Korean J Gastrointest Endosc > Volume 35(1); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(1): 14-18.
복수를 동반한 위막성 대장염의 임상양상
권오완·이오영·권영일·정재윤·백유흠·문 원·김정미·고동희·이항락·윤병철·최호순·함준수·이민호·이동후·기춘석
한양대학교 의과대학 내과학교실
Clinical Feature of Pseudomembranous Colitis with Ascites
Oh Wan Kwon, M.D., Oh Young Lee, M.D., Young Il Kwon, M.D., Jae Yoon Jeong, M.D., Yoo Hum Baek, M.D., Won Moon, M.D., Jung Mi Kim, M.D., Dong Hee Koh, M.D., Hang Lak Lee, M.D., Byung Chul Yoon, M.D., Ho Soon Choi, M.D., Joon Soo Hahm, M.D., Min Ho Lee, M.
Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea

Ascites is a fairly common condition, but the clinical features of pseudomembranous colitis with ascites are not well-known. The aim of this study was to determine how the existence of ascites is related to the clinical factors.
Between March 2002 and June 2006, 67 pseudomembranous colits patients were diagnosed by performing lower endoscopy and biopsy. The patients' ascites was identified by abdominal plain radiography, ultrasonography or computerized tomography. The extension of colitis was evaluated by ultrasonography or computerized tomography.
16 patients (23.9%) had ascites. The serum WBC (p=0.01), hypoalbuminemia (p<0.01), CRP (p<0.01), recurrence (p<0.01), and extension of colitis (p<0.01) were associated with the existence of ascites. The four patients who had undergone paracentesis had a low SAAG level and PMN dominant ascites.
There were correlations of ascities with leukocytosis, hypoalbuminemia, CRP, extension of colitis and recurrence of PMC.
Key Words: Pseudomembranous colitis, Ascites
주요어: 위막성 대장염, 복수
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