Korean Journal of Gastrointestinal Endoscopy 2011;42(4): 250-254.
후천성면역결핍증 환자에서 소장 폐쇄를 유발한 염증성 가성종양
김현수ㆍ차재명ㆍ이정일ㆍ주광로ㆍ정현준ㆍ이치훈ㆍ임성직*ㆍ나기용*
경희대학교 의과대학 강동경희대학교병원 내과학교실, *병리학교실
Inflammatory Pseudotumor Causing Small Bowel Obstruction in a Patient with AIDS
Hyun Soo Kim, M.D., Jae Myung Cha, M.D., Joung Il Lee, M.D., Kwang Ro Joo, M.D., Hyun Joon Jung, M.D., Chi Hoon Lee, M.D., Sung-Jig Lim, M.D.* and Ki Yong Na, M.D.*
Departments of Internal Medicine and *Pathology, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine, Seoul, Korea
Abstract
Small bowel obstructions are most commonly caused by adhesions, hernias, neoplasms or inflammatory stricture. Inflammatory pseudotumors are an uncommon cause of small bowel obstruction, even in a patient with acquired immunodeficiency syndrome (AIDS). We have experienced a case of small bowel obstruction caused by an inflammatory pseudotumor in a 38-year old male with AIDS. Abdominal computed tomography showed small bowel obstruction due to jejunal annular wall thickening. Surgical laparotomy showed a non-specific granulomatous inflammatory mass that could not fulfill any diagnostic criteria for a specific disease. This report describes our findings of small bowel obstruction due to an inflammatory pseudotumor and discusses the differential diagnosis of inflammatory pseudotumor in AIDS patients. (Korean J Gastrointest Endosc 2011;42:250-254)
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