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십이지장에 발생한 Enteritis Cystica Profunda 1 예
정호경(Ho Kyeong Jeong),김진관(Jin Kwan Kim),황인석(In Seog Hwang),김미영(Mi Young Kim),김영묵(Yeong Muk Kim),이동윤(Dong Yun Lee),이준상(Joon Sang Lee) 대한소화기학회 2002 대한소화기학회지 Vol.39 No.1
Enteritis cystica profunda (ECP) is a very rare condition of the small intestine. It is characterized by mucin-filled cystic space and partially lined by nonneoplastic epithelium predominant in the submucosa of the small bowel. It has the identical histopathologic features to those of colitis cystica profunda (CCP), which is a rare benign lesion of the distal colon and rectum of uncertain cause. ECP appears to occur much less than CCP and all reported ECP was associated with intestinal disease, such as Peutz-Jeghers syndrome, Crohn`s disease, hamartomatous polyp, and multiple congenital anomalies. Among the reported ECP cases, only one case was located in duodenum and it was associated with hamartomatous polyps. Interestingly, we experienced a case of ECP in the duodenum without any intestinal disease. The diagnosis was made based on the endoscopic finding and histologic features of the resected specimen. We report this rare case of ECP located in the duodenum without associated small intestinal disease. (Korean J Gastroenterol 2002;39:55-58)
증례 : 소화기 ; 폐농양과 동반된 간문맥 혈전증 1예
박성남 ( Sung Nam Park ),임주견 ( Ju Kyeon Yim ),김영묵 ( Yeong Muk Kim ) 대한내과학회 2012 대한내과학회지 Vol.82 No.1
Portal vein thrombosis (PVT) is an uncommon cause of presinusoidal hypertension and can result from cirrhosis, malignancy, infection, inflammation, and congenital and acquired thrombophilic states. Infectious and inflammatory causes include pylephlebitis, omphalitis, diverticulitis, pancreatitis, cholecystitis, appendicitis, and inflammatory bowel disease. However, PVT induced by a Lung abscess has not been reported. We experienced a 50-year-old male complaining of right upper quadrant pain, fever, and coughing. A Lung abscess and PVT were revealed by computed tomography and abdominal Doppler ultrasonography. The PVT resolved, in part, after an 8-day course of antibiotic therapy. We report a case of PVT as a complication of a Lung abscess and review the Literature. (Korean J Med 2012;82:67-72)
이동윤,이준상,김영묵 대한소화기학회 2000 대한소화기학회지 Vol.35 No.5
Eosinophilic cholecystitis is a rare form of cholecystitis which was first described by the French workers in 1949. Histologically, it is characterized by a dense, transmural leukocyte infiltration and is composed of more than 90% eosinophils. Eosinophilic cholecystitis is usually unsuspected and indistinguishable from calculous cholecystitis. The etiology of eosinophilic cholecystitis is unknown. The several possible reasons are a local eosinophilic inflammatory reaction to gallstone or parasites, a manifestation of eosinophilic gastroenteritis, a systemic hypereosinophilic syndrome, or an allergic hypersensitivity response to drugs or other immunogens. In reviewing the literatures, twelve cases of eosinophilic cholecystitis were reported subsequently. Among the cases, 5 cases were eosinophilic cholecystitis and cholangitis with extrahepatic obstruction. We experienced the case in a 30-year-old man who complained of high fever and right upper quadrant pain. He was diagnosed as having eosinophilic cholecystitis and cholangitis and received cholecystectomy. Here, we present an unusual case of eosinophilic cholecystitis. By the pathological observation, eosinophilic infiltration of all three layers of gall bladder wall was associated with cholangitis, pancreatitis and peripheral eosinophilia.
서찬희,장병일,이상재,성한동,전수진,김영묵,이준상 대한감염학회 2003 감염과 화학요법 Vol.35 No.4
저자들은 임상적으로 간낭종 감염이 의심이 가는 환자에서 경피적 배액술로 간낭종이 Salmonella paratyphi A에 의해 감염되었음을 증명하였고 항생제와 경피적 배액술로 성공적으로 치료한 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Salmonellae cause a number of characteristic clinical infections in humans, including gastroenteritis, enteric fever, bacteremia, focal metastatic infection and an asymptomatic chronic carrier state. We report a case of large hepatic cyst infected with Salmonella paratyphi A. A 47-year-old woman was admitted, because of abdominal complains (fullness and pain) and fever. On physical examination, a mass was palpated on right upper quadrant of the abdomen. The computerized tomography of the abdomen showed a large hepatic cyst, but not cystic infection. Aspiration and percutaneous drainage of the hepatic cyst were perfomed for the therapeutic decompression under fluoroscopic guidance. Cultures of the cyst fluid revealed growth of Salmonella paratyphi A. Radiologic contrast media after draining of the cyst fluid revealed no communication between the cyst and bile ducts. Infected hepatic cyst appeared to result from hematogenic seeding. One month later, the patient improved and was discharged without any complication.