Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Double Pylorus After a Peptic Ulcer in the Gastric Antrum: A Case Report

위 전정부의 소화성궤양 후에 생긴 중복유문: 증례 보고

  • Song, Jang-Hyeon (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hospital) ;
  • Kim, Jin-Woong (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Jeong, Yong-Yeon (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Heo, Suk-Hee (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Shin, Sang-Soo (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hospital) ;
  • Kang, Heoung-Keun (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Heo, Young-Hoe (Department of Hepato-Pancreato-Biliary Surgery, Chonnam National University Medical School, Chonnam National University Hospital)
  • 송장현 (전남대학교 의과대학 영상의학교실, 전남대학교병원 영상의학과) ;
  • 김진웅 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 정용연 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 허숙희 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 신상수 (전남대학교 의과대학 영상의학교실, 전남대학교병원 영상의학과) ;
  • 강형근 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 허영회 (전남대학교 의과대학 외과학교실, 전남대학교병원 간담췌외과)
  • Received : 2010.04.18
  • Accepted : 2010.05.27
  • Published : 2010.09.01
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Abstract

Double pylorus is an accessory channel between the gastric antrum and duodenal bulb with a normal pyloric canal. It is understood that the etiology of double pylorus is a congenital anomaly or an acquired complication after the occurrence of peptic ulcer disease. We report the CT findings with CT gastrography of double pylorus as a complication after a previous peptic ulcer in the gastric antrum.

중복유문은 정상 유문과 함께 위 전정부과 십이지장 팽대 사이에 발생한 부가적인 통로가 있는 경우로 매우 드물다. 중복유문은 선천적인 기형이나 소화성궤양의 후천적 합병증으로 발생할 수 있다고 알려져 있다. 저자들은 이전 검사에서 소화성궤양이 있었던 환자로서 추적관찰 CT 검사에서 동일한 위치에 소화성궤양의 합병증으로 중복유문이 발생한 증례를 CT 및 CT위조영술 영상과 함께 보고하고자 한다.

Keywords

References

  1. Kothandaraman KR, Kutty KP, Hawken KA, Barrowman JA. Double pylorus--in evolution. J Clin Gastroenterol 1983;5:335-338 https://doi.org/10.1097/00004836-198308000-00010
  2. Jamshidnejad J, Koehler RE, Narayan D. Double channel pylorus. AJR Am J Roentgenol 1978;130:1047-1050 https://doi.org/10.2214/ajr.130.6.1047
  3. Kreinsen U, Kammerer W, Dohnert G. A contribution to the knowledge of the so-called pyloric band ( "Double pylorus"). Virchows Arch A Pathol Anat Histol 1975;367:163-170 https://doi.org/10.1007/BF00430953
  4. Bender MD, Soffa DJ. Acquired double pylorus: a case report. Radiology 1975;116:325-326 https://doi.org/10.1148/116.2.325
  5. Smith VM, Tuttle KW. Gastroduodenal (pyloric) band. Endoscopic findings and first reported case. Gastroenterology 1969;56:331-336
  6. Kwan WH, Yeung WH, Chan TM, Cheng CS. Double pylorus with occult gastrointestinal bleeding. J HK Coll Radiol 2001;4:157-159
  7. Hegedus V, Poulsen PE, Reichardt J. The natural history of the double pylorus. Radiology 1978;126:29-34 https://doi.org/10.1148/126.1.29
  8. Friehling JS, Rosenthal LE. Gastric carcinoma presenting as double-channel pylorus on upper gastrointestinal series. Dig Dis Sci 1985;30:269-273 https://doi.org/10.1007/BF01347896
  9. Ghahremani GG, Gore RM, Fields WR. Acquired double pylorus due to gastroduodenal fistula complicating peptic ulceration. Arch Surg 1980;115:194-198 https://doi.org/10.1001/archsurg.1980.01380020060014
  10. Thompson WM, Norton G, Kelvin FM, Gedgaudas RK, Halvorsen RA, Rice RP. Unusual manifestations of peptic ulcer disease. Radiographics 1981;1:1-16