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정지윤 ( Ji Yoon Jung ),구은주 ( Eun Joo Goo ),이재창 ( Jae Chang Lee ),송재이 ( Jay Song ),고성애 ( Sung Ae Koh ),이경희 ( Kyung Hee Lee ),배영경 ( Young Kyung Bae ) 영남대학교 의과대학 2016 Yeungnam University Journal of Medicine Vol.33 No.2
Gastric cancer is the most common cancer in Korean males and can easily spread to distant organs such as the liver, lungs, brain, or bones. However, skin metastasis, particularly of the eye, is rare. Metastatic eyelid cancer is extremely rare; metastases from internal organs have not been reported so far. We recently experienced a patient with metastatic eyelid cancer from adenocarcinoma of the stomach. A 62-year-old female was admitted with a right upper eyelid mass and foreign body sensation. She had a history of stomach cancer of 3 years. She was treated by chemotherapy and radiotherapy for pathologic fracture. After receiving supportive care for 2 years, the mass appeared on her right pupil. Punch-biopsy of the mass was performed and histological examination revealed adenocarcinoma, the same as the initial histological result. We report this case with a review of related literature.
저용량 polyethylene glycol 용액에 아스코르빈산을 첨가한 장정결제로 대장내시경 전처치 후 발생한 발작을 동반한 저나트륨혈증
이재영 ( Jae Young Lee ),장병익 ( Byung Ik Jang ),남윤정 ( Yoon Jeong Nam ),송재이 ( Jay Song ),김민철 ( Min Cheol Kim ),정승민 ( Seung Min Chung ),장종걸 ( Jong Geol Jang ),조재호 ( Jae Ho Cho ) 영남대학교 의과대학 2015 Yeungnam University Journal of Medicine Vol.32 No.1
The widely used polyethylene glycol (PEG)-based solutions have been proven effective for bowel preparation when 4 L of the solution is administered before colonoscopy. However, large volumes of the solutions are generally poorly tolerated. A new PEG-based solution consisting of 2 L of PEG and a high dose of ascorbic acid has recently become available. Electrolyte abnormalities caused by PEG-based solutions have rarely been reported. We report on a case of acute severe hyponatremia with associated generalized tonic-clonic seizures after bowel preparation with a low-volume PEG plus ascorbic acid solution in a 74-year-old woman with no history of seizures. She took a beta blocker, an angiotensin-converting enzyme inhibitor, and glimepiride for hypertension and diabetes mellitus. She showed general weakness, nausea, agitation, muscle cramping, and seizures after ingestion of the PEG plus ascorbic acid solution. Her serum sodium level was 112 mEq/L. Her symptoms improved after intravenous administration of hypertonic saline. Physicians should pay attention to screening for electrolytes and development of neurological symptoms during bowel preparation.