The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Acute Emphysematous Pancreatitis

급성 기종성 췌장염 1예

  • Hong, Ji-Taek (Department of Internal Medicine, Inha University School of Medicine) ;
  • Jeong, Seok (Department of Internal Medicine, Inha University School of Medicine) ;
  • Lee, Don-Haeng (Department of Internal Medicine, Inha University School of Medicine) ;
  • Kim, Seong-Hyun (Department of Internal Medicine, Inha University School of Medicine) ;
  • Min, Sang-Joon (Department of Internal Medicine, Inha University School of Medicine) ;
  • Chung, Hyun-Jung (Department of Internal Medicine, Inha University School of Medicine) ;
  • Jeon, Yong-Sun (Department of Radiology, Inha University School of Medicine)
  • 홍지택 (인하대학교 의학전문대학원 내과학교실) ;
  • 정석 (인하대학교 의학전문대학원 내과학교실) ;
  • 이돈행 (인하대학교 의학전문대학원 내과학교실) ;
  • 김성현 (인하대학교 의학전문대학원 내과학교실) ;
  • 민상준 (인하대학교 의학전문대학원 내과학교실) ;
  • 정현정 (인하대학교 의학전문대학원 내과학교실) ;
  • 전용선 (인하대학교 의학전문대학원 영상의학교실)
  • Published : 2012.10.01
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Abstract

Emphysematous infections of the abdomen are potentially life-threatening conditions that require aggressive medical and surgical management. Emphysematous pancreatitis is an uncommon disease that presents as acute pancreatitis with intra-parenchymal gas at the time of diagnosis. Traditionally, emphysematous pancreatitis is an indication for surgical intervention. However, a few cases of emphysematous pancreatitis, managed successfully without surgical debridement have been reported. We present a case of emphysematous pancreatitis managed medically without surgical debridement in a 56-year-old male.

복강 내의 기종성 감염은 치명적인 질환이며 적극적인 내과적 치료나 수술적 치료가 필요하다. 특히 기종성 췌장염은 진단 시에 급성 췌장염과 함께 췌장 실질 내에 가스가 보이는 드문 질환이다. 과거에 기종성 췌장염은 대부분 수술적 치료가 필요하다고 알려졌다. 그러나 최근 외과적인 치료 없이 내과적인 치료로 호전된 기종성 췌장염의 증례들이 보고되고 있다. 저자들은 기종성 췌장염이 발생한 56세 남자 환자에서 외과적 치료 없이 보존치료만으로 치험한 1예를 문헌고찰과 함께 보고한다.

Keywords

References

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Cited by

  1. Acute Emphysematous Pancreatitis with Fulminant Multi-organ Failure vol.21, pp.2, 2016, https://doi.org/10.15279/kpba.2016.21.2.76
  2. Emphysematous Pancreatitis as a Complication of Acute Gallstone Pancreatitis vol.69, pp.3, 2012, https://doi.org/10.4166/kjg.2017.69.3.196