당뇨병 환자에서 소화성 궤양에 속발된 중복유문 1예 |
노지훈ㆍ임대관ㆍ문원*ㆍ박선자*ㆍ박무인*ㆍ김규종*ㆍ김윤정† |
동의의료원 내과, *고신대학교 의과대학 내과학교실, †부민병원 내과 |
A Case of Double Pylorus Caused by Peptic Ulcer in a Diabetic Patient |
Ji Hun Roh, M.D., Dae Gwan Im, M.D., Won Moon, M.D.*, Seun Ja Park, M.D.*, Moo In Park, M.D.*, Kyu Jong Kim, M.D.* and Yoon Jung Kim, M.D.† |
Department of Internal Medicine, Dong-Eui Medical Center, *Department of Internal Medicine, Kosin University College of Medicine, †Department of Internal Medicine, Boo-Min Hospital, Busan, Korea |
|
|
Abstract |
|
A double pylorus, a fistulous communication between the gastric antrum and duodenal bulb, is a very rare anomaly. It appears as an acquired lesion in the majority of cases and mainly occurs in males with chronic obstructive pulmonary disease, chronic renal failure, chronic rheumatism, systemic lupus erythematosus, or diabetes. However, there are no previous reports of a double pylorus combined with diabetes mellitus in Korea. Recently we experienced a case of double pylorus caused by a peptic ulcer in 74-year-old man who had diabetes mellitus with complications. We report this case with a review of the literature. (Korean J Gastrointest Endosc 2008;36:380-384) |
Key Words:
Double pylorus, Diabetes, Peptic ulcer |
주요어:
중복유문, 당뇨병, 소화성 궤양 |
|
|