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증예(症例) : 대량의 무통성 복수로 발현된 전신성 홍반성 루푸스 1예
이신은 ( Shin Eun Lee ),선인오 ( In O Sun ),최진화 ( Jin Hwa Choi ),이영재 ( Young Jai Lee ),최혜은 ( Hye Eun Choi ),박승민 ( Seung Min Park ),이용웅 ( Yong Ung Lee ),황민호 ( Min Ho Hwang ) 전북대학교 의과학연구소 2005 全北醫大論文集 Vol.29 No.2
저자들은 대량의 무통성 복수를 주 증상으로 내원한 젊은 여자환자에서 다른 기저 질환없이 대량의 복수로 발현된 전신성 홍반성 루푸스를 진단할 수 있었고, Prednisolone 투여로 복수가 조절되고 증세 호전 보인 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Systemic lupus erythematosus (SLE) can affect virtually any organ system. So, clinical manifestation and initial presenting manifestation is variable. But ascites is uncommon in SLE initially. Ascites occurs clinically in 8-11% of patients with SLE, usually associated with nephritic syndrome, protein-losing enteropathy, congestive heart failure, liver cirrhosis, Budd-Chiari syndrome, tuberculosis peritonitis. Lupus peritonitis alone does not cause significant ascites. We describe a patient in whom massive, painless ascites was the initial presenting and major manifestation in SLE.
증예(症例) : 혈액투석 도관 거치시 발생한 유도도선 (guide wire)의 대퇴정맥 내 삽입
최혜은 ( Hye Eun Choi ),류제영 ( Jay Young Rhew ),선인호 ( In O Sun ),이신은 ( Shin Eun Lee ),이영재 ( Young Jae Lee ),최진화 ( Jin Hwa Choi ),이은영 ( Eun Young Lee ),김정화 ( Jung Wha Kim ),이광영 ( Kwang Young Lee ) 전북대학교 의과학연구소 2006 全北醫大論文集 Vol.30 No.1
When a hemodialysis catheter is placed a guide wire is inserted into a central vein first. The dialysis catheter is advanced over the guide wire. After the insertion of the catheter, the guide wire is removed. We experienced a case of accidental insertion of the entire guide wire, which was not removed by mistake soon after the placement of a temporary hemodialysis catheter into the right femoral vein. After 4 months chest X-ray revealed the guide wire in the right femoral through internal jugular veins. It was removed successfully via nonsurgical percutaneous retrieval with a loop snare with internal jugular approach.
2세대 약물 용출 관상동맥 스텐트 삽입 후 급성 심근 경색으로 병발한 관상동맥 연축 1예
김중근 ( Joong Keun Kim ),이신은 ( Shin Eun Lee ),박문식 ( Moon Sik Park ),윤소희 ( So Hee Yun ),이나은 ( Na Eun Lee ),이재운 ( Jae Un Lee ),이동엽 ( Dong Yub Lee ),박종필 ( Jong Pil Park ),전성희 ( Sung Hee John ),임지현 ( Ji Hyu 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.1
Although several investigators have reported the coronary artery spasm after coronary artery stenting, all previous reports, coronary spasm after drug-eluting stent (DES) placement was occurred in first generation DES, such as sirolimus-eluting (Cypher®) and paclitaxel-eluting stents (Taxus®). Clinical relevance is unknown, the underlying mechanism may be delayed vascular healing due to toxic effects of the sirolimus and paclitaxel to endothelial cells (EC). The second-generation DES, such as everolimus-eluting (Xience V®) and zotarolimus-eluting stents (Endeavor®), are proving to be significantly more effective and safer than the first-generation DES.1)2) We report a patient with severe coronary artery spasm lead to myocardial infarction after second generation DES implantation at the site of detectable atherosclerotic lesion.
증예(症例) : 용종제거술 후 발생한 대장 천공과 복강 내 출혈의 내과적 치료 1예
최진화 ( Jin Hwa Choi ),이신은 ( Shin Eun Lee ),최혜은 ( Hye Eun Choi ),이영재 ( Young Jae Lee ),선인오,이은영 ( Eun Young Lee ),김양호 ( Yang Ho Kim ),조진웅 ( Jin Woong Cho ),고은영 ( Eun Young Ko ),이용웅 ( Yong Ung Lee ) 전북대학교 의과학연구소 2005 全北醫大論文集 Vol.29 No.2
Colonoscopy is a widely used technique for diagnosis and therapeutic intervention. The procedure is usually well- tolerated. However, perforation and hemorrhage of the colon are the most commonly encountered complications, which usually occur at the site of a polypectomy. The reported rates of perforation and hemorrhage vary from 0.15 to 2.14 and 1.8~25%,respectively. Prompt surgical intervention is preferred treatment to minimize the morbidity and mortality. However, surgical intervention is invasive and requires a long-term recovery period. Conservative treatment is less invasive but can lead to the need for more extensive surgery in the case of treatment failure. We present a case of near fatal complications after colonoscopy, which initially suggested a colonic perforation and hemoperitoneum. However, this case was treated successfully with endoscopic clip therapy and Culdocentesis.
증예(症例) : 내시경적 점막절제술로 치료된 위선종을 동반한 베체트병 1예
선인오 ( In O Sun ),이신은 ( Shin Eun Lee ),최혜은 ( Hye Eun Choi ),이영재 ( Young Jai Lee ),최진화 ( Jin Hwa Choi ),조진웅 ( Jin Woong Jo ),황민호 ( Min Ho Hwang ) 전북대학교 의과학연구소 2005 全北醫大論文集 Vol.29 No.2
악성종양과 연관이 적은 베체트 병에서 발생한 위선종을 내시경적 점막절제술로 시행하였고 출혈 및 천공 등의 합병증과 상처 치유과정의 지연없이 성공적으로 치료되었기에 문헌 고찰과 함께 보고하는 바이다. A Case of endoscopic mucosal resection of gastric adenoma in Behcet`s disease Behcet`s disease (BD) is a multisystem disorder presenting with recurrent oral and genital ulceration and ocular involvement, Clinical manifestation include involvement of the mucocutaneous, ocular, gastrointestinal, respiratory, neurologic, urogenital, articular and cardiovascular systems. The risk of cancer in the presence of connective tissue disease and other vasculitides has shown to be increased. However, the association of maliganant disease with BD is rare, As treatment method of malignancy in BD, surgical method may be risk because of impaired immunity of BD using immunosuppressive drugs. We report a case of gastric adenoma in BD, and treated through endoscopic mucosal resection (EMR). A 67-year-old man with gastric adenoma in BD who has been detected with endoscopy was admitted for EMR, Gastric adenoma was treated through EMR, and no evidence of recurrent gastric adenoma was detected follow up endoscopy.