes difficult, since GI symptoms precede the skin lesions in 10%. of patients with H-S purpura. It has been suggested that endoscopic and radiologic studies may be helpful in the diagnosis of H-S purpura, but there seem to be no endoscopic findings specific for H-S. purpura. We performed GI endoscopy in two patients with H-S purpura. Upper GI endoscopy showed multiple conglomerated erosions only on the fold in 2nd portion of the duodenum and intervening mucosa between folds were not remarkable in both patients, and colonoscopy showed several erosions on terminal ileum in one patient.