Korean J Gastrointest Endosc > Volume 28(1); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(1): 34-38.
Klatskin 종양 환자에서 발생한 기종성 위염 1예
정종윤·이동현·박원일·박진홍·김형욱·허 정·김광하·강대환·송근암·조 몽·양웅석
부산대학교 의과대학 내과학교실
Emphysematous Gastritis Developed in a Patient with Klatskin's Tumor
Jong Yun Cheong, M.D., Dong Hyun Lee, M.D., Won Il Park, M.D., Jin Hong Park, M.D., Hyong Wook Kim, M.D., Jeong Heo, M.D., Gwang Ha Kim, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D., Mong Cho, M.D. and Ung Suk Yang, M.D.
Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea
Abstract
Emphysematous gastritis is a rare disease characterized by air in the wall of the stomach due to gas-forming microorganisms. This lethal entity was first described by Fraenkel in 1889. Forty-six cases have been reported so far in the literature. The predisposing factors include corrosive ingestion, immunocompromized state, alcohol abuse, cancer, diabetes and so on. Computed tomography is the procedure of choice for early diagnosis. Only prompt diagnosis and treatment can avoid mortality. Initial antibiotic therapy should cover gram-negative organisms and anaerobes. We report a case of emphysematous gastritis in a 41-year-old man with Klatskin's tumor. (Korean J Gastrointest Endosc 2004;28:34⁣38)
Key Words: Emphysematous gastritis
주요어: 기종성 위염
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