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임외자(Oi Ja Lim),김국규(Kook Kyu Kim),김명준(Myung Jun Kim),우종길(Jong Gil Woo),양웅석(Ung Suk Yang) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2
Pseudomyxoma peritonei is a rare disease presenting massive mucinous ascites and it is usually associated with mucocele of the appendix, ovarian cystadenoma and cystadeno- carcinoma. The term pseudomyxoma peritonei was originated by Werth in 1884. Pseudomyxoma peritonei is usually presented in the peritoneal cavity, lymphatics, and paren- chymal tissue. The disease is rarely spread extraperitoneally. We experienced two cases of pseudomyxoma peritonei. They are 51-year-old male and 70- year-old female presented with marked abdominal distension, indigestion and abdominal dis- comfort. Abdominal ultrasonogram showed inhomogenous material occupied in the whole ab- dominal cavity with displacement of the solid organ. Abdominal CT scan showed septated low attenuation material in central. We suggested pseudornyxoma peritonei clinically and were confirmed by surgery. At laparotomy the abdomen was filled with thick gelatinous mucoid material having internal septation, the bowel was encased in mucin. Loculated mucinous cyst are present in the appedix, ovaries and mucin globules are found within the omentum. In first case, appendectomy and aggressive debulking of intraperitoneal tumor was done and second case was treated with bilateral salphingo-oophorectomy, tumor resection and postoperative chemotherapy using 5 FU and mitomycin. Up to the present, they have no evidence of recur- rence. (Korean J Gastroentero11994; 26: 393-398)
급성 복통 및 호흡기 증상이 현저한 알레르기성 육아종증 1례
김명준,윤선희,김국규,오용창,주남영,임외자,우종길 대한알레르기학회 1995 천식 및 알레르기 Vol.15 No.4
Churg-Strauss syndrome is a disorder of hypereosinophilia and systemic vasculitis in subjects with asthma and allergic rhinitis. Clinically multiple organ systems can be involved with various manifestations of disease of lung, heart, skin, musculoskeletal system, and gastrointestinal, hepartobiliary tt act. Ive experienced a case of Churg-Strauss syndrome presenting as acute abdol men in a 54-year-old male. During the period of treatment, we observed migrating pneumonic infiltration and mechanical obstruction of small intestine. We performed exploratory laparotomy and small bowel resection. We observed granulomatous vasculitis of small and medium sized mesenteric vessel and marked eosinophilic infiltration in the small intestinal biopsy. We prescribed dexamethasone 10mg/day for patient. Patients symptom is resolved and then discharged.