Korean J Gastrointest Endosc > Volume 31(6); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;31(6): 432-436.
다량의 하부 위장관 출혈로 발현된 담석증 1예
안동원·명선정·신철민·유수종·유지원·조수정·조재현·류지곤·김용태·윤용범·장진영*
서울대학교 의과대학 내과학교실, *외과학교실
A Case of Cholelithiasis with Massive Lower Gastrointestinal Bleeding
Dong Won Ahn, M.D., Sun Jung Myung, M.D., Cheol Min Shin, M.D., Su Jong Yu, M.D., Ji Won Yoo, M.D., Soo Jeong Cho, M.D., Jae Hyun Cho, M.D., Ji Kon Ryu, M.D., Yong-Tae Kim, M.D., Yong Bum Yoon, M.D. and Jin Young Jang, M.D.*
Departments of Internal Medicine and *Surgery, Seoul National University College of Medicine, Seoul, Korea
Abstract
Cholelithiasis is a relatively common disease and can present with various clinical manifestations and complications such as no symptoms, biliary pain, acute cholecystitis, biliary pancreatitis, acute cholangitis, gallstone ileus and biliary enteric fistula. However, cholelithiasis presenting with intra-gallbladder bleeding and massive gastrointestinal bleeding are relatively rare in the worldwide literature and there have been only a few reported case studies. We present here an interesting case of a 63 year-old women with gallstone, active intra-gallbladder bleeding and massive hematochezia who underwent open cholecystectomy, resection and anastomosis of the transverse colon. This patient's pathologic evaluation revealed a finding of acute and chronic cholecystitis with marked hemorrhage and transmural fibrinoid necrosis in the transverse colon. (Korean J Gastrointest Endosc 2005;31:432⁣436)
Key Words: Cholelithiasis, Gastrointestinal hemorrhages
주요어: 담석증, 위장관 출혈
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