Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
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간내 간충병에 대한 간절제술 1예

A Human Case of Hepatic Resection for Liver Fascioliasis In Korea

  • 김홍진 (영남대학교 의과대학 일반외과교실) ;
  • 노성균 (영남대학교 의과대학 일반외과교실) ;
  • 심민철 (영남대학교 의과대학 일반외과교실) ;
  • 권굉보 (영남대학교 의과대학 일반외과교실) ;
  • 이헌주 (영남대학교 의과대학 내과학교실) ;
  • 장재천 (영남대학교 의과대학 진단방사선과학교실) ;
  • 이태숙 (영남대학교 의과대학 병리학교실)
  • Kim, Hong-Jin (Department of Surgery, Yeungnam University, School of Medicine) ;
  • Roh, Sung-Kyun (Department of Surgery, Yeungnam University, School of Medicine) ;
  • Shim, Min-Chul (Department of Surgery, Yeungnam University, School of Medicine) ;
  • Kwun, Koing-Bo (Department of Surgery, Yeungnam University, School of Medicine) ;
  • Lee, Heun-Ju (Department of Internal Medicine, Yeungnam University, School of Medicine) ;
  • Chang, Jae-Chun (Department of Diagnostic Radiology, Yeungnam University, School of Medicine) ;
  • Lee, Tae-Sook (Department of Pathology, Yeungnam University, School of Medicine)
  • 발행 : 1990.06.30
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초록

영남대학교 의과대학 외과학교실에서는 1989년 11월에 한국에서 발병한 간흡충병의 여섯번째 증례로, 특히 간내 담관에 발생한 첫 증례를 우측 간엽 절제술 및 담낭 적출술로 좋은 결과를 얻었으며, 간내 담관에 발생한 경우에는 간암과의 구별이 요구되어야 한다는 점을 상기 시키면서 증례보고와 더불어 문헌적 고찰을 하였다.

Human Fasciola hepatica infection is a rare entity involving infestation of the liver and biliary tree with adult flukes. which can result in hepatitis. cirrhos is and biliary tract inflammation. obstruction and lithiasis. The patient had the typical diagnostic tetrad of fever. eosinophilic leukocytos is. tender hepatomegaly and fluke ova in the stools. Theatment consistes of Emetine hydrochloride administration for hepatic involvement and common bile duct exploration for removal of flukes. with cholecystectomy for associated cholelithiasis. The combination of medical and surgical therapy cal be expected to produce an arrest of this infection. The removed liver revealed eggs of the fasciols species in the intrahepatic bile duct. The clinical history. pathological findings and treatment of this case were described.

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