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지종훈,김영율,김진영,모하메드 샤피,김지창,이상욱,김원유,Ji, Jong-Hoon,Kim, Young-Yul,Kim, Jin-Young,Shafi, Mohamed,Kim, Ji-Chang,Lee, Sang-Wook,Kim, Weon-Yoo 대한관절경학회 2004 대한관절경학회지 Vol.8 No.1
슬관절에 생긴 연골종은 드물게 보고되고 있어 저자들은 본원에서 경험한 1예의 임상양상과 조직학적 소견에 대해 보고하고자 하였다. 본 증례는 특별한 외상없이 발생한 슬관절 동통 및 종창을 주소로 내원한 38세 환자에 대한 것으로 슬관절의 전방 압통이 관찰되었으며 슬관절 전반에 경한 종창이 관찰되었다. 관절경하에서 종양을 절제한 결과 2 5 ${\times}$ 1.5 ${\times}$ 1 cm크기의 비교적 단단한 종괴였으며, 이는 중심부에 갈색을 갖는 부분적인 병변이 관찰되었고, 현미경학적으로 바깥쪽에 활액막이 얇게 덮여있는 초자 연골로 구성된 연골종으로 확인되었다. Intracapsular chondromas of the knee have been reported rarely, so the authors report one case about its clinical and histologic findings. This is the case about 38-year-old man who feel painful swelling of the knee joint and the tenderness on the anterior aspect of knee. After arthroscopic excision, grossly there was a 2.5${\times}$l.5${\times}$1cm sized white colored firm mass which had central brownish lesion. Microscopically it was confirmed to chondroma which was consisted of hyaline cartilage and outer thinly synovial membrane.
박미연 ( Mi Youn Park ),박진영 ( Jin Young Park ),유지연 ( Ji Youn Yu ),김승수 ( Seung Su Kim ),김명숙 ( Myung Sook Kim ),김지창 ( Ji Chang Kim ),안창준 ( Chang Joon Ahn ) 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.6
A tuberculous psoas abscess is a frequently described complication of tuberculous spondylitis. Although rare, a tuberculous psoas abscess can develop without any demonstrable spinal involvement. In patients with no evidence of sponylitis, the abscess may result from direct spread from the involved lymph node or via a hematogeous route. The treatment of a psoas abscess is either drug therapy or surgical intervention in conjunction with drug therapy. Image-guided percutaneous drainage in conjunction with drug therapy is also a safe and effective treatment for a tuberculous psoas abscess. We report an unusual case of bilateral tuberculous psoas abscesses without any concomitant spinal involvement. The tuberculous psoas abscess may have formed by fistulization between the necrotic lymph node and psoas sheath. The diagnosis was confirmed by computed tomography and a histology examination of the biopsy sample. The patient improved after administering anti-tuberculous agents for 2 years along with surgical and percutaneous drainage of the abscess. (Tuberc Respir Dis 2008;65:517-521)
신부전이 동반된 허혈성 신증환자의 일측 신동맥 협착에 대한 성공적인 중재적 스텐트 삽입술
정현정 ( Hyun Jung Jung ),강경미 ( Kyung Mi Kang ),오병선 ( Byoung Sun Oh ),이상주 ( Sang Ju Lee ),장윤경 ( Yoon Kyung Chang ),김지창 ( Ji Chang Kim ),김석영 ( Suk Young Kim ),장윤식 ( Yoon Sik Chang ),방병기 ( Byung Kee Bang ) 대한신장학회 2006 Kidney Research and Clinical Practice Vol.25 No.6
Ischemic nephropathy is defined as renal dysfunction due to renal hypoperfusion mainly through renal artery stenosis. It is a common cause of chronic renal failure in old patients with atherosclerosis and is also a potentially correctable cause of renal failure if diagnosed earlier. We experienced a case of sudden Rt. main renal artery occlusion and renal failure after femoral artery angioplasty in an aged male patient with underlying atherosclerotic bilateral renovascular stenosis associated with ischemic nephropathy. He received successful Lt. renal artery angioplasty with stenting and restored Lt. renal artery blood flow. His blood pressure was more easily controlled with fewer antihypertensive drugs after renal artery revascularization. His renal function was recovered to his baseline level and became stabilized thereafter. Early diagnosis of ischemic nephropathy with MRA and timely renal angioplasty with stenting are beneficial to avoiding progression to irreversible renal failure. (Korean J Nephrol 2006;25(6):1047-1053)