내시경 경비 담관 배액술로 진단된 간질증 1예
A case of fascioliasis diagnosed by endoscopic nasobiliary drainage fluid examination
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참고문헌
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초록
저자들은 상복부 동통과 심한 호산구증다증을 보이는 환자에게서 컴퓨터 단층 촬영과 조직 생검, 그리고 내시경 역행성 담췌관 조영술을 통한 경비 담관 배액술을 시행하여 얻은 담즙에서 충란을 발견하여 간질증으로 진단하고 triclabendazole로 치료한 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Fascioliasis is a zoonotic parasitic disease caused by Fasciola hepatica, the sheep liver fluke. Humans are accidental hosts in the life cycle of this parasite. Radiographic studies such as computerized tomography (CT) and ultrasonography are used widely for diagnosis. The abnormalities seen most commonly on a CT scan of the abdomen are multiple, small (less than 10 mm), indiscrete, hypodense lesions and microabscesses with tunnel-like branches, with frequent subcapsular locations of the lesions. A rare case of fascioliasis presenting with multi-septated hepatic cystic lesion like biliary cyst adenoma is reported. We experienced a 28-year-old woman who had epigastric pain for 5 months with severe eosinophilia and multi-septated 3.6 cm-sized hepatic cysts. We finally diagnosed the condition by identifying eggs of Fasciola hepatica from endoscopic nasobiliary drainage (ENBD) fluid.(Korean J Med 72:658-662, 2007)
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