Budd-Chiari syndrome is acute or subacute occlusion of the hepatic vein and IVC, The occlusion of hepatic veins often reveals dramatic illness characterized by abdominal pain, ascites, hepatomegaly and a poor prognosis. Several recent reports have suggested that balloon dilatation may be effective in Budd-Chiari syndrome. We experienced a case of Budd-Chiari syndrome with IVC web which was successfully treated with balloon dilatation. We report the case here with a brief review of literature,
Abdominal Pain ; Ascites ; Budd-Chiari Syndrome* ; Dilatation* ; Hepatic Veins ; Hepatomegaly ; Prognosis

BACKGROUND/AIMS: The common complaints of the acute hepatitis patients studied involved upper gastrointestinal symptoms resembling those of dysmotility. The aim of this study was to evaluate the changes in the electrogastrographic findings and gastric fullness before and after feeding rice soup to patients with acute hepatitis. METHODS: The study was performed on 30 patients with acute hepatitis and 41 in a normal control group. Abdominal surface electrogastrography was applied for 30 minutes under a fasting state and 30 minutes after feeding. RESULTS: Patients with acute hepatitis showed a higher level of gastric fullness in both the fasting and postprandial state in comparison to the control group. Significant differences were found in a percentage of postprandial 3 cpm and fasting, and fed tachygastria between the two groups. The percentage of 3 cpm slow wave (unclear) increased by the same amount as the control group after eating. There was no significant difference between the two groups in the power ratio. CONCLUSION: Upper gastrointestinal symptoms of acute hepatitis did not appear to be related to the change in gastric myoeletrical activity. Other factors including neurological, endocrinological, and emotional should be evaluated.
Eating ; Fasting ; Hepatitis* ; Humans

BACKGROUND/AIMS: The common complaints of the acute hepatitis patients studied involved upper gastrointestinal symptoms resembling those of dysmotility. The aim of this study was to evaluate the changes in the electrogastrographic findings and gastric fullness before and after feeding rice soup to patients with acute hepatitis. METHODS: The study was performed on 30 patients with acute hepatitis and 41 in a normal control group. Abdominal surface electrogastrography was applied for 30 minutes under a fasting state and 30 minutes after feeding. RESULTS: Patients with acute hepatitis showed a higher level of gastric fullness in both the fasting and postprandial state in comparison to the control group. Significant differences were found in a percentage of postprandial 3 cpm and fasting, and fed tachygastria between the two groups. The percentage of 3 cpm slow wave (unclear) increased by the same amount as the control group after eating. There was no significant difference between the two groups in the power ratio. CONCLUSION: Upper gastrointestinal symptoms of acute hepatitis did not appear to be related to the change in gastric myoeletrical activity. Other factors including neurological, endocrinological, and emotional should be evaluated.
Eating ; Fasting ; Hepatitis* ; Humans

A solid and papillary epithelial neoplasm of the pancreas is a very rare and low-grade type of malignancy, although an increasing number of cases have been reported in recent years. Patients with a solid and papillary epithelial neoplasm of the pancreas have a good prognosis and may be cured if the disease is diagnosed before metastasis and diffuse local invasion. A 23-year-old female who had a 4-year history of recurrent abdominal pain, was admitted due to lower abdominal pain. Incidentally a calcified, 6 4 cm sized ovoid mass was found in the right upper quadrant, from a simple abdominal X-ray. An ERCP, abdominal sonography, and CT were performed, as well as a pylorus preserving pancreatoduodenectomy. Gross pathologic examination revealed a well encapsulated mass with cystic degeneration and hemorrhagic necrosis. Microscopically, the tumor had papillary fronds with a fibrovascular connective tissue core. There was focal infiltration of tumor cells into the duodenal wall and heterotropic pancreatic tissue in the submucosa. Immunohistochemistry revealed positivity for neuron-specific enolase. The patient maintained a healthy status for one year since the operation.
Abdominal Pain ; Cholangiopancreatography, Endoscopic Retrograde ; Connective Tissue ; Duodenum* ; Female ; Humans ; Immunohistochemistry ; Necrosis ; Neoplasm Metastasis ; Neoplasms, Glandular and Epithelial* ; Pancreas* ; Pancreaticoduodenectomy ; Phosphopyruvate Hydratase ; Prognosis ; Pylorus ; Young Adult

