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하헌돈(Heon Don Ha),강창규(Chang Gyu Kang),김영운(Young Un Kim),오성광(Sung Kwang Oh),황석주(Soek Joo Hwang),김대영(Dae Young Kim),임선재(Seon Jae Yim),박승욱(Seung Wook Park),이두용(Doo Yong Lee) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.6
Internal biliary fistula is a very rare disease. Fistula is usunlly produced by chrnnic disease of liiliary tract associated with ;allstone,and may be produced by peptic ulcer, by malignancy or traurna The common types giien in order are cholecystoduodenal, cholecystocolic, choledochoduo- <Ienal, cholecystogastric fistula. Etc. The mechanism of fistula forniatinns is due to adherence of the inflnmmed gallbladder or cnn mnn bile duct to adjacent viscus and exit of a gallstone into the adjacent orgm. Thc clinical .,ymptoms,signs, laboratory findings are often so nnnspecific that f'istiila is u.iually difficult tn <Jiagnose preoperatively. Preoperative diagnostic rate is io between 31% fn m7% of reported case. A 4S years old male visited Dae Senn SlJN general hospital because of persistent diarrhea ond abdominal discomfort. Of' 15 years prior to his visit, he had been suffered from the severe RlSQ pain ancl treated by medical regimen nnder impression of acute cholecystitis associated with gallstnne. And occasionally intermitent RIJQ pain persisted imtill 6 years ago, when sudden disappearence oF RUO pain developed, then followed by persistent diarrhea and lower abdominal discomfort. Pneumchilia is found on abdorninal sonogram, and the fistula trnct between gallbladder arvt colon has bee disclosed on barium enema study and F.RCP, abdominal CT. But surgical intcrvcntinn h,I t eer delayed because of patients cvnsent. (Korean 3 tastroenterol ]995:27: 893-89'7l
강창규(Chang Gyu Kang),김영운(Yong Un Kim),오성광(Sung Kwang Oh),황석주(Seok Joo Hwang),하헌돈(Heon Don Ha),권주원(Ju Won Kwon),선정민(Joeng Min Sun),박승욱(Seung Wook Park),이두용(Doo Yong Lee),김종설(Chong Suhl Kim) 대한내과학회 1995 대한내과학회지 Vol.49 No.1
Upper esophageal webs consist of thin mucosal membranes projecting into the esophageal lumen at level of just below the cricoid cartilage. A specfic syndrome characterized by a cervical esophageal web with dysphagia, mucosal lesions of the mouth and pharynx, and iron deficiency anemia is variably known as Plummer-Vinson syndrome, Paterson Kelly syndrome or sideropenic dysphagia, These terms are all used interchangeably. Recently we experienced a case of upper esophageal web with dysphagia and iron deficiency anemia. A 46-year-old women had complained of dysphagia for 15 years. Esophagogram showed a anterior diaphragm-like web protruding into the esophageal lumen at the level of the 4th-to-5th cervical vertebrae. Also esophagoscopy showed a eccentric circular web at 18cm from incisors. Bougienation under endoscopy with Savary-Gilliard dilatory was perfomed Successfully and she could well tolerate in swallowing of solid food after this procedure. Hereby we report a case of classical Plummer-Uinson syndrome together with a review of literatures.