황달로 발현된 바터 팽대부의 신경절세포 부신경절종 1예 |
천황래·김창덕·백창원·유상균·김용식·진윤태·전훈재·이홍식·엄순호·이상우·최재현·류호상·최정우*·현진해 |
고려대학교 의과대학 내과학교실, 소화기연구소, *병리학교실 |
A Case of Gangliocytic Paraganglioma of the Ampulla of Vater Presenting as Jaundice |
Hwang Rae Chun, M.D., Chang Duck Kim, M.D., Chang Won Baeck, M.D., Sang Kyun Yu, M.D., Yong Sik Kim, M.D., Yoon Tae Jeen, M.D., Hoon Jai Chun, M.D., Hong Sik Lee, M.D., Soon Ho Um, M.D., Sang Woo Lee, M.D., Jai Hyun Choi, M.D., Ho Sang Ryu, M.D., Jung Woo |
Departments of Internal Medicine, Institute of Digestive Disease and Nutrition, *Department of Pathology, Korea University College of Medicine, Seoul, Korea |
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Abstract |
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Gangliocytic paraganglioma is a rare and benign gastrointestinal tumor that usually arises in the second portion of the duodenum. Histogenesis of this tumor is yet unclear. It is incidentally found during radiographic examinations or during endoscopy looking for the cause of gastrointestinal hemorrhage, which usually manifests as mucosal ulcerations. To our knowledge, there was only one case of duodenal gangliocytic paraganglioma presenting with melena in Korea. We experienced a case of gangliocytic paraganglioma arising from the ampulla of Vater, presenting as obstructive jaundice, which was subsequently removed surgically. Thus, we report this case with a review of literatures. (Korean J Gastrointest Endosc 2005;30:4751) |
Key Words:
Gangliocytic paraganglioma, Ampulla of Vater, Jaundice |
주요어:
신경절세포 부신경절종, 바터 팽대 부위, 황달 |
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