http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Endoscopic Treatment of Jejunal Heterotopic Gastric Mucosa that Caused Recurrent Intussusception
안계련,구자설,김환일,김지혜,이지현,김승영,정성우,이상우 대한소화기내시경학회 2017 Clinical Endoscopy Vol.50 No.6
Heterotopic gastric mucosa (HGM) is a rare anomaly in the small bowel and may be the cause of intussusception when it gets a lead point in the jejunum. All cases of intussusception due to intestinal HGM have been treated with surgical resection. A 5-year-old girl presented with chief complaints of vomiting and abdominal pain for 2 weeks. A computed tomography scan of the abdomen showed intussusception at the proximal jejunal loops. Three air reductions and one saline reduction were attempted without success. She continued to be symptomatic, and endoscopic evaluation was performed. Enteroscopy revealed some variable-sized polypoid mucosal lesions with erosions on the proximal jejunum. Endoscopic mucosal resection was performed using a snare. The resected tissues histologically showed a hyperplastic polyp arising from the HGM. Her symptoms did not recur within 1 year after the treatment. Our case showed that enteroscopy could be useful for the diagnosis and management of jejunal intussusception caused by HGM.
증예(症例) : 균혈증을 동반한 Edwardsiella tarda 간농양 1예
안계련 ( Ke Ryun Ahn ),김지영 ( Ji Young Kim ),한상원 ( Sang Won Han ),이은지 ( Eun Ji Lee ),배혜리 ( Hae Ri Baek ),이찬복 ( Chan Bok Lee ),김은석 ( Eun Seok Kim ) 전북대학교 의과학연구소 2010 全北醫大論文集 Vol.34 No.1
Edwardsiella tarda is an anaerobic, Gram-negative bacillus that found in freshwater and marine environments. Edwardsiella tarda infection is rare disease, but can be lethal. We experienced severe Edwardsiella tarda infection that caused Liver abscess and bacteremia. The patient showed fever, leukocytosis, alanine aminotransferase, aspartate aminotransferase elevation. Abdomen CT showed 57mm sized liver abscess. Edwardsiella tarda cultured from pus and blood. Percutaneous abscess drainage and antibiotic therapy by using cefotaxim and levofloxacin has done. The patient has successfully cured and no abscess pocket has seen in follow up abdomen CT scan.
Emphysematous prostatitis combined with a liver abscess caused by Klebsiella pneumoniae
김지영,김은석,안계련,한상원,백혜리,이은지,이찬복 대한감염학회 2011 Infection and Chemotherapy Vol.43 No.1
Emphysematous prostatitis is a rare condition that is characterized by gas and abscess accumulation in the prostate. This uncommon but serious disease requires special attention because of its nonspecific presentation such as dysuria, frequency,urgency, fever, acute urinary retension and/or perineal pain. We report here on a case of emphysematous prostatitis that was combined with a liver abscess caused by Klebsiella pneumoniae. A 55-year-old man was admitted due to a 3-day history of urinary retention with a febrile sensation. He had histories of liver cirrhosis and uncontrolled diabetes mellitus. After blood and urine cultures, levofloxacin 500mg was started intravenously. On the third hospital day, he displayed septic shock. The kidneys-ureters bladder (KUB) X-ray showed pockets of air-accumulation in the lower pelvic cavity, and abdominopelvic computed tomography (CT) with contrast enhancement taken on the third day showed a 5-cm liver abscess with an emphysematous prostate. Intravenous antibiotics was changed to metronidazole 500 mg q.i.d. and cefotaxime 2 g t.i.d. On the sixth day, transurethral resection and drainage were performed under spinal anesthesia. However, the postoperative bleeding continued and hypovolemic shock persisted, which then provoked multiorgan failure. The patient died on the 11th hospital day. K. pneumoniae was cultured from the liver abscess aspirate, blood and prostatic tissue, and the bacteria were sensitive to both levofloxacin and cefotaxime. Emphysematous prostatitis is a difficult to diagnose because of its rarity and nonspecific symptoms. A delayed diagnosis can cause high mortality and morbidity, so making a prompt clinical diagnosis of this condition is essential. Appropriate antibiotics with early adequate incision and drainage are also needed.