Korean Journal of Gastrointestinal Endoscopy 1997;17(4): 523-528.
증례 : 식도 위장관 ; 식도이완 불능증 환자에서 발생한 폐농양 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Lung Abscess in an Achalasia Patient )
김영관, 김영호, 김남훈, 김진범, 이명기, 곽재영, 조연희, 이영록, 김규식 (Young Kwan Kim, Young Ho Kim, Nam Hoon Kim, Gin Bum Kim, Myung Gi Lee, Jae Young Guahk, Yeon Hie Jo, Young Rock Lee and Kyu Sik Kim)
Abstract
Esophagea1 achalasia is a disease of unkown etiology characterized by abscenee of per- istalsis in the body of the esophagus and failure of the lower esaphageal sphincter to relax in response to swallow. The cause has been suggested by the lack or abscence of ganglion cell in Auerbach's plexus. About 10% of patients with achalasis develop pulmonary complication such as aspiration pnuemonia, pulmonary fibrosis, pulmonary tuberculosis, culosis, bronchiectasis, lung abscess and bronchial asthma. Although aspiration pneumonia is the most common pulmonary complication in patients with achalasia, lung abscess is the extremely rare complication. A 48 years old female, who has experienced dysphagia and regurgitation for several years, is hospitalized because of high fever, cough and sputurn for 2 weeks. Lung abscess in apicoposterior segment of left upper lobe is observed in X-ray and chest CT. The findings of esophagogram, esophagogastroscopy and esophageal manometry are consistent with achalasia. We report a case of lung abscess associated with achalasia. (Korean J Gastrointest Endosc 17: 523-528, 1997)
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