| 십이지장 회장 누공을 형성한 장관 베체트병 1예 |
| 황보영·김효종·안효석·이명렬·장재영·김남훈·이상길·주광로·동석호·김병호·장영운·이정일·장린 |
| 경희대학교 의과대학 내과학교실 |
| A Case of Spontaneous Duodenoileal Fistula in Behcet's Disease |
| Young HwangBo, M.D., Hyo Jong Kim, M.D., Hyo Suk Ahn, M.D., Myung Ryul Lee, M.D., Jae Young Jang, M.D., Nam Hoon Kim, M.D., Sang Kil Lee, M.D., Kwnag Ro Joo, M.D., Seok Ho Dong, M.D., Byung Ho Kim, M.D., Young Woon Chang, M.D., Joung Il Lee, M.D. and Rin |
| Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea |
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| Abstract |
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For intestinal Behcet's disease, the common complications are intestinal perforation, bleeding and fistula formation. Among these, fistula formation is mostly associated with previously performed surgeries and it is rare that fistulas form spontaneously. We experienced a case of Behcet's disease with duodenoileal fistula, and the patient does not have any previous surgery. A 57-year-old male patient was admitted due to persistent diarrhea and weight loss. He was diagnosed with intestinal Behcet's disease 6 years ago. On the 2nd portion of the duodenum, an opening to the colon was found on gastroduodenoscopy. As we rechecked the lesion with performing a gastrograffin upper GI series, there was a fistula between the 2nd portion of the duodenum and ileum. So we performed right hemicolectomy and duodenojejunostomy and we confirmed the duodenoileal fistula. Overall, we would like to suggest that this case was a case of Behcet's disease with spontaneous duodenoileal fistula. (Korean J Gastrointest Endosc 2006;32:5761) |
| Key Words:
Behcet disease, Intestinal fistula |
| 주요어:
베체트병, 위장관, 누공 |
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