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일차성 폐성 고혈압 (Primary pulmonary Hypertension)이 동반된 임신 1 예
이지현(Jee Hyun Lee),정대영(Dae Young Chung),백은정(Eun Jung Baik),문희봉(Hee Bong Moon),이귀세라(Gui Se Ra Lee),김사진(Sa Jin Kim),신종철(Jong Chul Shin),김수평(Soo Pyg Kim) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.9
Primary pulmonary Hypertension is a rare disorder in pregnant woman but it carries a high risk of maternal morbidity and mortality. Therefore early diagnosis and pregnancy prevention is critical. When pregnancy is combined, physiologic increase in maternal plasma volume aggravates pulmonary pressures causing cardiac decompensation and maternal mortality of 30-50% was reported. But recent trials with vasodilators improved hemodynamic changes and prolonged survival in patients with pulmonary hypertension who respond to high doses of calcium antagonist.We experienced a case of a pregnant woman with primary pulmonary hypertension who after adenosine trial was treated with nifedipine showing more than 20% decrease in pulmonary artery pressure but drug was switched to isosorbide dinitrate and hydralazine because of side effects. Also nitrates showed good results and patient delivered a healthy boy and had an uneventful postpartum period. We reports this case with brief review of literature.
태아에서 발생한 양성 낭성 복막 중피종 ( Benign cystic peritoneal mesothelioma ) 1 예
고현선(Hyun Sun Ko),강대호(Dae Ho Kang),이지현(Jee Hyun Lee),문희봉(Hee Bong Moon),노승혜(Seung Hye Rho),백은정(Eun Jung Baik),정대영(Dae Young Chung),신종철(Jong Chul Shin),김수평(Soo Pyg Kim) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.10
It is stated in many reports that the most frequent cause among abdominal masses in fetus and neonates is congenital renal lesion including hydronephrosis and multicystic kidneys. Other causes are masses originated from gastrointestinal tract, retroperitoneum, or female genital tract. Which almost are benign but about 2% of cases have malignant course. Benign cytic peritoneal mesotheliomas are tumors of peritoneum characterized by thin-walled cyst lined by benign mesothelial cells. Despite the marked tendency to occur, no malignant degeneration or metastasis was reported. It occurs predominantly in females of reproductive age and is rare in male. We experienced a case of male fetus with a huge abdominal mass and severe secondary hydronephrosis which result to be a benign cytic peritoneal mesothelioma, a rare entity in male fetus and rarer in fetal period