Korean J Gastrointest Endosc > Volume 41(2); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;41(2): 102-107.
조기위암의 복막 전이로 의심된 감염성 복막염 2예
이승범ㆍ송호준ㆍ최석원ㆍ유 훈ㆍ이정훈ㆍ정훈용ㆍ김진호
울산대학교 의과대학 서울아산병원 소화기내과학교실
Two Cases of Unusual Infectious Peritonitis Mimicking Peritoneal Carcinomatosis of Early Gastric Cancer
Seung Bum Lee, M.D., Ho June Song, M.D., Suk Won Choi, M.D., Hoon Yu, M.D., Jeong Hoon Lee, M.D., Hwoon-Yong Jung, M.D. and Jin-Ho Kim, M.D.
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Abstract
Endoscopic mucosal resection is an organ-saving and minimally invasive treatment modality for early gastric cancer that is mucosa-confined, differentiated, and less than 2 cm in size. On pre-treatment cancer staging work-ups, unusual, benign, infiltrative peritoneal lesions can mimic metastasis of early gastric cancer, and thus lead to loss of an opportunity for the lesion to be properly treated by endoscopy. In the present cases, we report two unusual cases of infectious peritonitis, i.e., tuberculosis and paragonimiasis, which have been occurring sporadically in Korea. The two infectious lesions were confirmed by peritoneal biopsy and the gastric cancers were subsequently removed by endoscopic mucosectomy. These two cases remind us of 1) following indications for endoscopic mucosectomy, 2) the need for peritoneal biopsy for undetermined peritoneal lesions while avoiding laparoscopic gastrectomy, and 3) the coincidental occurrence of unusual infectious peritonitis with gastric cancer in our geographic region. (Korean J Gastrointest Endosc 2010;41:102-107)
Key Words: Tuberculosis, Paragonimiasis, Peritonitis, Stomach neoplasms, Endoscopy
주요어: 결핵, 폐흡충증, 복막염, 위암, 내시경
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