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- 저자 : 백현철 ( Hyun Choul Baek ) (검색결과 3 건)
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남자에서 발생한 Fitz-Hugh-Curtis Syndrome 1예
백현철 ( Hyun Choul Baek ),배영석 ( Young Seok Bae ),이광재 ( Kwang Jae Lee ),김동현 ( Dong Hyun Kim ),배상훈 ( Sang Hoon Bae ),김동완 ( Dong Wan Kim ),윤정빈 ( Jung Bin Yoon ),송철수 ( Chul Soo Song ) 대한소화기학회 2010 대한소화기학회지 Vol.55 No.3
Fitz-Hugh-Curtis syndrome has been described as focal perihepatitis accompanying pelvic inflammatory disease caused by Neisseria gonorrhea and Chlamydia trachomatis. The highest incidence occurs in young, sexually active females. However, the syndrome has been reported to occur infrequently in males, according to the foreign literature. The predominant symptoms are right upper quadrant pain and tenderness, and pleuritic right sided chest pain. The clinical presentation is similar in men and women. In women, the spread of infection to liver capsule is thought to occur directly from infected fallopian tube via the right paracolic gutter. In men, hematogenous and lymphatic spread is thought to be postulated. Recently, we experienced a case of Fitz-Hugh-Curtis syndrome occurred in a man. As far as we know, it is the first report in Korea, and we report a case with a review of the literature. (Korean J Gastroenterol 2010;55:203-207)
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증례 : 우상복통을 주소로 내원한 27세 남자에서 대망경색 1예
강현구 ( Hyoun Goo Kang ),이현재 ( Hyun Jai Lee ),이재영 ( Chea Yong Yi ),나경준 ( Gyoung Jun Na ),백현철 ( Hyun Choul Baek ),김정훈 ( Jung Hun Kim ),김상현 ( Sang Hyun Kim ) 대한내과학회 2007 대한내과학회지 Vol.73 No.5
본 증례는 임상소견 및 방사선 소견으로 대망 경색을 진단한 후 보존적 치료를 하였으나, 증상의 강도와 범위가 증가하였으며, 반발압통 및 미열이 지속 되어 대망 경색의 합병증 또는 다른 질환의 가능성을 생각하여 대망 및 충수 돌기 절제술을 시행하였다. 수술 후 통증 및 발열의 호전이 빠르게 나타났으며, 수술 5일째 퇴원하였다. 병리학적 소견에서 대망에 울혈, 출혈 및 지방 괴사의 소견을 보였으며, 그 외 다른 소견은 없었다. 이와 같이 뚜렷한 염증소견 및 위장관 증상 없이 우측 상복부에 국한된 통증이나 압통이 있는 환자의 경우 대망 경색의 가능성을 생각하고 복부 초음파나 복부 전산화 검사로 정확한 진단이 필요하다. 대망 경색의 자연 경과상 일반적으로 약 2주간의 대증 치료만으로 통증 등이 좋아 지는 양성 질환이기는 하나, 환자의 증상이 오히려 심해지는 등의 악화 소견이 있을 경우 다른 추가적인 진단을 위해서 또한 증상의 빠른 호전을 위해 수술적 치료 역시 고려해 보아야 할것으로 생각되어 진다. A rare primary segmental omental infarction in an adult. Infarction of a part of the greater omentum has been recognized as an uncommon condition that may mimic other acute abdominal conditions, particularly acute appendicitis and acute cholecystitis. The presentation and course are seldom typical of appendicitis or cholecystitis. A greater omental infarction may occur without a recognizable cause, and may be termed "primary" (idiopathic), but in some cases, a cause is discovered, such as; mechanical interference with the blood supply to the omentum secondary to torsion, or systemic disorders such as cardiac, vascular, and hematological disease. The inflammatory necrotic mass resulting from the infarction produces somatic pain at its location in the abdomen. For unknown reasons the infarction occurs most commonly in the right half of the abdomen, especially the lower quadrant. An sign of peritoneal irritation, tenderness, and muscle guarding are the principal findings elicited on palpitation of the abdomen. Occasionally, a point of exquisite tenderness may be detected; this usually corresponds to the site of the infarction. Recognizing the typical imaging featuresan ovoid or cake-like mass in the omental fat with surrouding inflammatory changesof this condition is important, as most cases can be managed without surgery. We report a case of an adult patient with acute abdominal pain who was diagnosed with a right-sided segmental omental infarction.(Korean J Med 73:525-529, 2007)
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이재영 ( Chae Yong Yi ),나경준 ( Gyoung Jun Na ),백현철 ( Hyun Choul Baek ),김정훈 ( Jeong Hoon Kim ),배상훈 ( Sang Hun Bae ),김동현 ( Dong Hyun Kim ),제인수 ( In Soo Je ),권병표 ( Byoung Pyo Kwon ) 대한소화기학회 2008 대한소화기학회지 Vol.51 No.1
Although most of pseudocysts as one of complications of pancreatitis occur primarily within the pancreas, the extrapancreatic locations of pseudocysts, especially in the liver, are rare events. With advanced technology of imaging studies including abdominal computed tomography, ultrasonography, and magnetic resonance imaging, their frequency seems to be increasing. We report here a case of left intrahepatic pancreatic pseudocyst following acute pancreatitis. Percutaneous puncture revealed a high level of amylase and lipase in the collection, confirming the diagnosis of intrahepatic pseudocyst. Symptomatic intrahepatic pseudocysts can be managed surgically, transcutaneously or endoscopically, and asymptomatic intrahepatic pseudocysts can be treated conservatively. We report this case with a review of literature. (Korean J Gastroenterol 2008;51:56-59)
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