The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

A Case of Malabsorption Induced by Blind Loop Syndrome in a Patient with Liver Cirrhosis

간경변증 환자에서 창자정체증후군에 의한 흡수장애 1예

  • Yoo, Ji-Youn (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Kang, Hyung-Min (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Choi, Jin-Woo (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Jeong, Sook-Hyang (Department of Internal Medicine, Seoul National University Bundang Hospital) ;
  • Kim, Hyung-Ho (Department of Surgery, Seoul National University Bundang Hospital) ;
  • Kim, Young-Hoon (Department of Radiology, Seoul National University Bundang Hospital) ;
  • Lee, Hye-Seung (Department of Pathology, Seoul National University Bundang Hospital)
  • 유지연 (서울대학교 의과대학 분당서울대학교병원 내과) ;
  • 강형민 (서울대학교 의과대학 분당서울대학교병원 내과) ;
  • 최진우 (서울대학교 의과대학 분당서울대학교병원 내과) ;
  • 정숙향 (서울대학교 의과대학 분당서울대학교병원 내과) ;
  • 김형호 (서울대학교 의과대학 분당서울대학교병원 외과) ;
  • 김영훈 (서울대학교 의과대학 분당서울대학교병원 방사선과) ;
  • 이혜승 (서울대학교 의과대학 분당서울대학교병원 병리과)
  • Published : 2011.09.01
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Abstract

Of the various causes of malabsorption, to our knowledge, blind loop syndrome has been reported in Korea only rarely. Here, we report the case of a 63-year-old woman with hepatitis C virus-associated liver cirrhosis. The patient complained of abdominal distension and had an abnormal serum biochemistry caused by blind loop syndrome related to childhood abdominal surgery. Her laboratory findings showed an iron deficiency anemia, hypocholesterolemia, hypoproteinemia and hypoalbuminemia, and were confounded with those of liver cirrhosis. She underwent resection of the blind loop segment of the small intestine, after which her abdominal symptoms and abnormal laboratory findings improved, although they did not completely normalize due to her liver cirrhosis.

저자들은 C형 간염바이러스에 의한 간경변 환자에서 빈혈, 저콜레스레롤혈증, 저단백혈증을 보이는 창자정체증후군에 의한 흡수장애증후군이 동반되었고 수술적 절제로써 흡수장애에서 회복된 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

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