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박성오(Sung Oh Park),고혁(Hyuk Ko),김수희(Su Hee Kim),박배근(Bae Keun Park),김승용(Seung Yong Kim),유철희(Chul Hee You),김연석(Youn Suk Kim) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.6
Hepatic epithelioid hemangioendothelioma (HEH) is a rare vascular tumor of the liver. HEH is endothelial origin, and has a intermediate clinical course between benign hemangioma and an angiosarcoma of the liver. It usually appears as multiple hypoechoic nodules on US scan and hypodense on CT scan. Definite diagnosis is made by histopathology of specimens obtained from the tissue biopsy. We present a case of HEH which presented with multiple nodules within the liver on CT scan. The diagnosis was made by laparoscopic liver biopsy. (Korean J Gastroenterol 2001;38:433-435)
토혈을 주소로 내원한 선천성 간섬유종 환자에서 내시경적 정맥류결찰술 치료 경험 1예
이승환,김현영,김승용,신영록,김연석,나비석,이석수,강길현,유철희 대한소화기학회 2000 대한소화기학회지 Vol.35 No.5
Congenital hepatic fibrosis (CHF) is characterized by periportal fibrosis with irregulary shaped proliferating bile ducts and is recognized as a member of the fibrocystic disease family. It is such a rare disorder that only about 200 patients with CHF has been reported. Affected children or adults often show portal hypertension and related complications, which may lead to bleeding from gastroesophageal varices. The diagnosis of CHF is usually confirmed by its typical histological features. The patients with portal hypertension due to CHF are ideal candidates for portosystemic shunt because most of them have good liver function. Recently, we experienced a case of CHF without hepatic and renal lesions presenting with hematemesis. Endoscopic variceal ligation was performed. We report this case with a review of relevant literatures.