A case of accessory splenic tuberculosis mimicking a distal pancreatic tumor / 대한내과학회지

Abdominal tuberculosis usually affects the gastrointestinal tract, peritoneum, lymph nodes, liver or spleen. Tuberculosis of the spleen is uncommon, except when associated with miliary dissemination. We report a case of a 33-year-old man with tuberculosis of the accessory spleen, which was originally suspected to be a distal pancreatic tumor. He was admitted with a history of left upper quadrant abdominal pain for 3 months. Computed tomography imaging of the abdomen revealed a 4.5 cm sized poorly defined hypodense mass in the distal pancreas and showed multiple focal hypodense lesions in the enlarged spleen. We performed distal pancreatectomy and splenectomy under the preoperative expectation of a distal pancreatic tumor. Microscopic examination of the specimens revealed accessory splenic tuberculosis associated with splenic tuberculosis. Following this, he was treated with appropriate antituberculosis drugs and was discharged without any complications.

A case of Cowden's syndrome associated with Lhermitte-Duclos disease / 대한내과학회지

Cowden's disease, or multiple hamartoma syndrome, is an uncommon autosomal dominant condition characterized by mucocutaneous lesions and systemic malignancies. Lhermitte-Duclos disease, or dysplastic gangliocytoma of the cerebellum, is a rare cerebellar lesion that can cause mass effects in the posterior fossa. It may occur sporadically, or in association with Cowden's syndrome. We report a case of Cowden's disease associated with Lhermitte-Duclos disease in a 49-year-old man who underwent a routine checkup

A case of hypertrophic obstructive cardiomyopathy complicated by infective endocarditis and treated by surgical intervention / 대한내과학회지

Infective endocarditis complicates hypertrophic obstructive cardiomyopathy in 5~9% of cases. It's incidence is higher in those with obstruction or left atrial enlargement. Early surgical intervention is usually needed in patients with acute infective endocarditis and progressive congestive heart failure. We reported a case of hypertrophic obstructive cardiomyopathy complicated by infective endocarditis, which was diagnosed by echocardiography and was treated by surgical intervention.