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음영욱 ( Young Ook Eum ),김현 ( Hyun Kim ),정희석 ( Hui Seok Jung ),최경석 ( Kyung Suck Cheoi ),이미연 ( Mi Yun Lee ),이원익 ( Won Yik Lee ),손준성 ( Jun Seong Son ) 대한신장학회 2006 Kidney Research and Clinical Practice Vol.25 No.6
Mercury is one of the heavy metals that cause intoxications. Mercury can cause muscular tremor, psychic irritability, renal toxicity and so on. Mercury intoxications usually occur chrough chronic respiratory ingestion. We describe a case in that a woman had applicated inorganic mercury to her whole body and developed mercury intoxications which can be characterized by the whole body skin rash, fever, acute renal failure and the hepatotoxicity appeared. We managed the patient with diuretics, antibiotics and continuous veno-venous hemodiafiltration. On the 6th hospital day, serum creatinine was normalized. Since then, the skin rash and hepatotoxicity were gradually alleviated. (Korean J Nephrol 2006;25(6):1019-1023)
개복 담낭절제술 후 오랜 기간 후에 발생한 혈액 담즙증
정지선 ( Jee Sun Jeong ),음영욱 ( Young Ook Eum ),장지혜 ( Ji Hye Jang ),정은 ( Eun Chung ),양현 ( Hyun Yang ),김현선 ( Hyun Seon Kim ),배일헌 ( Il Hun Bae ),박선미 ( Seon Mee Park ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.1
A 77-year-old woman was admitted with 5 days history of melena. She had an open cholecystectomy 30 years ago. Abdominal computed tomography and duodenoscopy revealed massive hemobilia. Angiography showed right hepatic arterial fistula to common bile duct near the surgical clip. Embolization was done successfully and the patient recovered. We experienced a case of a massive hemobilia which was occurred after a long period of time since open cholecystectomy without pseudoaneurysmal change of the right hepatic artery. And we suggest the direct vessel injury and fistula between the bile duct and a blood vessel as a possible cause of hemobilia in this case. Korean J Pancreatobiliary 2014;19(1):42-46
최경석 ( Kyung Suck Cheoi ),이원익 ( Won Yik Lee ),음영욱 ( Young Ook Eum ),김희성 ( Hee Sung Kim ),이옥준 ( Ok Jun Lee ),이기형 ( Ki Hyeong Lee ),김승택 ( Seung Taik Kim ) 대한내과학회 2006 대한내과학회지 Vol.71 No.5
유방암의 위전이는 폐, 골, 림프절, 골 전이보다 그 빈도가 매우 드물다. 본 증례는 4년 전 유방암을 앓은 과거 병력을 가진 56세 여자가 상복부 불편감으로 내원하여 상부위장관 내시경과 조직학적상 원발 위암이 아닌 유방암의 위전이가 확인되어 보고하는 바이다. Metastatic cancer from breast cancer is not uncommon and it often involves multiple organs. Gastric metastasis from breast cancer is much rarer than lung, bone and lymph node metastasis. Most of the symptoms are nonspecific, so it is not easy to differentiate primary gastric cancer from gastric metastasis from the breast. In particular, gastric and breast cancers are the two most common cancers among Korean women, so efforts should be made to distinguish primary gastric cancer from gastric metastasis because treatment and prognosis are very different between two. A few cases have been reported in Korea concerning gastric metastasis from breast cancer. We report here a case of gastric metastasis from infiltrating duct carcinoma of the breast.(Korean J Med 71:567-572, 2006)
이재우 ( Jae Woo Lee ),이상협 ( Sang Hyub Lee ),조영윤 ( Young Yoon Cho ),오수연 ( Soo Yeon Oh ),음영욱 ( Young Ook Eum ),한호성 ( Ho Seong Han ),김혜령 ( Hae Ryoung Kim ),김영훈 ( Young Hoon Kim ) 대한췌담도학회 2013 대한췌담도학회지 Vol.18 No.4
담낭신경내분비종은 드물게 발생하는 일차성 담낭암이며, 전산화단층촬영이나 초음파와 같은 통상적인 영상검사로 쉽게 발견되지 않는다. 석회화담낭 역시 드물기 때문에석회화담낭을 동반하는 신경내분비종은 매우 희귀하다. 명치부위 통증을 주소로 내원한 75세 여자환자가 전산화단 층촬영에서 석회화담낭과 다엽성 종괴가 발견되어 확대 담낭절제술을 시행하였고, 최종 병리소견으로 담낭신경내분 비종과 석회화담낭이 확진되었다. 석회화담낭을 동반하는 담낭신경내분비종은 이전에 보고된 바 없기에 저자들은 이 를 문헌고찰과 함께 보고하는 바이다. Gallbladder neuroendocrine tumor (NET) is a rare cause of primary gallbladder carcinoma, and cannot be easily detected by conventional radiologic study such as computed tomography (CT) or sonography. Porcelain gallbladder is also rare. Therefore, gallbladder NET accompanying porcelain gallbladder is very rare. We report here on a 75-year-old woman with gallbladder NET accompanying porcelain gallbladder, abdominal CT showed a porcelain gallbladder with a multilobulated mass lesion invading liver segment 8. Extended cholecystectomy was performed and the microscopic features of the resected specimen confirmed the diagnosis of gallbladder NET and porcelain gallbladder. Gallbladder NET accompanying porcelain gallbladder has not been reported. We report on this unusual case along with a review of the relevant literature.