1.A Case of Tuberculous Lymphadenitis Causing Obstructive Jaundice.
Chang Hong LEE ; Jae Seon KIM ; Goo LEE ; Young Tae BAK ; Jin Ho KIM ; Jong Guk KIM ; Nam Hee WON ; Eun Rae JO ; Sung Joon LEE ; Hong Young MOON
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):115-120
Obstructive disorders of the biliary trees include occlusions of the bile duct lumen by stones, intrinsic disorders of the bile ducts, and extrinsic compressions. The most common biliary cause of obstructive jaundice is the presence of stones. Intrinsic disorders of the bile ducts may be inflammatory, infectious, or neoplastic. And significant enlargement of adjacent lymph nodes due to metastatic tumors or lymphoma can occasionally obstruct the extrahepatic bile ducts. But obstructive jaundice produced by periportal tuberculous lymphadenitis with no evidence of pulmonary tuberculosis is very rare. We report a case of tuberculous lymphadenitis causing obstructive jaundice with a mass around mid common bile duct on abdominal sonogram, CT scan and ERCP, and it was confirmed by an exploratory laparotomy.
Bile Ducts
;
Bile Ducts, Extrahepatic
;
Cholangiopancreatography, Endoscopic Retrograde
;
Common Bile Duct
;
Jaundice, Obstructive*
;
Laparotomy
;
Lymph Nodes
;
Lymphoma
;
Tomography, X-Ray Computed
;
Tuberculosis, Lymph Node*
;
Tuberculosis, Pulmonary
2.Endoscopic Retrograde Cholangiopancreatography Using Barium Sulfate As a Contrast Material.
Jin Kyung KANG ; In Suh PARK ; Jae Bock CHUNG
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):111-114
An occasional patient has both a pressing need for visualization of the biliary system in spite of a past history of reaction to iodinated contrast media. We report a patient, who had reacted adversely to contrast media, underwent ERCP using barium sulfate in order to opacify the biliary and pancreatic duct without side effect successfully. In conclusion, ERCP using barium sulfate as a contrast material is of value in patients who are intolerant of the iodinated contrast media.
Barium Sulfate*
;
Barium*
;
Biliary Tract
;
Cholangiography
;
Cholangiopancreatography, Endoscopic Retrograde*
;
Contrast Media
;
Humans
;
Pancreatic Ducts
3.A Case of Anomalous Termination of Common Bile duct into Duodenal Bulb with the Gall Bladder Empyema.
Chan Sup SHIM ; Joo Young CHO ; Jun JEONG ; Heung Yeal BYUN ; Sung Eun LEE ; Young Soo CHUN
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):105-110
Although it is commonly appreciated that there is an inordinately large number of anormalies associated with the excretory ducts of the liver, comparatively little attention has been paid to the position of the orfice of the common bile duct into the duodenum. But, obiviously the site of entrance of the common bile duct into the duodenum becomes of great importance to the endoscopist, radiologist, and surgeon in diseases of the extra-hepatic biliary tract diag-nostically and therapeutically. We report 'a case of anomalous termination of the common bile duct into the duodenal bulb with the gall bladder empyema.
Biliary Tract
;
Cholecystitis*
;
Common Bile Duct*
;
Duodenum
;
Liver
4.Primary Malignant Lymphoma of the Small Intestine Causing Adult Intussusception as an Initial Symptom.
Kyu Won CHUNG ; Hee Sik SUN ; Soo Heon PARK ; Myung Gyu CHOI ; Joon Yeol HAN ; Ki Dong YOO ; Hyun JUNG ; Hyo Young RHIM ; Se Hyun CHO
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):100-104
While intussusception can occur at any age, the disease is most often seen in children and no etiologic factor can be seen in most cases of childhood intussusception. In contrast, the adult intussusception is rare and usually has an identifiable causes such as benign tumor, malignant tumor, sarcoma, Meckel's diverticulum and congenital anomaly. Especially, adult intussusception due to primary malignant lymphoma of small intestine is rare clinical condition. Here, we describe the case of a 49-year-old male patient with ileo-ileo-colic intussusception due to primary malignant lymphoma of the small intestine. The clinical, radiographic and pathologic findings are described with brief review of the literature.
Adult*
;
Child
;
Humans
;
Intestine, Small*
;
Intussusception*
;
Lymphoma*
;
Male
;
Meckel Diverticulum
;
Middle Aged
;
Sarcoma
5.Three Cases of Anomalous Drainage of Common Bile Duct into the Duodenal Bulb.
Young Il MIN ; Sung Gyu LEE ; Geun Chan LEE ; Tae Won KIM ; Sung Goo LEE ; Myung Whan KIM ; Kwang Min PARK
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):94-99
Classic anatomical descriptions state that the common bile duct enters to the medial border of the second part of duodenum. Isolated case reports of the common bile duct in other sites, including the fourth part of duodenum, the pyloric canal, stomach, and the duodenal bulb, have appeared in the literature. We report three cases of anomalous drainage of the common bile duct into duodenal bulb, which caused recurrent cholangitis and peptic ulcer. All patients required choledochoenteric anastomosis to relieve their syrnptoms.
Cholangitis
;
Common Bile Duct*
;
Drainage*
;
Duodenum
;
Humans
;
Peptic Ulcer
;
Stomach
6.A Case Report of Leiomyosarcoma of the Duodenum.
