Korean Journal of Gastrointestinal Endoscopy 2006;33(4): 235-238.
십이지장 구부 농양 1예
정재일·장희종·이상훈·조동식·김시우·차성철·조유진·석윤철·구진회*·강행지†
서울위생병원 내과, *영상의학과, †해부병리과
A Case of the Duodenal Bulb Abscess
Jae Il Chung, M.D., Hi Jong Chang, M.D., Sang Hun Lee, M.D., Dong Sik Cho, M.D., Si Woo Kim, M.D., Sung Chul Cha, M.D., Yu Gin Cho, M.D., Yun Chul Seok, M.D., Jin Hoi Ku, M.D.* and Haeng Ji Kang, M.D.†
Departments of Internal Medicine, *Radiology and †Pathology, Seoul Adventist Hospital, Seoul, Korea
Abstract
Duodenal abscess is a rarely reported disease throughout the entire world. Duodenal abscesses are developed mostly from the complication of duodenal ulcer perforation, and only small percentage of duodenal abscesses are the result of cholecysto-duodenal fistula which was made by gall bladder perforation. We report a 84-year-old male patient who presented to the emergency department with severe anorexia and generalized weakness for 2 weeks. The upper gastrointestinal endoscopy done and revealed a protruding mass at the lesser curvature of the duodenal bulb. As soon as the mass was punched with a biopsy forceps, a large amount of abscess began to pour out into the intestinal lumen. Abdominal CT scan demonstrated the presence of an air-fluid level the in gall bladder and also abscess in the porta hepatitis which was located between the gall bladder and the duodenum. Because the patient refused any surgical intervention, we treated him conservatively with intravenous antibiotics. Patient's symptom of anorexia was slowly resolved, and patient was discharged 10 days later. (Korean J Gastrointest Endosc 2006;33:235238)
PDF Links
Full text via DOI 
Download Citation 
