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문봄내,박찬호,한상훤,김철홍,김경욱,최선희,윤중근,설상영 인제대학교 백병원 2003 仁濟醫學 Vol.24 No.1
A lesion which is visualized on colonoscopic examination is rather confusing in that one will find a ulcerative tumor mass occupying the lumen of the bowel which is most suggestive of carcinoma. Especially, tuberculosis of the distal colon occurring in the absence of pulmonary involvement is often mistaken for neoplasm or Crohn's disease. We experienced three cases of colon tuberculosis mimicking a ulcerative tumor mass occupying the lumen of the colon.
Methamphetamine 중독증상을 보인 환자에서 발생한 횡문근 융해증 및 급성 신부전 1예
권태경,문봄내,최동진,윤기현,김태균,김경욱,김철홍,김민호,이성주,김영훈 인제대학교 백병원 2001 仁濟醫學 Vol.22 No.2
Drugs are important causes of rhabdomyolysis. In Korea, however, there is no report of rhabdomyolysis developed by methamphetamine intoxication. We experienced a case of rhabdomyolysis developed in a methamphetamine poisoning patient. The patient was a 25-year-old man presenting with altered mental status. Results of further investigations showed evidence of acute renal failure and rhabdomyolysis. He was treated with general supportive care including hydration, urine alkalization and hemodialysis, but this patient died eventually. This case shows the importance of the suspiction of illicit drugs including methamphetamine as a cause of rhabdomyolysis with an unclear etiology.
박찬호,문봄내,한상훤,김철홍,김경욱,최선희,윤중근,설상영,정수진 인제대학교 백병원 2003 仁濟醫學 Vol.24 No.1
Tuberculous peritonitis is difficult to diagnose especially in cases without pulmonary tuberculosis, because it is mainly transmitted via hematogenous spreading of tuberculous bacilli from lung. Sometimes this disease is infected directedly by intestinal tuberculosis, female tubuloovarian tuberculosis. We have experienced a case of tuberculous peritonitis presenting as tumorous ulcerative mass penetrating into ascending colon without Intestinal, female genital tuberculosis, which was diagnosed by explolaparotomy and pathologic confirmation from biopsy specimen.
알콜성 간염을 동반한 만성 음주자에 병발된 횡문근융해증 및 급성신부전증 3예
김희승,문봄내,김태균,윤기현,최동진,한상훤,박찬호,김민호,이성주,김영훈 인제대학교 백병원 2001 仁濟醫學 Vol.22 No.2
Acute alcoholic myopathy may present as a fulminant syndrome of muscular pain, swelling and tenderness in extremities associated with rhabdomyolysis and acute renal failure. Acute renal failure caused by rhabdomyolysis and myoglobinuria is one of the serious complications of alcohol and may be lethal occasionally. We report 3 cases of acute renal failure caused by rhabdomyolysis and myoglobinuria associated with alcoholic intoxication, treated in Pusan Medical Center between August 1999 and July 2000.
장출혈을 동반한 Henoch-Scho¨lein Purpura 1예
김태균,윤기현,최동진,문봄내,한상훤,박찬호,최선희,윤중근,설상영 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2
Henoch-Schonlein purpura(HSP) is a systemic, generalized vasculitis of unknown etiology, involving skin, joint. GI tract, and kidney. Although it can occur from age 6 months to adulthood, 50% of cases are children under 5 years of age and 75% are under 10 years. GI symptoms appear in more than half of affected children. However, in the adult age range, GI symptoms occur in approximately half of the cases of HSP and melena was observed in about 30% of patients. We report a case of a patient with HSP who presented with lower GI bleeding.
자궁내 피임 장치와 동반된 복부 및 골반 방선균증 1예
최동진,윤기현,김태균,문봄내,박찬호,한상훤,이민재,윤중근,이세용,설상영 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2
Actinomycosis is an uncommon chronic, suppurative granulomatous disease, caused by an anaerobic bacterium. Actinomyces israeli, which is a component of human oral and gastrointestinal flora. The cervicofacial region is the commonest site of disease, and the abdominopelvic region is the second commonest site. In most cases the diagnosis is made postoperatively because of its unusual clinical presentation. Although the incidence of actinomycosis has decrease, the abdominal-pelvic form has been increasing over the past several years secondary to increased prolonged use of the intrauterine device. We report here the case of a patient with the most severe rare form of abdominal wall and pelvic involvement, characterized by dense adhesions between large and small bowel and large bowel and uterus, adnexa, and bladder associated with intrauterine contraceptive device.
이정회,박찬호,한상훤,김태균,윤기현,최동진,문봄내,양윤식,손창학 인제대학교 백병원 2001 仁濟醫學 Vol.22 No.2
Dermatofibrosarcoma protuberans(DFSP) is an uncommon cutaneous tumor, which is characterised by slow invasive growth, marked tendency of local recurrence after excision and infrequent metastasis. Initially, most DFSPs are noticed as plaque like areas of cutaneous thickening and frequently have a reddish at the margins. As the tumor increases in size it is typically described as a raised, firm, multinodular mass that is fixed to the overlying skin, but movable over the deeper tissues. The authors report a case of recurrent DFSP, developed on the right anterior chest of a 32-year-old man. There was no evidence of metastasis.