Chong Mann YOON ; Dae Hyun YANG ; Sei Jong KIM ; Tae Du KIM ; Sin Mook KIM ; Young Eun JOO ; Do Hyun RHEU ; Sang Woo HAN ; Mi Sun JI ; Chong Sun REW
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):89-93
Leiomyosarcoma of the duodenum is an uncommon tumor and have not specific symptoms and signs, almost all cases of tumor were diagnosed in operating room. This tumor is generally firm, relatively well encapsulated, lobulated and often soft if they undergo hemorrhagic necrosis. Most authors emphasized the relative number of mitosis as the most reliable findings of leiomyosarcoma. Recently, we experienced a case of leiomyosarcoma of duodenum which was confirmed by operative and pathological diagnosis.
Diagnosis
;
Duodenum*
;
Leiomyosarcoma*
;
Mitosis
;
Necrosis
;
Operating Rooms
7.Four Cases of Brunner's Gland Adenoma.
Jung Myung CHUNG ; Sang Hyuk LEE ; Sang Yong SEOL ; Hwan Tae KIM ; Dae Sik KOO ; Sung Cheul OK ; Kyung Seok OH ; Hyun Dae CHO
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):82-88
Brunners gland adenoma is a benign epithelial tumor of the duodenum originating from submucosal Brunners gland. This is an extremely rare entity that account for only 10.6% of benign duodenal tumor, which are themselves relatively rare, representing 0.008% of all surgical and autopsy specimens. The clinical manifestation are nonspecific gastrointestinal complaints, such as bloating or epigastric pain, and the tumor gives rise to melena or anemia, due to the ulceration or erosion of the tumor. The diagnosis is usually made by radiologic studies and gastroduodenal endoscopy which can also provide definitive treatment. The aim of treatment is complete removal of the lesion and exclude malignancy. We report on 4 cases of Brunners gland adenoma which was confirmed by operation or endoscopic polypectomy.
Adenoma*
;
Anemia
;
Autopsy
;
Diagnosis
;
Duodenum
;
Endoscopy
;
Melena
;
Ulcer
8.A Case of Eosinophilic Gastroenteritis Associsted with Protein - losing Enteropathy.
Jong Jae PARK ; Hoon Ki PARK ; Suk Kee PAIK ; Jung Lyae HYUN ; Tong Jhin KIM
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):74-81
Eosinophilic gastroenteritis is characterized by peripheral eosinophilia, eosinophilic infiltration of the bowel and gastrointestinal symptoms. The disease may affect any area of the gastrointestinal tract. Various manifestations are present, corresponding to the predominant layer of the eosinophilic infiltration. We experienced a case of eosinophilic gastroenteritis presenting as protein-losing enteropathy in a 36-year old male patient with acute upper abdominal pain and watery diarrhea. He showed peripheral eosinophilia, hypoalbuminemia, penile., thigh and ankle edema. The patient was treated with oral corticosteroid, and supportive care such as parenteral albumin, fluid and electrolytes. Almost all symptoms resloved within 1 week. The present report concerns a case of eosinophilic gastroenteritis associated with protein loss. Cases, of eosinophilic gastroenteritis with protein-losing enteropathy are not common. To our knowledge, no case has reported in Korea. So we report this case with brief review of the literature.
Abdominal Pain
;
Adult
;
Ankle
;
Diarrhea
;
Edema
;
Electrolytes
;
Eosinophilia
;
Eosinophils*
;
Gastroenteritis*
;
Gastrointestinal Tract
;
Humans
;
Hypoalbuminemia
;
Korea
;
Male
;
Protein-Losing Enteropathies
;
Thigh
9.Chinical Comparison of the Traditional Versus Laparoscopic Surgery in Cholecystectomy for Cholelithiasis.
Cheung Wung WHANG ; Gil Soo SON ; Sung Ock SUH
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):64-73
Laparascapic Cholecystectomy is a recentely rapidly emerged, minimally invasive procedure whereby the gallbladder is removed using laparoscopic techniques. The procedure offers the patient reduced hospital stay, faster to work, less pain, less complication, less expensiveness, and improved cosmetic results over the traditional open cholecystectomy. (continue...)
Cholecystectomy*
;
Cholelithiasis*
;
Gallbladder
;
Humans
;
Laparoscopy*
;
Length of Stay
10.Histologic Diagnosis between Right Lobe and Left Lobe in Patients with HBsAg(+) Chronic Liver Diseases.
Young Myung MOON ; Jin Kyung KANG ; In Suh PARK ; Chae Yoon CHON ; Jae Bock CHUNG ; Kwang Hyub HAN ; Chan Il PARK ; Se Joon LEE ; Mee Yon CHO ; Jun Pyo CHUNG
Korean Journal of Gastrointestinal Endoscopy 1994;14(1):56-63
We compared the histological diagnosis and activity between the right and left lobes in order to assess the sampling variability in HBsAg(+) chronic liver diseases. From May 1987 to September 1991, we prospectively evaluated 23 patients(male 19, female 4, mean age: 32.0+8.8)with HBsAg(-) chronic liver diseases. (continue...)
Diagnosis*
;
Female
;
Humans
;
Laparoscopy
;
Liver Diseases*
;
Liver*
;
Prospective Studies