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Korean J Gastrointest Endosc > Volume 42(6); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(6): 383-387.
A Case of Duodenal Wall Abscess Caused by a Foreign Body
Byoung Hoon Ji, M.D., Ji Hoon Yoon, M.D., Jin Ho Lee, M.D., Hee Ryong Lee, M.D., Seong Min Yu, M.D., Min Dae Kim, M.D., Young Il Choi, M.D.* and Il Seon Lee, M.D.
Departments of Internal Medicine, *General Surgery and Pathology, Bong Seng Memorial Hospital, Busan, Korea
Abstract
Duodenal abscess is a form of phlegmonous enterocolitis and is a rarely reported disease throughout the entire world. Duodenal abscess mostly develops from complications of duodenal ulcer perforation, and may result in a clinically fatal course because it is difficult to differentiate from some diseases such as gastric ulcer, gastric cancer, hepatobiliary disorders etc.. The therapeutic gold standard is surgical intervention including abscess removal and drainage. We experienced a case of duodenal abscess that expressed non-specific symptoms, weight loss and epigastric pain, and diagnosed by gastrointestinal endoscopy, abdominal computed tomography. We successfully treated it through surgical intervention with intravenous antibiotics.
Key Words: Duodenal abscess, Foreign body
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