간흡충증에 의한 혈액담즙증 1예
A Case of Hemobilia Caused by Clonorchiasis
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초록
우리나라에서 흔한 소화기계 기생충 질환인 간흡충증은 주로 무증상이거나 경미한 소화기계 증상 또는 간효소 수치의 상승을 유발할 수 있으며 드물게 황달, 담석, 담관석, 담관염, 담관암을 유발할 수 있다. 하지만, 총담관과 간내담도 점막에 급성 출혈성 병변을 일으키는 경우는 매우 드물어 아직 보고가 없다. 저자들은 간흡충증에 의한 급성 담관염이 동반된 혈액담즙증을 수술로 확진한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Clonorchiasis is a trematodasis caused by ingestion of a raw fish that contains the infective cysts. In cases of early infection, the patients complained non-specific gastrointestinal symptoms, including anorexia, epigastric pain or diarrhea. In cases of long-standing infection, an association with gallstones, choledocholithiasis, cholangitis and cholangiocarcinoma has been reported. However, acute hemorrhagic complications of clonorchiasis are extremely rare. Herein, we report on a case of hemobilia that was caused by Clonorchis sinensis, and this was confirmed by operation.
참고문헌 (14)
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