A Case of Pleuropulmonary Paragonimiasis with a Breast Abscess as the Ectopic Site / 대한내과학회지

Paragonimiasis is an infectious disease caused by consumption of raw or improperly cooked freshwater crab or crayfish contaminated with Paragonimus metacercariae. The incidence of the disease has markedly decreased, but it is still a lung disease that requires a differential diagnosis in endemic areas such as Korea and Japan. It is commonly found in the lung but has also been found as extrapulmonary infestations, such as cerebral, spinal, subcutaneous, abdominal, urinary, and gynecological infestations. We report a rare case of ectopic paragonimiasis involving the breast with pleural effusion that was initially misdiagnosed as tuberculous pleurisy and a breast abscess.

Primary Hepatic Tuberculoma Associated with Intrahepatic Duct Stones and Abscess

Tuberculosis is a systemic disease that can occur anywhere in body. Its incidence is various according to the organ or location, and TB in an organ where the general incidence is rare causes so many unexpected symptoms and complications that physicians can sometimes be baffled when attempting to make a diagnosis. If this rare occurrence of TB in an unusual location results in non-specific symptoms, then it is important not to overlook the possibility of tuberculosis. Hepatic tuberculosis is mainly a secondary type of disease that has disseminated from the lungs or other organs. Because a primary TB focus in the liver is rare, in the case in which the lung or other organs have no tuberculosis, it is extremely difficult to arrive at the proper diagnosis of primary hepatic tuberculosis. The authers experienced a case of primary tuberculous granuloma that was associated with intrahepatic duct stones and abscess. This patient was first diagnosed as suffering with intrahepatic duct stones and abscess only. We discovered the associated tuberculous granuloma of the liver by histologic examination after hepatectomy. We report on this case with a review of the relevant literature.

Diverticulitis of the Cecum and Ascending Colon

BACKGROUND: There are many opinions about the surgical management of diverticulitis of the cecum and ascending colon. METHODS: Thirty-two cases of diverticulitis of the cecum and ascending colon were reviewed, including 5 cases of nonsurgical management. RESULTS: The most common preoperative diagnosis, occurring in 81.5% of surgical cases, was acute appendicitis or periappendiceal abscess. A diverticulectomy was performed in 25 patients (93%), an invagination in 1, and an appendectomy in 1. In the diverticulectomy group, two complications occurred. There were no instances of a missed carcinoma. CONCLUSIONS: I conclude that in those patients in whom a carcinoma can be ruled out, a diverticulectomy is a safe and effective surgical method for management of diverticulitis of the cecum and ascending colon.