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권영배,김용욱,박성우,오하영,진학구,유규형 대한내과학회 1990 대한내과학회지 Vol.39 No.3
A case of subcutaneous emphysema and pneumomediastinum associated with diabetic ketoacidosis is presented. A 28-year-old male was admitted to the hospital because of vomiting and abdominal pain. Physical examination showed the crepitus sounds on both supraclavicular and Hamman's sign Blood sugar on admission was 595 mg/dl. Plain chest and chest CT scan revealed a small amount of gas accumulation in the neck and mediastinum. His symptoms and subcutaneous emphysema and pneumomediastinum significantly improved one week after treatment with intravenous fiuid and insulin. The pathogenesis of subcutaneous emphysema and pneumomediastinum in this remains obscure. Previous authors have considered pneumomediastinum to be the consequence of vomiting or hyperpnea accompanying diabetic ketoacidosis, but it is thought that it sometimes precedes the onset of metabolic disturbanice. Primary therapeutic attention in this case of diabetic keto-acidosis resulted in an uneventful course and rapid recovery without surgical intervention or other specific therapy.
박연호,김진수,강헌,주상언,계세협,전노원,진학구 대한내과학회 1989 대한내과학회지 Vol.37 No.6
The anatomy of the biliary system is quite variable. We report a case of common bile duct anomaly diagnosed by ERCP. ERCP revealed another bile duct joined to the distal portion of the common bile duet which was suspected to be a duplication of the common bile duct.
이성록,이철우,오인택,주상언,계세협,진학구,이호순 대한내과학회 1989 대한내과학회지 Vol.37 No.1
Familial polyposis coli is a rare hereditary disease characterized by the appearance of numerous polyps in the large intestine with a high potential for malignant transformation. The disease has considerable value in the elucidation of many problems of gastrointestinal disease, especially in the fields of genetics, histopathology and cancer control, as one of the sources for evidence supporing the adenoma-carcinoma sequence. In Korea, several cases were reported, but there were none which showed malignant transformation after a considerable period. We experienced a case of familial polyposis coli which transformed to adenocarcinoma after aperiod of a year and two months, and we report this with a brief review of the literature.