결핵에 의한 총담관-십이지장루 1예 |
윤상정·전병민·정성희·김안나·고병성·양현웅·박영숙·고 훈·최기영·김준형·이재민·남효정·박순현 |
을지의과대학교 내과학교실 |
Choledocho-duodenal Fistula Caused by Tuberculosis |
Sang Jeong Yoon, M.D., Byung Min John, M.D., Sung Hee Jung, M.D., Anna Kim, M.D., Byeong Seong Ko, M.D., Hyeon Woong Yang, M.D., Young Sook Park, M.D., Hoon Go, M.D., Gi Young Choi, M.D., Jun Hyoung Kim, M.D., Jae Min Lee, M.D., Hyo Jung Nam, M.D. and Soo |
Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea |
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Abstract |
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Choledocho-duodenal fistula is a rare condition. It is usually developed as a complication of the gallstone disease, and rarely developed by penetrating peptic ulcer, trauma and neoplasm. Tuberculosis as a etiology of choledocho-duodenal fistula is very rare, and only a few cases were reported. We experienced a case of choledocho-duodenal fistula due to tuberculous lymphadenitis in a 26 year-old man presented with epigastric pain. After 6 months of anti-tuberculous medication, He was free of symptom and the fistula was closed spontaneously. We report the case with a review of literatures. (Korean J Gastrointest Endosc 2005;30:286289) |
Key Words:
Tuberculosis, Tuberculous lymphadenitis, Choledocho-duodenal fistula |
주요어:
결핵, 결핵성 림프절염, 총담관-십이지장루 |
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