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이건화,김동균,나현식,배준용,최준호,김양기,김기업,어수택,김동훈,황정화,구동억,Lee, Gun-Wha,Kim, Dong-Kyun,Na, Hyun-Sik,Bae, Jun-Yong,Choi, Jun-Ho,Kim, Yang-ki,Kim, Ki-up,Uh, Soo-taek,Kim, Dong-hoon,Hwang, Jung Hwa,Goo, Dong-Erk 대한결핵및호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.58 No.1
폐격리증 치료의 고식적인 방법에는 폐엽 절제술이 있고 덜 침습적인 방법으로는 기형혈관을 동맥색전술로 폐색시키는 방법이 있다. 최근 국내에서 폐격리증을 동맥색전술만으로 치료한 증례가 있으나 모두 소아에서 치료한 경우였다. 저자들은 17세 남자 환자에서 폐격리증을 젤폼과 코일을 이용한 동맥 색전술로 특별한 합병증 없이 치료 하였고 6개월 후 흉부전산화 단층촬영으로 추적 관찰 하였기에 문헌 보고하는 바이다. Pulmonary sequestration is a very rare congenital malformation in which a mass of pulmonary tissue is detached from the normal lung and receives its blood supply from a systemic artery. It may be clinically asymptomatic or it has a wide spectrum of various clinical manifestations. The clinical therapeutic approach is to resect the sequestered lobe to prevent frequent complication such as infection. The arterial embolization of feeding artery is a new technique and a less invasive treatment than conventional surgical removal. We have experienced a 17-year-old male with pulmonary sequestration whose complaints were pain in left lower chest. He was diagnosed by computed tomography and aortography and successfully treated with embolization of feeding artery. We report a case of pulmonary sequestration treated with arterial embolization instead of surgery.
이건화 ( Gun Hwa Lee ),은창수 ( Chang Soo Eun ),송준석 ( June Seok Song ),오일환 ( Il Hwan Oh ),정석현 ( Suk Hyun Jung ),박혜선 ( Hye Sun Park ),전용철 ( Yong Chul Jun ),손주현 ( Ju Hyun Sohn ),한동수 ( Dong Soo Han ) 대한장연구학회 2012 Intestinal Research Vol.10 No.3
Systemic lupus erythematosus (SLE) is a multisystem inflammatory disease that manifests various symptoms. Mesenteric vasculitis (MV) is one of the serious complications of SLE and carries a high mortality rate. Although MV is the main cause for acute abdominal pain in patients with SLE, it is very rare for the pain to be the first clinical manifestation of the disease. A 34-year old female presented with sudden onset abdominal pain accompanied by small intestinal bowel edema observed on abdominal computed tomography. We performed a diagnostic laparoscopy, as vital signs were becoming unstable and the diffuse abdominal tenderness was worsening rapidly. The examination showed a severe jejunal infarction; thus, the patient underwent a small bowel segmental resection. A histological examination revealed multiple, hemorrhagic, small-vessel vasculitis, and later serologic autoimmune markers were consistent with SLE. We suggest that SLE be considered in the differential diagnosis of young females presenting with an acute abdomen and unexplained enteropathy. A surgical approach such as exploratory laparoscopy could be an option in search for the cause. (Intest Res 2012;10:305-308)
이민규 ( Min Kyu Lee ),김병식 ( Byung Sik Kim ),정석현 ( Suk Hyun Jung ),이건화 ( Gun Hwa Lee ),김진옥 ( Jin Ok Kim ),임동휘 ( Dong Hwi Rim ),이유화 ( Yu Hwa Lee ),김웅준 ( Woong Jun Kim ),방소영 ( So Young Bang ),이혜순 ( Hye Soo 대한류마티스학회 2012 대한류마티스학회지 Vol.19 No.3
Klinefelter`s syndrome which is characterized by hypogonadism with karyotype abnormality (47 XXY or 46 XY/47 XXY) in males has been reported to be associated with autoimmune diseases including rheumatoid arthritis and systemic lupus erythematosus. However, Klinefelter`s syndrome accompanying with polymyositis has rarely been reported. We report a case of KFS with polymyosits in a 38-year old man for the first time in Korea.
