- A Case of Recurrent Liver Abscess Due to Choledochoduodenal Fistula.
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Jun Ho Hur, Sun Taek Choi, Min Su Sohn, Ji Eun Lee, In Hee Chung, Sung Ho Ki
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Yeungnam Univ J Med. 2013;30(1):39-42. Published online June 30, 2013
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DOI: https://doi.org/10.12701/yujm.2013.30.1.39
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Abstract
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- Cholelithiasis, duodenal ulcer, duodenal perforation and tumor invasion may lead to choledochoduodenal fistula (CDF). CDF often has no specific symptoms and may be incidentally detected in an upper gastrointestinal radiographic study or endoscopy; but in some cases, it may be accompanied by recurrent cholangitis and liver abscess. In this paper, a case of recurrent liver abscess caused by CDF is reported. A 62-year-old female was admitted to the authors' hospital because of right upper quadrant pain and fever. The abdominal computed tomography showed a liver abscess in the right lobe. A duodenal fistulous orifice was detected with endoscopy, and a contrast was injected through the duodenal orifice using a catheter under fluoroscopy. The injection of the contrast revealed a fistulous track between the duodenal bulb and the common hepatic duct. In fistulas complicated by recurrent liver abscess, surgery or medical management may be needed. The CDF in this case study was treated via endoscopic clipping.
- A Case of Hypomyopathic Dermatomyositis.
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Hyun Tae Kim, Hyun Wook Lee, Byung Jin Kwon, Ji Eun Lee, Dong Ho Oh, Min Su Sohn, Jung Ran Choi
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Yeungnam Univ J Med. 2011;28(2):202-205. Published online December 31, 2011
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DOI: https://doi.org/10.12701/yujm.2011.28.2.202
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Abstract
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- Dermatomyositis is a rare and idiopathic inflammatory myopathy with a characteristic cutaneous manifestation. A 62-year-old female complained of polyarthralgia that lasted for many years. She was diagnosed with hypomyopathic dermatomyositis by the typical skin rash associated with dermatomyositis but without muscle involvement such as muscle weakness, elevated level of creatinine phosphokinase and aldolase. Her symptoms improved with treatment of hydroxychloroquine and prednisolone. We experienced a case of hypomyopathic dermatomyositis on 62-year-old female patient and report with review of literatures.
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