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Hemoperfusion과 Methylene Blue로 치료한 Pendipronil 중독 1예
박성호,정병곤,김지겸,김경욱,백영권 대한신장학회 2000 Kidney Research and Clinical Practice Vol.19 No.6
Pendipronil^ⓡ overdose is uncommon in Korea. Pendipronil^ⓡ is a selective herbicide used to control most annual grasses and certain broadleaf weeds in field corn, potatoes, rice, etc. and is the substance including pendimethalin and propanil. Pendimethalin is slightly to practically nontoxic by ingestion but may he mildly to moderately irritating to the linings of the mouth, nose, throat, and lungs. Propanil toxicity is evidenced by varying clinical pictures ranging from deep cyanosis in an otherwise alert normal appearing individual to restlessness, dyspnea, extensive hemolytic anemia, methemoglobinemia, sulfhemoglobinemia and serious central nervous system dysfunction. For the treatment of methemoglobinemia, gastric lavage, activated charcoal, methylene blue and exchange transfusion should be used. We experienced a case of acute massive Pendipronil^ⓡ intoxication in 31 years old woman due to voluntary ingestion of 48g of this drug as a suicide attempt. A moderate methemoglobinemia developed, accompanied by drowsy mental status, nausea, vomiting, headache, intensive cyanosis. The patient recovered completely after intravenous methylene blue injection and cellulose coated hemoperfusion charcoal (Adsorba 300C^ⓡ) and conservative treatment.
김인철,김호정,백영권,정병곤,김지겸,박용휘 대한소화기내시경학회 2001 Clinical Endoscopy Vol.22 No.2
With progress in diagnostic procedures such as duodenoscopy and endoscopic retrograde cholangiopancre - aticography, early diagnosis of carcinoma of ampulla of Vater has become possible. Early carcinoma of the ampulla of Vater, not infiltrated beyond Oddi's muscle shows excellent postoperative outcome of high curability. A 57 year old female was visited our hospital because of intermittent upper abdominal discomfort. During gastroscopy, shallow ulcerative mucosal lesion of ampulla of Vater was dicovered, and then biopsy was done via duodenoscopy. The biopsy specimen shows adenocarcinoma and successful operation was done. Cancer cells were not infiltrated beyond Oddi's muscle.
김호정,이창영,박정식,김종숙,이향주,최대섭,장석,김지겸,백영권 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.6
A case was experienced involving submandibular salivary gland swelling (sialoadenopathy), developing after gastroscopy in a 15-year-old female who was suffering from epigastric pain & diarrhea and a case of parotid salivary gland swelling after gastroscopy in a 25-year-old female who was suffering from dyspepsia and epigastric pain. Both patients were the first two cases among about 5,000 gastroscopic examinations of the stomach conducted by the authors. As soon as the gastroscope was withdrawn, unilateral swelling, which was neither painful nor tender, was found in the left submandibular salivary gland area. This swelling disappeared spontaneously in about few hours later.
일과성 허혈성 대장염에서 합병증으로 대장협착을 보인 1 예
김호정,이창영,정병곤,박정식,김종숙,이향주,최대섭,천대철,장석,김지겸,백영권 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.3
Transient ischemic colitis comprises a clinical triad of lower abdominal pain, diarrhea and rectal bleeding of sudden onset, with rapid clearance of symptoms on a non-specific management regimen. The peak age incidence of ischemic colitis is in the sixth and seventh decades, as would be expected due to progressive arterial occlusion and falling cardiac function with increasing age. In this report, transient ischemic colitis was diagnosed on the basis of colonoscopic and associated histopathological findings. Colonoscopy is a useful technique in establishing the diagnosis of transient ischemic colitis. Conservative management includes repeated careful assessment, pain management and fluid replacement. Complications are rare and the prognosis is excellent. Occasionally, patients have recurrences. We report a case of transient ischemic colitis complicated by stricture formation with review of literatures.
간동정맥 단락을 동반한 유전성 출혈성 모세관 확장증 1례
최진욱,김호종,박성호,최대섭,김종숙,김광석,김해경,서호종,김기훈,김지겸 대한간학회 2000 Clinical and Molecular Hepatology(대한간학회지) Vol.6 No.4
Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant inherited disease characterized by telangiectasias of the skin, mucous membranes, and various organ system. HHT is not unusual in western countries but there were several reported cases of HHT in Korea. Recently we evaluated a 40-year-old postpartum female who had been suffering from recurrent epistaxis and peripartum dyspnea. The patient was diagnosed as a HHT complicated by high output heart failure caused by intrahepatic arteriovenous malformation. This case is reported with a review of relevant literature.(Korea J Hepatol 2000;6:514-518).