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Korean J Pancreas Biliary Tract > Volume 3(2):1998 > Article
The Korean Journal of Pancreas and Biliary Tract 1998;3(2):180-183.
위암 전이에 의한 급성 췌장염 1예
김광희, 김창덕, 이성준, 이구, 진윤태, 이홍식, 전훈재, 송치욱, 엄순호, 이상우, 최재현, 류호상, 현진해
고려대학교 의과대학 내과학교실, 소화기연구소
A Case of Metastasis-induced Acute Pancreatitis in Gastric Carcinoma
Kwang Hee Kim, Chang Duck Kim, Sung Joon Lee, Goo Lee, Yoon Tae Jeen, Hong Sik Lee, Hoon Jai Chun, Chi Wook Song, Soon Ho Um, Sang Woo Lee, Jai Hyun Choi, Ho Sang Ryu, Jin Hai Hyun
Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea
Corresponding Author: Chang Duck Kim ,
ABSTRACT
Acute pancreatitis is an acute inflarnmatory process of the pancreas and main causes were gallstone and alcohol. However, there are many other etiologies of the disease. We recently experienced a rare case of acute pancreatitis developed from gastric carcinoma in a 55-year-old man. He had diagnosed gastric carcinoma 2 months ago. During conservative treatment, the patient complained epigastric pain. Gastrofiberscopy showed ulcerating mass with luminal narrowing in antrum of the stomach and UGI revealed antral ulceration with duodenal 2nd portion invasion. On abdominal CT, there was a thickened antral wall of the stomach with invasion to the duodenum and pancreatic head portion. Serum amylase level was 1,000 U/ml and decreased with conservative treatment. Thus it was concluded that acute pancreatitis was developed in a patient with gastric carcinoma invased to the duodenum and pancreas.
Keywords: Acute pancreatitis, Metastasis, Stomach carcinoma
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