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1.
Korean Journal of Medicine ; : 177-180, 2010.
Artículo en Coreano | WPRIM | ID: wpr-102112

RESUMEN

Eosinophilic cholecystitis is a rare form of cholecystitis that is clinically indistinguishable from the predominant form of calculous cholecystitis. Histologically, it is characterized by a dense, transmural leukocyte infiltrate composed of more than 90% eosinophils. A 60-year-old woman complained of right upper quadrant pain. She had no allergic or medicine history. An abdominal CT scan revealed thickened gallbladder wall but no cholelithiasis, and a cholecystectomy was performed. Histologic examination showed transmural eosinophilic infiltration of the gallbladder wall.


Asunto(s)
Femenino , Humanos , Persona de Mediana Edad , Colecistectomía , Colecistitis , Colelitiasis , Eosinófilos , Vesícula Biliar , Leucocitos
2.
Korean Journal of Gastrointestinal Endoscopy ; : 45-48, 2010.
Artículo en Coreano | WPRIM | ID: wpr-194417

RESUMEN

Dieulafoy's lesion is a rare cause of repetitive and massive gastrointestinal bleeding, and this is characterized by an isolated arteriole protruding through a small mucosal defect. Dieulafoy's lesion is generally found in the stomach within 6 cm of the gastroesophageal junction, and usually on the lesser curvature, but many lesions have been reported in extragastric locations, including the esophagus, small bowel and rectum. A Dieulafoy's lesion in the ampulla of Vater is extremely rare, and only one such case has been reported in the Korean population. We experienced a rare case of Dieulafoy's lesion in the ampulla of Vater with massive pulsatile bleeding, and this was successfully treated by transparent cap-assisted endoscopic hemoclipping. We report here on this case with a review of the relevant literature.


Asunto(s)
Ampolla Hepatopancreática , Arteriolas , Unión Esofagogástrica , Esófago , Hemorragia , Recto , Estómago
3.
Korean Journal of Gastrointestinal Endoscopy ; : 72-77, 2009.
Artículo en Coreano | WPRIM | ID: wpr-66129

RESUMEN

BACKGROUND/AIMS: The detection of iatrogenic Mallory-Weiss syndrome during the course of upper GI endoscopy is apparently rare. The aim of this study was identify the clinical features of the disease and associated medical conditions. METHODS: We retrospectively analyzed 46 cases (0.08%) of iatrogenic Mallory- Weiss syndrome identified from 54,188 consecutive upper GI endoscopies performed at our institution during a period of 85 months. RESULTS: A total of 36 patients (78.2%) had retching or belching during the procedure. Hiatal hernias were noted in 20 patients (43.5%). We identified a difference of the attack rate by sex and age for iatrogenic Mallory-Weiss syndrome; the disorder developed predominantly in men. All of the patients had a mucosal tear and oozing and 16 patients underwent endoscopic hemostasis. After being diagnosed with iatrogenic Mallory-Weiss syndrome, 17 patients underwent follow- up endoscopy and all of the patients showed good results without rebleeding. No patient showed a complicated clinical course. CONCLUSIONS: A small number of patients had iatrogenic Mallory-Weiss syndrome and most of the patients showed a good prognosis. If there is a predictable risk factor identified during an upper GI endoscopy or an associated medical condition, special care needs to be taken to minimize belching or retching.


Asunto(s)
Humanos , Masculino , Endoscopía , Eructación , Hemostasis Endoscópica , Hernia Hiatal , Síndrome de Mallory-Weiss , Pronóstico , Estudios Retrospectivos , Factores de Riesgo
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