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장 게실염에 동반된 녹농균 패혈증에 의한 문맥염 및 간 농양 1예
문윤권 ( Yoon Gwon Mun ),손성완 ( Seong Wan Son ),김민아 ( Minah Kim ),김인수 ( Insoo Kim ),김용희 ( Yong Hee Kim ),정일순 ( Il Soon Jung ),고병성 ( Byeong Seong Ko ) 대한소화기학회 2016 대한소화기학회지 Vol.67 No.6
Pylephlebitis, or suppurative thrombophlebitis of the portal venous system, is a rare condition occurring secondary to abdominal infections such as diverticulitis. Pylephlebitis can be diagnosed via ultrasonography or CT scan, and is characterized by the presence of a thrombus in the portal vein and bacteremia. However, the diagnosis may be delayed due to the vague nature of the clinical symptoms, causing morbidity and mortality due to pylephlebitis to remain high. Early diagnosis and immediate antibiotic therapy are important for favorable prognosis. Therefore, pylephlebitis should be considered in the differential diagnosis for cases of nonspecific abdominal pain and fever. We report a case of pylephlebitis secondary to diverticulitis, associated with Pseudomonas aeruginosa sepsis. Such cases have not been widely reported. (Korean J Gastroenterol 2016;67:327-331)
이준엽 ( Joonyub Lee ),문윤권 ( Yoon Gwon Mun ),장상언 ( Sang Eon Jang ),김대중 ( Dae Jung Kim ),유영욱 ( Young Wook Yoo ),이종률 ( Jong Riul Lee ),전호욱 ( Howook Jeon ),음상훈 ( Sang Hoon Eum ) 대한췌담도학회 2016 대한췌담도학회지 Vol.21 No.2
혈관육종은 연부조직에서 기원하는 매우 드문 종양인데 간담도계에서 발생하는 혈관육종은 더욱 드물다. 혈관육종은 증상이 비특이적이고 진단도 어렵기 때문에 발견 당시 이미 병기가 진행된 경우가 많으며 예후도 나쁘다. 저자들은 우측 상복부 통증으로 내원하여 총담관 혈관육종으로 진단된 증례를 경험하였다. 총담관에서 기원한 혈관육종은 현재까지 보고된 바가 없기에 문헌고찰과 함께 보고하는 바이다. Angiosarcoma is a very rare form of neoplasm derived from soft tissue. It is reported even more rarely in hepatobiliary system. Because of its nonspecific symptoms and difficulty in diagnosis, angiosarcoma is often presented in a progressed state and often results in poor prognosis. To our best knowledge, there has been no report regarding angiosarcoma in common bile duct worldwide. We report a case of 77-year-old-woman presented with right upper abdominal pain diagnosed as angiosarcoma in common bile duct.
증 례 : 혈액투석 환자에서 급성 대장염의 합병증으로 발생한 소장-대장 누공 1예
박하늘 ( Ha Neul Park ),김진아 ( Jin Ah Kim ),최수경 ( Soo Kyoung Choi ),신갑수 ( Kab Soo Shin ),문윤권 ( Yoon Gwon Mun ),최보미 ( Bo Mi Choi ),김영옥 ( Young Ok Kim ) 대한내과학회 2016 대한내과학회지 Vol.90 No.1
Enterocolic fistulas are commonly associated with previous surgery, Crohn’s disease, diverticulitis, radiation therapy, and malignancy. Here, we report a rare case of enterocolic fistula caused by acute colitis in a hemodialysis patient. A 62-year-old man on maintenance hemodialysis underwent a radical nephrectomy via a paramedian incision due to spontaneous right kidney rupture and was treated with prophylactic antibiotics. On the 16th day of antibiotic therapy, he complained of abdominal pain and diarrhea. Abdominal computed tomography (CT) and ascitic fluid culture revealed acute bacterial peritonitis and sigmoidoscopy showed acute colitis. After treating these diseases with adequate antibiotics, the abdominal pain and ascites were relieved, but the diarrhea persisted. Abdominal CT obtained 7 days later showed an enterocolic fistula. To our knowledge, this is the first case of enterocolic fistula due to acute colitis in Korea. (Korean J Med 2016;90:41-45)