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복강 내 종양으로 오인된 농양을 형성한 위궤양 천공 1예

Other Titles
 A Case of Abdominal Abscess Mimicking a Tumor Caused by a Perforated Gastric Ulcer 
Authors
 유정환 ; 장성일 ; 이관식 ; 김자경 ; 김주희 ; 정교태 ; 박정수 
Citation
 Korean Journal of Medicine (대한내과학회지), Vol.81(1) : 89~92, 2011 
Journal Title
 Korean Journal of Medicine (대한내과학회지) 
ISSN
 1226-329X 
Issue Date
2011
Abstract
Gastric ulcer perforation usually results in panperitonitis, which requires surgical treatment. A peritoneal abscess also can occur with gastric ulcer perforation, but it is not a common complication of peptic ulcer disease. Here, we report a peritoneal abscess that mimicked a tumor and was caused by a gastric ulcer and provide a literature review. A 57-year-old woman was admitted to our hospital for evaluation of an abdominal mass found in another hospital, with no signs of infection. She underwent a left lobectomy of the liver due to choledocholithiasis. Abdominal computed tomography (CT) revealed a heterogeneous mass attached to the antrum of the stomach. At endoscopy, we confirmed that the gastric ulcer at the antrum of the stomach caused the abscess. After 4 weeks of antibiotics and proton pump inhibitor treatment, she was cured. In a patient with abdominal pain and a peritoneal abscess of unknown cause, the possibility of peptic ulcer perforation should be considered
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/95307
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
1. 연구논문 > 1. College of Medicine > Dept. of Radiology
Yonsei Authors
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