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지속성 외래 복막 투석환자에서 발생한 급성 담낭염을 동반한 담즙성 복막염
황순오 ( Soon Oh Hwang ),김수지 ( Soo Ji Kim ),강문수 ( Moon Su Kang ),길효욱 ( Hyo Wook Gil ),양종오 ( Jong Oh Yang ),이은영 ( Eun Young Lee ),홍세용 ( Sae Yong Hong ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.2
Peritonitis is the most common complication of CAPD (continuous ambulatory peritoneal dialysis). Major cause of peritonitis is bacterial infection by septic manipulation and catheter exit infection. In patients with CAPD, bile peritonitis by acute cholecystitis is rare. A 80-year-old female patient who had been treated with CAPD for 18 months visited our hospital for abdominal pain and change of dialysate color. These symptoms suggested peritonitis. Although we administered intraperitoneal antibiotics, abdominal pain did not subside. Therefore, we checked abdomen computerized tomography. CT findings showed gall bladder stone with distension, wall thickening and pericholecystic fluid collection. Acute cholecystitis with microperforation was suspected. She underwent percutaneous transhepatic gall bladder drainage and systemic antibiotics therapy. After conservative treatment, abdominal pain was subsided and peritoneal fluid came out clear. The patient was discharged and maintained on CAPD When CAPD patients visit hospital due to abdominal pain and dialysate color change (dark brown color or greenish color), physicians should consider bile peritonitis and early treatment.
캐슬만병에서 기원하여 무증상 복강 내 종양으로 발현된 여포성 수상돌기 세포육종
황순오 ( Soon Oh Hwang ),이태훈 ( Ae Hoon Lee ),배상호 ( Sang Ho Bae ),조현득 ( Hyun Deuk Cho ),최강혁 ( Kang Hyug Choi ),박상흠 ( Sang Heum Park ),김창호 ( Chang Ho Kim ),김선주 ( Sun Joo Kim ) 대한소화기학회 2013 대한소화기학회지 Vol.62 No.2
Follicular dendritic cell (FDC) sarcoma is an extremely rare malignant neoplasm arising from FDCs. The exact origin of FDCs remains unclear; both a hematopoietic lineage origin and a stromal cell derivation have been proposed. Proliferation of FDCs can lead to benign reactive lesions or generate neoplastic conditions. The lesions are most commonly found in lymph nodes and usually involve the head and neck area. Castleman`s disease is a rare non-neoplasitic lymphoproliferative disorder. Rare cases of hyaline-vascular Castleman`s disease have been associated with FDC sarcoma, but a clonal relationship has not been convincingly demonstrated. A pathway toward tumor evolution, beginning with hyperplasia and dysplasia of FDCs, has been proposed. Despite this known association between Castleman`s disease and FDC sarcoma, there have only been few reported cases of sarcoma arising as a complication of pre-existing Castleman`s disease, especially in abdominal lesions. We describe here a 51-year-old female with an FDC sarcoma arising from unicentric, hyaline-vascular type Castleman s disease in an intra-abdominal mass. Pathologically, the lesion showed a series of changes during the process of transformation from Castleman`s disease to FDC sarcoma. (Korean J Gastroenterol 2013; 62:131-134)
김수지 ( Su Ji Kim ),황순오 ( Soon Oh Hwang ),강문수 ( Moon Su Kang ),길효욱 ( Hyo Wook Gil ),양종오 ( Jong Oh Yang ),이은영 ( Eun Young Lee ),홍세용 ( Sae Yong Hong ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.3
Acute renal infarction is an uncommon disease that is often misdiagnosed initially because of its nonspecific presentation. Cardiovascular disease is the major cause of thromboembolic event, but renal infarction can also occur in patient with special conditions such as hypercoagulable states. Protein S deficiency is a rare cause of the hypercoagulable states and induces both venous and arterial thrombosis. Protein S are a vitamin K dependent plasma protein that serves as a cofactor for the anticoagulant effects of activated protein C. Patients deficient in protein S is prone to recurrent thromboembolic disease. We reported a case of acute renal infarction that was associated with type II protein S deficiency in a 38-year old patient without underlying cardiovascular disease.
소화성 궤양 출혈에서 내시경적 클립 시술의 기술적 완성도 결정인자
황순오,이석호,김종화,김수지,서성우,이용관,전웅,조영신,최문한,최재혁 순천향의학연구소 2007 Journal of Soonchunhyang Medical Science Vol.13 No.2
Background/Aims: Although endoscopic hemoclip therapy for bleeding peptic ulcer has widely been used, there are few reports that assess its technical completeness. We retrospectively evaluated the related factors for the completeness of endoscopic hemoclip placement with bleeding peptic ulcer. Methods: 50 patients were enrolled. They received emergency endoscopy and received hemoclip application for bleeding peptic ulcer, then follow up endosconv was performed after 48 hours. We analyzed endoscopic feature, clinical factors and operator's experience retrospectively. Results: Initial hemostasis was achieved in 100%. The rebleeding rate was 10%. In cases larger and peripherally located vessel on the ulcer, difficult site of ulcer to access and insufficiently experienced endoscopist, the rate of completeness of endoscopic hemoclip placement were significantly lower with statistical difference(p<0.05). Conclusions: Endoscopic hemoclip application provides effective hemostasis in the treatment of bleeding peptic ulcer. But in difficult cases, we have to attend various technical re-adjustment or may consider other hemostatic procedures instead of doing hemoclip therapy.