이건화 ( Gun Wha Lee ),김동균 ( Dong Kyun Kim ),나현식 ( Hyun Sik Na ),배준용 ( Jun Yong Bae ),최준호 ( Jun Ho Choi ),김양기 ( Yang Ki Kim ),김기업 ( Ki Up Kim ),어수택 ( Soo Taek Uh ),김동훈 ( Dong Hoon Kim ),황정화 ( Jung Hwa Hw 대한결핵 및 호흡기학회 2005 Tuberculosis and Respiratory Diseases Vol.58 No.1
Pulmonary sequestration is a very rare congenital malformation in which a mass of pulmonary tissue is detached from the normal lung and receives its blood supply from a systemic artery. It may be clinically asymptomatic or it has a wide spectrum of variou
송준석 ( June Seok Song ),이건화 ( Gun Hwa Lee ),이민규 ( Min Kyu Lee ),김웅준 ( Woong Jun Kim ),이승호 ( Seung Ho Lee ),김상헌 ( Sang Heon Kim ),김태형 ( Tae Hyung Kim ),윤호주 ( Ho Joo Yoon ),신동호 ( Dong Ho Shin ),박성수 ( Sun 대한결핵 및 호흡기학회 2011 Tuberculosis and Respiratory Diseases Vol.71 No.6
Chronic lymphocytic leukemia (CLL) is the most common type of leukemia occurring in Western nations. In CLL it is well known that the risk of a secondary malignancy is higher than in the normal population. But in Korea, CLL is a rare type of leukemia, so there have been only a few reported cases with a secondary malignancy. CLL is characterized by progressive defects in both cell-mediated and humoral immunity. It is known that defects in the immune system of patients with CLL contribute to the development of a secondary malignancy. We experienced a case of a 71-year-old man who suffered from a chronic cough and was diagnosed with small cell lung cancer coexisting with CLL. Until this case, there was no reported case in Korea of small cell lung cancer coexisting with CLL. We now report a case of small cell lung cancer coexisting with CLL and present a literature review.
증례 : 순환기 ; 폐동맥 카테터에 의한 폐동맥 파열 및 기관지 혈전에 의한 무기폐
이민규 ( Min Kyu Lee ),이건화 ( Gun Hwa Lee ),김석환 ( Seok Hwan Kim ),박진규 ( Jin Kyu Park ),신정훈 ( Jeong Hun Shin ),임영효 ( Young Hyo Lim ),신진호 ( Jin Ho Shin ) 대한내과학회 2011 대한내과학회지 Vol.81 No.6
폐동맥 카테터에 의한 폐출혈 및 완전 무기폐는 매우 드물게 발생하지만 치명적일 수 있는 합병증이다. 저자들은 폐동맥 고혈압 환자에서 폐동맥 카테터를 이용한 우심장 심도자술을 시행하던 중 발생한 폐동맥 파열과 이로 인한 폐출혈, 좌측 완전 무기폐를 경험하고 치료하였기에 문헌고찰과 함께 보고하는 바이다. The use of pulmonary artery catheters has increased considerably since the Swan-Ganz catheter was first introduced in 1970. It is extremely helpful in the management of critically ill patients and in pulmonary hypertension. However, its manipulation carries potential risks, including subclavian or carotid artery laceration, pneumothorax, thoracic duct laceration, phrenic nerve injury, air embolism, arrhythmias, infection, valvular damage, thrombosis, pulmonary infarction, and pulmonary artery rupture. Pulmonary artery rupture, albeit rare, remains a severe complication. Here, we present a patient who developed pulmonary artery rupture and total atelectasis of the left lung after placement of a pulmonary artery catheter. (Korean J Med 2011;81:769-774)