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변세진 ( Se Jin Byun ),강은규 ( Eun Kyu Kang ),박서화 ( Seo Hwa Park ),정현숙 ( Hyun Sook Jung ),윤성보 ( Seong Bo Yoon ),김영우 ( Yong Woo Kim ) 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2
Acute thromboembolic occlusion of the superior mesenteric artery (SMA) is a life-threatening condition with high mortality, and the lack of accurate and readily available diagnostic clues often results in delay in diagnosis and treatment. We describe the case of a 68-year-old man suffering from SMA thromboembolism presenting as acute heart failure.
대장내시경으로 진단하고 내과적 치료로 완치된 잔존 충수염 1예
변세진 ( Se Jin Byun ),박기현 ( Ki Hyun Park ),이정현 ( Jung Hyun Lee ) 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2
Stump appendicitis is a rare complication after an appendectomy characterized by inflammation of a residual appendix. A 73-year-old man was admitted to our hospital due to right lower quadrant abdominal pain. He underwent an open appendectomy for acute appendicitis about 17month ago. The computed tomography showed the bowel wall edema of cecum and outpouching lesion with suspected fecalith at cecal base. We performed a colonoscopy to differentiate cecal diverticulitis from stump appendicitis. The colonoscopy revealed hyperemic mucosal change and whitish exudate over the appendiceal orifice. Thus, the patient was diagnosed with stump appendicitis. And then he recovered completely after medical treatment instead of surgical treatment. In this case, stump appendicitis was confirmed by colonoscopy and responded to medical treatment without surgery.
640절편 MDCT를 이용한 좌심실 박출률과 좌심실 용적 측정: 2차원 심장초음파 비교
박기현 ( Ki Hyun Park ),변세진 ( Se Jin Byun ),강은규 ( Eun Gyu Kang ),박서화 ( Seo Hwa Park ),김현수 ( Hyun Soo Kim ),김민욱 ( Min Wook Kim ),이병호 ( Byung Ho Lee ),정현숙 ( Hyun Sook Jung ),윤성보 ( Seong Bo Yoon ),김영우 ( You 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2
Objectives: The assessment of global left ventricular function and volumes is important in patients with coronary artery disease (CAD) and serves as a valuable diagnostic and prognostic marker. The purpose of this study was to compare left ventricular ejection fraction (LVEF) and volume parameters as measured by 640-slice multidetector CT (MDCT) and two-dimensional transthoracic echocardiography (2D-TTE). Methods: We retrospectively analyzed 125 consecutive patients (Men=56%, mean age, 62.0±12.9 years) who underwent 640-slice MDCT to evaluate known or suspected CAD between October 2011 and March 2012. Agreement for the LVEF and volume parameters by 640-slice MDCT and 2D-TTE was assessed by Pearson’s correlation coefficient for linear regression and Bland-Altman analysis. Results: On 640-slice MDCT, average LVEF was 61.6 ± 12.6 %. On 2D-TTE, average LVEF was 62.8 ± 14.9%. Correlations between 640-slice MDCT and 2D-TTE were that LVEDV (r: 0.801, p<0.001); LVESV (r: 0.929, p<0.001) and LVEF (r: 0.862, p<0.001). Conclusions: There was a good correlation between 640-slice MDCT and 2D-TTE in the evaluation of left ventricular function and volume parameters in practical and clinical situation.