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위정맥류 출혈에 Histocaryl(R) 주입 후 발생한 부신농양 1예
예창진 ( Chang Jin Yea ),백순구 ( Soon Koo Baik ),김문영 ( Moon Young Kim ),석기태 ( Ki Tae Suk ),이일영 ( Il Young Lee ),김은미 ( Eun Mi Kim ) 대한내과학회 2009 대한내과학회지 Vol.76 No.6
저자들은 40세 간경변증 환자에서 위정맥류 출혈 치료를 위해 n-butyl-2-cyanoacrylate (Histoacryl(R))와 lipidol 혼합액 경화요법을 시행한 후 발생한 좌측 부신농양을 경험하였기에 문헌고찰과 함께 보고하는 바이다. N-butyl-2-cyanoacrylate (Histoacryl(R)) is used to obtain hemostasis in gastric variceal bleeding. Known complications of Histoacryl(R) injection therapy include bleeding, perforation, stenosis, and embolism. We report a case of adrenal abscess as a very rare complication of Histoacryl(R) injection. A 40-year-old male with liver cirrhosis was admitted with acute gastric variceal bleeding. Sclerotherapy using Histoacryl(R) mixed with lipiodol (3 mL) was successful. Twenty-seven months later, he was readmitted complaining of left flank pain and a fever of 39℃. Abdominal computed tomography (CT) showed a heterogeneous enhancing solid and cystic mass (6.1×3.0 cm) at the left adrenal gland. A left adrenalectomy was performed and the pathological examination confirmed a Histoacryl(R)-related adrenal abscess. We present this case along with a brief review of the literature. (Korean J Med 76:732-736, 2009)
간경변증 환자에서 간정맥 압력차와 간경변증의 임상 병기, 정맥류 및 복수와의 상관관계
김문영 ( Moon Young Kim ),백순구 ( Soon Koo Baik ),석기태 ( Ki Tae Suk ),예창진 ( Change Jin Yea ),이일영 ( Il Young Lee ),김재우 ( Jae Woo Kim ),차승환 ( Seung Hwan Cha ),김영주 ( Young Ju Kim ),엄순호 ( Soon Ho Um ),한광협 ( Kwa 대한간학회 2008 Clinical and Molecular Hepatology(대한간학회지) Vol.14 No.2