BACKGROUND/AIMS: The purpose of this study was to assess the correlation between histologic activity and fibrosis and the distribution of intrahepatic hepatitis B core antigen (HBcAg) and surface antigen (HBsAg) in patients with chronic hepatitis B. METHODS: 141 patients (M:F=141:27) with biopsy-proven chronic hepatitis B, abnormal liver function, and a positive HBV viral marker (serum HBeAg, serum HBV DNA) were enrolled. RESULTS: HBcAg was expressed in 96 of 141 patients (68.1%), nHBcAg in 23 (16.3%), cHBcAg in 58 (41.2%), and n-cHBcAg in 15 (10.6%). In the cases of HBsAg, 114 of 141 patients (80.9%) were expressed as cHBsAg, 2 (1.4%) as mHBsAg, and 16 (11.3%) as m-cHBsAg. The presence of intrahepatic HBcAg and HBsAg according to Gudat's classification was not correlated with activity and fibrosis. But the groups with nuclear expression of HBcAg revealed less inflammatory activity (grade, p=0.003), and less fibrotic stage (p = 0.002) than with cytoplasmic or no expression of HBcAg. HBsAg was not. CONCLUSIONS: These observations suggest that inflammatory activity and fibrosis of chronic hepatitis B are related to the presence of HBcAg in hepatocytes and the expression of HBcAg. This is a very important finding in hepatocytolysis.
Antigens, Surface ; Biomarkers ; Classification ; Cytoplasm ; Fibrosis* ; Hepatitis B Core Antigens* ; Hepatitis B e Antigens ; Hepatitis B Surface Antigens* ; Hepatitis B, Chronic* ; Hepatitis, Chronic* ; Hepatocytes ; Humans ; Immunohistochemistry ; Liver

Hepatocellular carcinoma is one of the most common malignancies reported in Korean adult males. Hepatocellular carcinoma usually spreads to regional lymph nodes around porta hepatis via lymphatics and to distant metastasis via hematogenous spread. The lung is most common distant metastatic site, followed by the adrenal glands, local lymph nodes and bones. But metastasis to the spinal cord of hepatocellular carcinoma is very rare. Recently we experienced a patient with hepatocellular carcinoma who had suffered from lower leg weakness for 10 days. The patient was proved to have hepatocellular carcinoma with metastasis to the spinal cord. MRI showed an ovoid intracordal mass between the twelfth thoracic and first lumbar vertebra level. After emergency irradiation, the patient could recover.
Carcinoma, Hepatocellular/*secondary ; English Abstract ; Human ; Liver Neoplasms/*pathology ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Spinal Cord Neoplasms/diagnosis/*secondary

In spite of decrease in prevalence, yet tuberculosis is not rare disease in Korea and the morbidity is over one percent. Because extrapulmonary tuberculosis is less common than that of lung, quick and accurate diagnosis is not easy and there may be some problems in selecting the methods and the times to treat it. Especially, each or combination of abdominal lymphadenitis and duodenal tuberculosis are so rare that differential diagnosis from other common or rare diseases is difficult, and much attention is required to diagnose and treat those. Recently we experienced a case of tuberculous lymphadenitis accompanied by duodenal bulbar tuberculosis which had been conceived as submucosal tumor at endoscopy and diagnosed by explorative operation. So we report this case with review of related literatures.
Diagnosis ; Diagnosis, Differential ; Endoscopy ; Korea ; Lung ; Lymphadenitis ; Prevalence ; Rare Diseases ; Tuberculosis* ; Tuberculosis, Lymph Node*