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강원경,전효신,김형진,이인규,전해명,이명아,장석균,오승택 대한대장항문학회 2006 Annals of Coloproctolgy Vol.22 No.2
Purpose: Anal diseases are a common complication among patients with leukemia, and the perianal abscess may prove to be the most fatal among anal diseases. We report here the prevalence, the treatment methods, and the prognosis for anal diseases among patients with leukemia. Methods: Among the 310 patients who were diagnosed with and treated for leukemia between October 1999 and September 2000, we investigated the medical records of 53 patients with complications due to anal diseases. Results: Among the 310 patients with leukemia, 53 (17.1%) reported anal diseases. There were 30 patients with hemorrhoids, 15 patients with a perianal abscess, 3 patients with an anal fistula, 3 patients with a fissure and 2 patients with hemorrhoids and fistulas. Anal pain was the most common complaint. Conservative treatment improved the symptoms in 42 patients (79.2%) while surgery was necessary in the remaining 11 patients (20.8%). A hemorrhoidectomy was undertaken in 4 patients, a drainage procedure in 4 paients, and a fistulotomy in 3 patients. Throughout the study period, 6 patients died (11.3%), 3 of them with perianal abscesses. Among the 15 patients with a perianal abscess, 13 showed fever (87%), and 9 patients underwent drainage (4 surgical drainages and 5 natural drainages). E. coli was the most commonly cultured organism. Conclusions: The incidence of anal diseases in patients with leukemia was high. Nonsurgical methods were sufficient for hemorrhoids and fistulas. For a perianal abscess, drainage should be undertaken when abscess formation is evident. When abscess formation is not evi-dent, medical treatment is the primary modality, and surgery should be considered only when worsens the patient's condition, but the prognosis is poor.
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강보라미,정우철,이강문,백창렬,이지민,전효신,전경화,진형민 대한소화기내시경학회 2011 Clinical Endoscopy Vol.42 No.6
Eosinophilic gastroenteritis is an unusual disease that is associated with various clinical gastrointestinal manifestations. Its severity depends on the area involved as well as the wall layer involved. Eosinophilic gastroenteritis often causes abdominal pain, nausea, vomiting and diarrhea. To date, there has been an extremely rare case of eosinophilic gastroenteritis with systemic symptoms, such as fever or lymphadenopathy (LAP). We experienced a case of a 68-year-old-woman with fever and abdominal pain. Abdominal computed tomography revealed diffuse wall thickening of the gastric antrum as linitis plastica. Multiple hot uptakes of lymph nodes were visualized on fludeoxyglucose-positron emission tomography. The gastric biopsy pathological report demonstrated eosinophilic infiltration without malignant cells. We could not exclude malignancy and performed an exploratory laparoscopy. A lymph node specimen showed reactive hyperplasia, and her illness was finally diagnosed as eosinophilic gastroenteritis. Herein, we report the case with a brief review. 호산구 위창자염은 비교적 드문 질환으로 다른 원인 없이 위장관에 호산구의 침윤을 특징으로 한다. 여러 가지 임상증상이 나타나는데 주로 복통, 설사, 오심 및 구토이고, 침범하는 기관이나 발생한 병변에서 호산구가 침윤되는 범위에 따라 다르게 나타난다. 현재까지 발열이나 림프절 병증과 같은 전신 증상을 동반하는 호산구 위창자염은 매우 드물다고 알려져 있다. 저자들은 68세 여자에서 발열과 복통으로 발현한 호산구 위창자염을 경험하였다. 복부 CT에서 위전정부의 벽 비후 소견을 보였고, PET에서 다수의 림프절 종대와의 FDG의 고섭취가 관찰되었다. 상부위장관내시경을 통한 위 점막의 조직검사에서 악성세포는 보이지 않았지만 다수의 호산구 침윤을 관찰할 수 있었다. 위의 악성 종양을 배제하기 위하여 시험적 복강경을 통한 림프절 조직검사를 시행하였고, 반응성 비대를 보여 최종적으로 호산구 위창자염으로 진단하였다.
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이혜원 ( Hye Won Lee ),정우철 ( Woo Chul Chung ),이강문 ( Kang Moon Lee ),백창렬 ( Chang Nyol Paik ),김지희 ( Ji Hee Kim ),전효신 ( Hyo Sin Jeon ),전경화 ( Kyong Hwa Jun ),진형민 ( Hyung Min Chin ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.1
Portal vein thrombus has been detected in patients with liver cirrhosis, pancreatitis, ulcerative colitis, septicemia, myeloproliferative disorder, and neoplasm. The formation of portal tumor thrombus by hepatocellular carcinoma is well recognized, because of its high incidence, and subsequent development of portal hypertension such as rupture of varices, ascites and liver failure indicates the poor prognosis. In gastric cancer, portal hypertension as an initial presentation is extremely rare. Herein we report a case presenting as portal hypertension caused by tumor thrombus without invasion of liver parenchyma. It is presumed to be intraluminal tumor thrombus originating from primary foci of gastric adenocarcinoma. Tumor thrombus in the portal vein is demonstrated on the PET-CT. (Korean J Gastroenterol 2012;60:42-46)
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