성인 환자에서 자궁근종 수술 후 장유착증과 동반된 Yersinia enterocolitica 장염 1예
분야
의약학 > 내과학
저자
김형준 ( Hyung Joon Kim ) , 김배환 ( Bae Hwan Kim ) , 신현덕 ( Hyun Duk Shin ) , 이준혁 ( Joon Hyuk Lee ) , 신정은 ( Jeong Eun Shin ) , 전승민 ( Soung Min Jeon ) , 현경희 ( Kyung Hee Hyun )
발행기관
대한내과학회
간행물정보
Korean Journal of Medicine(구 대한내과학회지) 2012년, 제83권 제6호, 757~763쪽(총7쪽)
파일형식
42847590.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Yersinia enterocolitica infection in adults in Korea is reported rarely. Therefore, the possibility of Yersinia infection as a cause of abdominal pain may be overlooked. Because its clinical features are similar to those of acute appendicitis or other diseases that require operations, Yersinia enterocolitis should be diagnosed before surgery. We recently experienced a case of Y. enterocolitica enterocolitis accompanied by postoperative colonic adhesion. A 39-year-old female patient with a 5-year history of asymptomatic uterine myoma underwent transabdominal hysterectomy due to abdominal pain. However, the pain worsened. On CT, diffuse swelling of the right colon and adhesion of the sigmoid colon with luminal narrowing were found. Colonoscopy showed multiple aphthous ulcers with mucosal hyperemia from the cecum to the sigmoid colon. Multiplex PCR with stool specimens, a hemagglutination test for Y. enterocolitica O:3, and tissue culture were positive for Y. enterocolitica. After fluids and antibiotic therapy, her symptoms were relieved. (Korean J Med 2012;83:757-763)
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