대망의 낭성 종괴로 발현된 이소성 폐흡충증
Ectopic Paragonimiasis Presented as Omental Cystic Masses
양성훈, 임기윤, 김종헌, 문우성,
소속 상세정보
양성훈 ( Yang Sung-Hoon )
전북대학교 의과대학 외과학교실
임기윤 ( Lim Ki-Yun )
전북대학교 의과대학 외과학교실
김종헌 ( Kim Jong-Hun )
전북대학교 의과대학 외과학교실
문우성 ( Moon Woo-Sung )
전북대학교 의과대학 병리학교실
KMID : 0371320040660060526
Abstract
Ectopic paragonimiasis has been diagnosed in many organs, such as the mesentery, peritoneum, omentum, diaphragm, pleura, liver, ovary, central nervous system and subcutis. However, simultaneous involvement of the peritoneum, mesentery and omentum is relatively unusual. A 52 years old woman, who visited our hospital because of abdominal pain, is the subject of this report. A CT scan showed an approximate 3.9×9.0 cm sized omphalomesenteric duct cyst in the eft paraumbilical area of abdomen. An explorative laparotomy was performed, and the pathologic diagnosis was nonspecific chronic inflammation, with diffuse foreign body granuloma due to parasitic eggs. Postoperatively, the immunoserologic test for paragonimus wetermani was positive. A case of peritoneal, mesenteric and omental paragonimiasis, presenting as omental cystic masses, is presented, with a brief review of the literature.
키워드
폐흡충증;이소성 기생;대망;Paragonimiasis;Ectopic;Omental
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