급성 췌장염과 담관염으로 발현된 간흡충증 1예 |
이기성·김경호·박소영·박치준·이자영·장명국·박준용·이진헌·김학양·유재영 |
한림대학교 의과대학 내과학교실 |
A Case of Clonorchiasis Presenting with Acute Pancreatitis and Cholangitis |
Ki Sung Lee, M.D., Kyung Ho Kim, M.D., So Young Park, M.D., Chi Jun Park, M.D., Ja Young Lee, M.D., Myoung Kuk Jang, M.D., Joon Yong Park, M.D., Jin Heon Lee, M.D., Hak Yang Kim, M.D. and Jae Young Yoo, M.D. |
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea |
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Abstract |
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Clonorchiasis is a parasitic disease that is often found in Japan, Korea, China, Hong Kong as well as in countries in Southeast Asia. The disease is caused by the ingestion of infected raw freshwater fish. The clinical manifestations depend on the number of flukes in a patient, the period of infestation, and the complications. In patients with a heavy infestation, extrahepatic bile duct, the gallbladder and even the pancreas are involved. We experienced a 62-year-old man who had a history of ingestion of raw freshwater fish and presented with acute pancreatitis and cholangitis. The pancreaticobiliary-associated clonorchiasis was successfully treated with endoscopic sphincterotomy, and praziquantel. (Korean J Gastrointest Endosc 2006;32:231234) |
Key Words:
Clonorchiasis, Acute pancreatitis, Acute cholangitis |
주요어:
간흡충증, 급성 췌장염, 급성 담관염 |
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