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이만 ( Mahn Lee ),이한나 ( Han Na Lee ),김지혜 ( Ji Hye Kim ),송현정 ( Hyun Jung Song ),양동주 ( Dong Ju Yang ),표진실 ( Jin Sil Pyo ),엄유진 ( Yoo Jin Um ),허규찬 ( Kyu Chan Huh ) 대한장연구학회 2012 Intestinal Research Vol.10 No.2
Lower gastrointestinal bleeding can be caused by various etiologies including hemorrhoids, diverticulitis, neoplasms, and ulcerative colitis. However, a rectal ulcer is rarely caused by lower gastrointestinal bleeding, and an anorectal foreign body is a very rare cause of a rectal ulcer. We report the case of a 48-year-old male patient who presented to the emergency department with massive hematochezia and hypovolemic shock that occurred 5 days after inserting garlic into the rectum for treatment of benign prostate hyperplasia. (Intest Res 2012;10:206-209)
증례 : 소화기 ; 간세포암 치료로 고주파열치료 시행 후 발생한 간대장누공 1예
강민규 ( Min Gyu Kang ),이태희 ( Tae Hee Lee ),나운태 ( Woon Tae Na ),정지현 ( Ji Hyun Jeong ),임동혁 ( Dong Hyuk Lim ),이만 ( Mahn Lee ),강영우 ( Young Woo Kang ) 대한내과학회 2012 대한내과학회지 Vol.83 No.4
Radiofrequency ablation (RFA) is a relatively safe therapy for patients with hepatocellular carcinoma (HCC); however, complications are not unknown. A hepatocolic fistula is a rare complication after RFA. We report a case of a hepatocolic fistula following a liver abscess after RFA for HCC in a 58-year-old male. The patient was diagnosed with HCC and liver cirrhosis from hepatitis B infection 3 years prior to admission. The HCC was in segment 6 of the liver and was treated with transarterial chemoembolization and RFA. One month after the second RFA, he was diagnosed with a liver abscess, for which he was treated with antibiotics for 2 months, but continued to have intermittent fever and chills. We made a diagnosis of hepatocolic fistula using colonoscopy, fluoroscopy, and liver dynamic computed tomography. The patient underwent a surgical procedure after antibiotic therapy. Although a hepatocolic fistula is a rare complication following RFA, clinicians should be aware of its existence. (Korean JMed 2012;83:480-484)
신종플루 예방 접종 후 천식 악화로 발생한 자발성 종격동기종
양동주 ( Dong Ju Yang ),최유진 ( Eu Gene Choi ),이만 ( Mahn Lee ),이유미 ( Yu Mi Lee ),권선중 ( Sun Jung Kwon ),손지웅 ( Ji Woong Son ),나문준 ( Moon Jun Na ) 대한천식알레르기학회 2011 천식 및 알레르기 Vol.31 No.3
Background: The 2009 Influenza A virus, H1N1 subtype, was identified as the cause of outbreaks of febrile respiratory infection. The World Health Organization and Centers for Disease Control and Prevention considered addressing pandemic H1N1 vaccination in an effort to control future outbreaks. The safety of the H1N1 influenza vaccine is generally ascertained. However, adverse events may occur in a few patients, especially patients with underlying diseases. Spontaneous pneumomediastinum caused by asthma exacerbation after H1N1 vaccination has not yet been reported. Case History: A-16-years-old male presented with cough, sputum and dyspnea after H1N1 influenza vaccination. Results: Chest X-ray and chest CT showed pneumomediastinum and subcutaneous emphysema. The patient was treated with oxygen, inhalation of a bronchodilator and intravenous aminophylline. Eight days after admission, there was no further evidence of pneumomediastinum. Conclusion: We report a case of spontaneous pneumomediastinum caused by asthma exacerbation after H1N1 Influenza vaccination in stable asthma patient. (Korean J Asthma Allergy Clin Immunol 2011;31:226-229)
증상이 없는 동맥관 개존증 환자에서 발생한 Staphylococcus lugdunensis에 의한 감염성 동맥내막염(infective endarteritis)
이만,송현정,이정아 이화여자대학교 의과학연구소 2011 EMJ (Ewha medical journal) Vol.34 No.2
Staphylococcus lugdunensis (S. lugdunensis) is an unusually virulent coagulase-negative staphylococci (CNS) and uncommon cause of infective endocarditis (IE) involving mainly native left sided valves. S. lugdunensis IE, which was described previously as ?urreptitious?and ?olf in sheep? clothing? runs an aggressive course with a high rate of severe in?hospital complications. Therefore, early surgical treatment has been considered for the treatment of S. lugdunensis IE. However, we experienced a case of S. lugdunensis pulmonary endarteritis which was cured with antibiotic therapy alone.