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KMID : 0882420120830060757
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Korean Journal of Medicine
2012 Volume.83 No. 6 p.757 ~ p.763
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A Case of Yersinia enterocolitica Enterocolitis Accompanied by Colonic Adhesion after Surgery for Uterine Myoma in an Adult Patient
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Hyun Kyung-Hee
Jeon Soung-Min
Kim Hyung-Joon
Lee Joon-Hyuk
Kim Bae-Hwan
Shin Hyun-Deok
Shin Jeong-Eun
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Abstract
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Yersinia enterocolitica infection in adults in Korea is reported rarely. Therefore, the possibility of Yersinia infection as a cause of abdominal pain may be overlooked. Because its clinical features are similar to those of acute appendicitis or other diseases that require operations, Yersinia enterocolitis should be diagnosed before surgery. We recently experienced a case of Y. enterocolitica enterocolitis accompanied by postoperative colonic adhesion. A 39-year-old female patient with a 5-year history of asymptomatic uterine myoma underwent transabdominal hysterectomy due to abdominal pain. However, the pain worsened. On CT, diffuse swelling of the right colon and adhesion of the sigmoid colon with luminal narrowing were found. Colonoscopy showed multiple aphthous ulcers with mucosal hyperemia from the cecum to the sigmoid colon. Multiplex PCR with stool specimens, a hemagglutination test for Y. enterocolitica O:3, and tissue culture were positive for Y. enterocolitica. After fluids and antibiotic therapy, her symptoms were relieved.
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KEYWORD
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Abdominal pain, Yersinia enterocolitica, Enterocolitis, Colonic adhesion
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