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복수 배액관 삽입 시 발생한 의인성 대장 천공을 내시경 클립술로 치료한 1예
한규연 ( Kyu Yeon Hahn ),김현주 ( Hyun Ju Kim ),박혜정 ( Hye Jung Park ),김선욱 ( Sun Wook Kim ),장수연 ( Soo Yun Chang ),김범경 ( Beom Kyung Kim ),한광협 ( Kwang Hyub Han ),홍성필 ( Sung Pil Hong ) 대한소화기학회 2014 대한소화기학회지 Vol.63 No.6
Advanced cancer patients with refractory ascites often do not respond to conventional treatments including dietary sodium restriction, diuretics, and repeated large volume paracentesis. In these patients, continuous peritoneal drainage by an indwelling catheter may be an effective option for managing refractory ascites with a relative low complication rate. Peritoneal catheter-induced complications include hypotension, hematoma, leakage, cellulitis, peritonitis, and bowel perforation. Although bowel perforation is a very rare complication, it can become disastrous and necessitates emergency surgical treatment. Herein, we report a case of a 57-year-old male with refractory ascites due to advanced liver cancer who experienced iatrogenic colonic perforation after peritoneal drainage catheter insertion and was treated successfully with endoscopic clipping. (Korean J Gastroenterol 2014;63:373-377)
침 시술로 발생한 Non-O1, Non-O139 Vibrio cholerae에 의한 패혈증
임태섭,지아영,이중희,장수연,김인수,김영주,김범경,김승업,박준용,안상훈,한광협,김도영 Ewha Womans University School of Medicine 2013 EMJ (Ewha medical journal) Vol.36 No.S
Vibrio cholerae is mainly known to cause gastrointestinal infection after seawater exposure or raw seafood intake. It is rarely reported to cause cellulitis or sepsis, but threre has been no known case after acupuncture. Herein, We report a 56-year-old cirrhotic patient of non-O1, non-O139 Vibrio cholerae septicemia caused by cellulitis of both lower extremities after acupuncture.