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강건희 ( Gun Hi Kang ),전태주 ( Tae Joo Jeon ),서동대 ( Dong Dae Seo ),오태훈 ( Tae Hoon Oh ),김수현 ( Sooh Yun Kim ),조현선 ( Hyun Sun Cho ),배병노 ( Byung Noe Bae ),김정연 ( Jung Yeon Kim ) 대한소화기학회 2011 대한소화기학회지 Vol.57 No.6
We present a case of ileal stenosis with delayed presentation 3 months after car accident. Ileal stenosis after blunt abdominal trauma is a rare clinical entity. We present CT and small bowel series 3 months after trauma. Image showed segmental thickening of intestinal wall and proximal bowel dilation. At surgery, a stenotic bowel loop was adjacent to a fibrotic mesentery. Histological examination showed ulcers, inflammatory cells and fibroblasts infiltrated to the muscularis mucosae, submucosa, and mesentery. The most likely cause, supported by most authors, implicates an injury to the mesentery. Post-traumatic ischemic bowel stenosis may result from even small tears and contusions of mesentery. Posttraumatic intestinal stenosis should be included in the differential diagnosis in a patient with a history of blunt abdominal trauma and signs of intestinal obstruction. (Korean J Gastroenterol 2011;57:370-373)
보중익기탕(補中益氣湯) 복용 후 재발생한 미만성 간질성 폐렴
김승구 ( Seung Gu Kim ),강건희 ( Gun Hi Kang ),김준재 ( Jun Jae Kim ),박현 ( Hyun Park ),백나나 ( Na Na Baek ),이현경 ( Hyun Kyung Lee ),신은아 ( Eun Ah Shin ),이영민 ( Young Min Lee ),이혁표 ( Hyuk Pyo Lee ),정훈 ( Hoon Jeung ) 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.5
Many classes of drug, such as antineoplastic drugs and antiarrhythmic drugs, have potential to induce interstitial lung disease. Herbal medicines are also believed to have the potential to induce pneumonitis. However, to our knowledge, there are no reports of pneumonitis caused by herbal medications in the Korean medical database. We report a case of recurrent pneumonitis caused by a self rechallenge of the Herbal medicine Bojungikgitang (Bu-Zhong-Yi-Qi-Tang : Hochu-ekki-to). (Tuberc Respir Dis 2008;65:416-420)
결핵성 복막염과 감별이 어려운 클라미디아 트라코마티스 복막염
강화미 ( Hwa Mi Kang ),오태훈 ( Tae Hoon Oh ),강건희 ( Gun Hi Kang ),전태주 ( Tae Joo Joen ),서동대 ( Dong Dae Seo ),신원창 ( Won Chang Shin ),최원충 ( Won Choong Choi ),양근호 ( Keun Ho Yang ) 대한소화기학회 2011 대한소화기학회지 Vol.58 No.2
Lymphocytic ascites with low serum-ascites albumin gradient (SAAG) are observed mainly in tuberculous peritonitis, peritoneal carcinomatosis, and pancreatic disease. However, pelvic inflammatory disease (PID) induced generalized peritonitis causing diffuse ascites has been rarely described. We report a 26-year old female patient, who was diagnosed as generalized peritonitis with diffuse ascites due to Chlamydia trachomatis infection. Gynecologic examination did not show the clue of PID and in the analysis of ascites, low SAAG, predominant lymphocyte count and high level of adenosine deaminase were noted. Although the best impression was tuberculous peritonitis on the base of these findings, the laparoscopic finding was consistent with PID and the PCR for C. trachomatis infection in cervical swab was positive. This case suggests that C. trachomatis peritonitis should be considered as a rare cause of low SAAG and lymphocytic ascites in sexually active women and should be intensively evaluated including laparoscopic examination. (Korean J Gastroenterol 2011;58:111-116)
비소세포폐암에서 동시화학방사선요법을 받는 중 생긴 기관폐루1례
강건희,조성우,김성록,유영진,이효락 인제대학교 2008 仁濟醫學 Vol.29 No.-
최근 근치적 절제가 불가능한 국소진행성 비소세포 폐암에서 화학요법을 방사선요법과 동시에 투여하는 치료방법에 대한 연구가 활발이 이루어지고 있으며 이러한 치료과정 중 생긴 여러 부작용에 대한 연구도 이루어지고 있지만 아직까지 기관폐루가 생겼다고 보고는 없다. 따라서 치료과정 중 기관폐루가 의심되는 소견이 있을 경우 이에 대한 조기 진단과 치료를 통하여 부작용에 따른 사망률을 최소화하여야 하겠다. The incidence of lung cancer is increasing steadily and various methods have been attempted to enhance the cure rate of locally advanced non small cell lung cancer, which is hardly removable surgically, but the results are not satisfactory yet. Recently, research is being made actively on the simultaneous application of chemotherapy and radiotherapy for locally advanced non small cell lung cancer that cannot be radically resected and the we experienced a case of patient diagnosed with bronchopulmonary fistula during the treatment process, and therefore report it here.