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박광혁 ( Kwang Hyuk Park ),유교상 ( Kyo Sang Yoo ),정용우 ( Yong Woo Chung ),김경오 ( Kyoung Oh Kim ),박철희 ( Cheol Hee Park ),김종혁 ( Jong Hyeok Kim ),박충기 ( Choong Kee Park ) 대한소화기학회 2007 대한소화기학회지 Vol.49 No.3
Groove pancreatitis is a rare form of chronic pancreatitis in which scarring is found mainly in the groove between the head of the pancreas, duodenum, and common bile duct. The pathogenesis of groove pancreatitis is still unclear but seems to be caused by the disturbance of pancreatic outflow through Santorini duct. It is often difficult to differentiate preoperatively between groove pancreatitis and pancreatic head carcinoma. Whereas conservative management is effective, some patients with duodenal obstruction may undergo Whipple`s operation. A few case of groove pancreatitis have been reported in Korea, and they were diagnosed only by clinical and radiological features. We experienced a case of groove pancreatitis who needed a surgical management because of severe duodenal obstruction. We report the case with a review of its characteristic pathologic findings. (Korean J Gastroenterol 2007;49:187-191)
증례 : 18세 남자 환자에서 좌주간지 혈전이 동반된 급성 심근 경색 1예
윤성보 ( Seong Bo Yoon ),이상학 ( Sang Hak Lee ),박광혁 ( Kwang Hyuk Park ),한권우 ( Kweon Woo Han ),정재헌 ( Jae Hun Jung ),최승혁 ( Seung Hyuk Choi ),이남호 ( Nam Ho Lee ) 대한내과학회 2005 대한내과학회지 Vol.69 No.-
청소년기에 관동맥의 죽상 동맥 경화와 혈전에 의한 급성 심근 경색은 매우 드물며, 흡연 등 특징적인 위험 요인이 동반되는 것이 보통이다. 본 증례에서 저자들은 전통적인 위험 요인이 없는 18세 남자 환자에서 좌주간지 혈전을 동반한 급성 심근 경색을 진단하고 스텐트 삽입술을 이용하여 성공적으로 치료하였기에 이를 보고한다. Acute myocardial infarction in the adolescence is unusual. Moreover, the prevalence of left main coronary artery stenosis is rare in this population. We describe a case of acute ST elevation myocardial infarction in an 18 year-old male. He did not have history of congenital heart disease or other traditional risk factors for premature coronary disease. He was mildy overweight and showed normal laboratory tests except low high-density lipoprotein cholesterol level and modestly elevated plasma homocysteine level. Coronary angiography revealed totally occluded left anterior descending artery and thrombus at the bifurcation of left main coronary artery. He underwent emergency coronary stenting at distal left main coronary artery and proximal left anterior descending artery. He was discharged without in-hospital cardiac event. (Korean J Med 69:S807-S811, 2005)