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- 저자 : 문가을 ( Ga Ui Mun ) (검색결과 2 건)
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문가을 ( Ga Ui Mun ),전혜지 ( Hye Ji Jeon ),조은규 ( Eun Kyu Cho ),김윤숙 ( Yun Sook Kim ),배동한 ( Dong Han Bae ),이석열 ( Seok Yul Lee ),조현득 ( Hyun Deuk Cho ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.7
Endometriosis is a relatively common gynecologic disease. Thoracic endometriosis syndrome occupies half of various types of external endometriosis, however it is very rare condition, We experienced a case of 40-year-old woman who presented with recurrent episodes of spontaneous right-sided pneumothorax that occurred during her menstrual periods. After the localization of the disease site by means of chest radiography and high resolution computed tomography of the thorax, thoracoscopic assisted diaphragm endometriosis resection and suture were performed. After pathologic diagnosis, a hormonal treatment with gonadotropin-releasing hormone agonist was also conducted. We report this case with a brief review of the concerned literatures.
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문가을 ( Ga Ui Mun ),조은규 ( Eun Kyu Cho ),김윤숙 ( Yun Sook Kim ),남두현 ( Du Hyun Nam ),이현주 ( Hyun Ju Lee ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.9
괴사성 근막염은 드물지만 빠르게 진행하며 높은 치사율을 보이는 연부조직 감염으로 근막을 포함한 심부 연부조직을 침범한다. 위험인 자로는 당뇨, 비만, 악성 종양, 만성 간질환 등이 있다. 의심되면 적절한 항균제의 즉각적인 투여가 필요하며, 수술적 괴사조직 제거가 주요치료로 사망률을 의미 있게 감소시킨다. 저자들은 평소 건강하던 33세 여성에서 제왕절개수술 1일 후 갑자기 발생한 고열, 홍반, 부종, 상복부의 농포를 주소로 전원된 환자에서 괴사성 근막염이 의심되어 조기 복합항생제 투여와 수술적 괴사조직의 제거로 치료한 매우 드문예를 경험하여 문헌고찰과 함께 보고하는 바이다. Necrotizing fasciitis (NF) is a rare, rapidly progressive and potentially fatal soft-tissue infection characterized by widespread severe infection of the deep soft tissue, including fascia. Predisposing conditions for NF include diabetes, malignancy, obesity, and chronic liver disease. Patients with suspected NF should be empirically and immediately managed with broad-spectrum antibiotics covering the commonly suspected organisms. And surgical debridement is the mainstay of treatment of NF. We experienced a very rare case of NF with 33-year-old healthy woman who presented with high fever, erythema, edema, and pustule on upper abdomen one day after cesarean section. NF was strongly suspected and immediate surgical intervention and broad spectrum antibiotics were used. We report it with a brief review of literatures.
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