Korean J Gastrointest Endosc > Volume 36(6); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(6): 395-400.
비장티푸스성 D군 살모넬라에 의한 소장대장염 환자에서 대장내시경 검사 후 발생한 횡행결장 천공 1예
김기훈ㆍ최석채ㆍ김태현ㆍ서검석ㆍ최창수ㆍ서승오ㆍ송미진ㆍ조지현*
원광대학교 의과대학 내과학교실, 소화기질환연구소, *진단검사의학교실
A Case of Transverse Colon Perforation after Colonoscopy in a Patient withEnterocolitis Caused by Non-typhoidal Group D Salmonella
Ki Hoon Kim, M.D., Suck Chei Choi, M.D., Tae Hyeon Kim, M.D., Geom Seog Seo, M.D., Chang Soo Choi, M.D., Sung O Seo, M.D., Mi Jin Song, M.D. and Ji Hyun Cho*, M.D.
Department of Internal Medicine, Digestive Disease Research Institute, *Department of Laboratory Medicine, Wonkwang University College of Medicine, Iksan, Korea
Abstract
Clinical manifestations of Salmonella infection are variable such as enterocolitis, bacteremia, enteric fever, focal infection and asymptomatic carrier status. Among these presentations, enterocolitis is the most common clinical manifestation and can be diagnosed by the use of fecal specimens. Patients with severe infectious colitis are at increased risk of developing a colon perforation after colonoscopy due to colon trauma. We report a case of a 31-year-old woman with transverse colon perforation after colonoscopy that was diagnosed with enterocolitis caused by infection with non-typhoidal group D Salmonella. (Korean J Gastrointest Endosc 2008;36:395-400)
Key Words: Colon perforation, Toxic megacolon, Colonoscopy, Non-typhoidal Salmonella
주요어: 대장천공, 독성 거대결장, 대장내시경, 비장티푸스성 살모넬라
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