Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Two Different Causes of Intestinal Obstruction in Lung Cancer

폐암 환자에서 발생한 장 폐색 2예

  • Han, Min Sung (Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological & Medical Science) ;
  • Koh, Kyung Won (Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological & Medical Science) ;
  • Kim, Yeo Myung (Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological & Medical Science) ;
  • Kang, Min Soo (Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological & Medical Science) ;
  • Choe, Du Hwan (Department of Radiology, Korea Cancer Center Hospital, Korea Institute of Radiological & Medical Science) ;
  • Kim, Hye-Ryoun (Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological & Medical Science) ;
  • Kim, Cheol Hyeon (Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological & Medical Science) ;
  • Lee, Jae Cheol (Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological & Medical Science)
  • Received : 2009.04.17
  • Accepted : 2009.05.08
  • Published : 2009.05.30
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Abstract

Prompt and proper discovery of cause is important in lung cancer patients with signs and symptoms of intestinal obstruction because approach for treatment may differ according to its etiology and emergency operation can often be required to prevent more severe complications. In this report, we present two different causes of intestinal obstruction in lung cancer. Physicians need to be aware of these possibilities to differentiate the cause of intestinal obstruction in patients with lung cancer.

장 폐색의 증상 및 징후가 있는 폐암 환자에서는 원인에 대한 신속하고 적절한 규명이 중요한데 이는 장 폐색의 원인에 따라 치료 방침이 달라지고, 종종 더욱 심한 합병증을 예방하기 위해 응급수술이 필요한 경우도 있기 때문이다. 본 논문에서는 폐암과 동반하여 각기 다른 원인에 의한 장 폐색이 있었던 두 증례를 보고하고자 한다. 첫 번째는 폐암 치료 중 발생한 10 kg의 급격한 체중감소가 있었던 57세 남자로 반복되는 답즙성 구토를 주소로 내원하였다. 전이성 병변은 발견되지 않았으나 전산화단층촬영 및 상부위장관조영술에서 십이지장 제3부의 폐색이 보여 상장간막 동맥 증후군으로 진단되었다. 두 번째 증례는 68세 남자로 3년 전 폐암으로 수술 및 보조항암화학치료를 받았으나 재발하여 경과를 관찰 중이던 환자로 오심, 구토 및 복통으로 내원하였는데 검사 결과 소장 전이로 인한 장 폐색으로 진단되어 수술적 치료를 시행하였다. 폐암 환자에서 장 폐색이 의심될 때 그 원인이 될 수 있는 여러 가능성들을 항상 염두에 두고 진단 및 치료 방침을 세워야 할 것으로 생각된다.

Keywords

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