결핵성복막염에 의한 간동맥류 1예
Case Report of a Hepatic Artery Aneurysm due to Peritoneal Tuberculosis
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초록
감염성 동맥류는 대부분의 경우 무증상이거나 비 특이적인 증상을 보여 진단이 어려운 질환이다. 그러므로 진단이 되지 못하거나 늦어짐으로써 생명을 잃는 수도 있다. 본 증례는 결핵성 복막염으로 치료받던 환자에게서 간동맥에 발생한 감염성 동맥류를 진단하였으며, 성공적 치료를 시행한 경우이다. 감염성 동맥류는 드물지만 환자의 생명과 직결되는 상황을 초래할 수 있는 질환으로 감염성 질환의 진단과 치료를 하는 데 있어 이러한 합병증의 가능성을 항상 염두에 두어야겠다.
Abstract
A 28-year-old man was admitted due to abdominal pain and nausea. The patient had been diagnosed with peritoneal tuberculosis and was being treated with anti-tuberculous drugs. After 7 months of therapy, he developed abdominal pain, nausea, and melena. Gastrofiberscopy showed a duodenal ulcer and fistular opening. Abdominal CT revealed an aneurysm of the replaced hepatic artery due to abdominal tuberculous lymphadenopathy. After embolization of the aneurysm, his symptoms improved. Although mycotic aneurysm occurs rarely as a complication of tuberculous lymphadenopathy, it should be diagnosed as early as possible because of the high rate of rupture and associated high mortality. (Korean J Med 2011;80:734-738)
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