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지속성 외래 복막 투석 환자에게 발생한 후복막 지방육종
엄욱현 ( Wook Hyun Um ),이승원 ( Seung Won Lee ),박근호 ( Geun Ho Park ),이승우 ( Seoung Woo Lee ),김수한 ( Soo Han Kim ),김은주 ( Eun Joo Kim ),박현주 ( Hyun Joo Park ),송준호 ( Joon Ho Song ),김문재 ( Moon Jae Kim ),김준미 ( Joo 대한신장학회 2007 Kidney Research and Clinical Practice Vol.26 No.1
Liposarcoma accounts for at least 20% of all soft tissue sarcoma in adults and occur anywhere in the body, although about 14% of cases arise from retroperitoneum. Liposarcoma usually presents as a painless, enlarging mass that can slowly grow over many years. We here report a case of retroperitoneal liposarcoma in a 52 years old female patient undergoing continuous ambulatory peritoneal dialysis. Retroperitoneal liposarcoma was incidentally found by computed tomography which was performed due to ventral hernia and confirmed by ultrasonography guided-biopsy. She was treated successfully by wide surgical resection and transferred to hemodialysis.
홍대영,엄욱현,이경미,김지혜,한승백,서주현,김준식,노형근,Hong Dae-Young,Um Wook-Hyun,Lee Kyoung-Mi,Kim Ji-Hye,Han Seung-Baik,Suh Joo-Hyun,Kim Jun-Sig,Roh Hyung-Keun 대한임상독성학회 2006 대한임상독성학회지 Vol.4 No.1
Dicamba is a benzoic acid and classified as a chemically related chlorophenoxy herbicide which is widely used for the control of broad-leaved weeds. While the chlorophenoxy herbicide poisoning is known to be uncommon, its ingestion can result in serious or sometimes fatal outcome. A 65-year-old man ingested about 300 ml of dicamba in a suicidal attempt and three hours later he was admitted hospital, complaining abdominal pain, nausea and vomiting. On admission his vital signs were normal and laboratory findings were not remarkable except metabolic acidosis in arterial blood gas analysis. Shortly after the admission endotracheal tube was inserted due to altered mental state and activated charcoal was given after performing gastric lavage. However, his vital signs became unstable 6hrs after the ingestion and mechanical ventilation was started with administration of inotropic agents. In spite of urine alkalization for rapid elimination of the absorbed dicamba, the metabolic acidosis was aggravated with concomitant rhabdomyolysis and acute renal failure, and he died 24 hrs after the ingestion.
이병후 ( Byung Hoo Lee ),엄욱현 ( Wook Hyun Um ),전성란 ( Seong Ran Jeon ),김현건 ( Hyun Gun Kim ),이태희 ( Tae Hee Lee ),김완중 ( Wan Jung Kim ),김진오 ( Jin Oh Kim ),진소영 ( So Young Jin ) 대한소화기학회 2013 대한소화기학회지 Vol.62 No.5
Herpes simplex virus (HSV) is a recognized cause of gastrointestinal infection in immunodeficient patients. Although a few cases of HSV gastritis and colitis in immunocompromised patients have been reported, there are no reports of HSV duodenitis in patients with Crohn`s disease (CD). A 74-year-old female was admitted with general weakness and refractory epigastric pain. She had been diagnosed with CD three years ago. Esophagogastroduodenoscopy (EGD) revealed diffuse edematous and whitish mucosa with multiple erosions in the duodenum. Considering the possibility of viral co-infection, cytomegalovirus (CMV) immunohistochemical staining, PCR, and cultures of duodenal biopsies were performed, all of which were negative with the exception of the isolation of HSV in culture. After administration of intravenous acyclovir for 1 week, follow-up EGD showed almost complete resolution of the lesions and the patient`s symptoms improved. In CD patients with refractory gastrointestinal symptoms, HSV, as well as CMV, should be considered as a possible cause of infection, so that the diagnosis of viral infection is not delayed and the appropriate antiviral treatment can be initiated. (Korean J Gastroenterol 2013;62:292-295)
세탁소를 운영하는 부부에서 동시에 발생한 담낭암 담낭암과 벤젠과의 연관성
심광연 ( Kwang Yeun Shim ),차상우 ( Sang Woo Cha ),엄욱현 ( Wook Hyun Um ),전창균 ( Chang Gyun Chun ),정승원 ( Soung Won Jeong ),장재영 ( Jae Young Jang ),조영덕 ( Young Deok Cho ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2
Gallbladder (GB) cancer occurs predominately as a biliary tract malignant tumor. It generally has a very poor prognosis, and early detection is often difficult. A variety of carcinogens have been implicated as an important cause for GB cancer. Benzene is a well-known carcinogen for hematologic malignancy, and its casual relationship with GB cancer has been suggested. We report a case of two patients who had operated a laundry cleaning facility together and later simultaneously got GB cancer after prolonged benzene exposure.