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이기용,임선재,윤재철,이계성,김성숙,이미선,김삼용 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1
Castleman's disease is a condition characterized by masses composed of benign lymphoid tissue. Castleman's disease usually occur as a solitary lesion in the mediastinum and less frequently in the neck, and rarely in retroperitoneum and pelvis. Castleman's disease is classified into hyline-vascular type and the plasma cell type. We report a case of 52-year-old woman with Castleman's disease in the retroperitoneum. She was admitted to our hospital with the complaint of right lower quadrant pain for 3 days. Ultrasonography, computed tomography, magnetic resonance imaging and angiography were performed. The mass was located in the retroperitoneum, had a size of 6 X 5 cm with internal calcification and it was completely removed by operation. Pathological review showed a byline-vascular type of giant lymph node hyperplasia(Castleman's disease) in portocaval space of retroperitoneum. Follow up physical examination and abdominal CT scan 3 years after operation revealed no recurrence of disease.
간경변 환자에서 부제정맥 파열로 인한 복벽 내 혈종 및 혈복강 1예
박찬욱,이동욱,김배영,심성준,한종대,류운석,이계성,김형렬 대한소화기학회 2000 대한소화기학회지 Vol.35 No.5
We experienced a case of 40-year-old woman with liver cirrhosis, who complained of jaundice and abdominal distension. She was diagnosed as having hemoperitoneum & abdomial wall hematoma due to rupture of a distended paraumbilical vein. Portal hypertension often leads to collateralization of blood flow via variceal vessels, which shunt blood from the portal to the systemic circulation. Rupture of an intra-abdominal varix is an unusual complication of portal hypertension. The differential diagnosis and management of hemoperitoneum in this cirrhotic patient are discribed, with a review of 21 previously reported cases of intra-abdominal variceal bleeding.
박찬욱,윤재철,김안나,이계성,안현택,구기수 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.4
The Heterotopic pancreas is defined as the presence of pancreatic tissue lacking anatomical and vascular continuity with the main body of pancreas. Heterotopic pancreas or ectopic pancreas is found in 0.55% to 13.7% of autopsy series and also found one in approximately every 500 operations in abdominal surgery. The most common sites are the antrum of stomach, duodenum, and proximal jejunum. Most masses of heterotopic pancreas in stomach were encountered in the distal one third, usually within 5 or 6 cm of pylorus. We have recently experienced a case of hetertopic pancreas that was located in fundus which is not the usual site. Gastrofiberscopy revealed a 2×2.5 cm sized protruding mass on the fundus. There was apperared an umbilical shaped dimple on the center with a relatively normal mucosa. Endoscopic ultrasonography revealed a 2.5 cm sized hypoechoic mass of fundus, originating from submucosal and muscular layer. It was considered a submucosal tumor, such as leiomyoma, and subsequently wedge resection was performed. Histologic finding showed pancreatic acni.