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증예(症例) : 골화성 근염에 동반된 심부정맥 혈전증 1례
나성일 ( Soung Il Na ),김승수 ( Seung Su Kim ),이동민 ( Dong Min Lee ),윤일용 ( Il Yong Yun ),문우성 ( Woo Sung Moon ),채재건 ( Jei Keon Chae ),김원호 ( Won Ho Kim ),고재기 ( Jae Ki Ko ) 전북대학교 의과학연구소 2002 全北醫大論文集 Vol.26 No.1
Myositis Ossificans is a benign ossifying soft-tissue lesion typically occurring within skeletal muscle. Patients are usually adolescents and young adults. Intraabdominal myositis ossificans is a very uncommon disorder. We experienced a case of myositis ossificans on the lateral wall of the left pelvis, which compressed left external iliac vein cause a deep vein thrombosis(DVT). A 68-year-old woman was admitted with a two-week history of severe lower abdominal pain and swelling of the left lower extrimety. The diagnosis was established with the Doppler ultrasound and pathologic examination. Several studies suggested that catheter-directed thrombolysis and stent placement are potentially attractive forms of therapy because they provide the opportunity for prompt restoration of venous patency and preservation of venous valve function. So we treated the deep vein thrombosis with catheter-directed thrombolysis and percutaneous transcatheter stent placement. We report a case of myositis ossificans presenting with DVT, who had a catheter-directed thrombolysis and percutaneous transcatheter stent placement.
포스터 전시 : 위장관 ; 피하출혈을 동반한 벽내성 식도 혈종 1예
최정기 ( Jeong Ki Choi ),김용성 ( Yong Song Kim ),한학길 ( Xue Ji Han ),윤일용 ( Il Yong Yun ),이승옥 ( Seoung Ok Lee ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
벽내성 식도 혈종은 급성 흉통의 원인이 될 수 있는 드문 질환이다 주로 40대 및 70대의 연령대 여성에서 호발하며, 아직 정확한 기전은 밝혀져 있지 않으나 다양한 원인에 의해 유발될 수있다. 즉, 식도 이물, 내시경적 경화요법, aspirin, warfarin과 같은 약제, 기구조작, 만성 신부전 혈우병, 백혈병과 같은 전신질환, 발살바 조작과 관련된 식도내의 압력변화, 특발성 등이 원인으로 설명되고 있다. 본 질환의 주된 세 가지 임상 증상은 심한
증예(症例) : 위 -담도계 누공을 통한 담즙 역류증에 동반된 위선암 1례
이동민 ( Dong Min Lee ),나성일 ( Soung Il Na ),윤일용 ( Il Yong Yun ),이상일 ( Sang Il Lee ),이승옥 ( Seung Ok Lee ),이수택 ( Su Tak Lee ),김대곤 ( Dae Kon Kim ),안득수 ( Deuk Soo Ahn ) 전북대학교 의과학연구소 2001 全北醫大論文集 Vol.25 No.2
Multiple host and environmental factors are involved in gastric carcinogenesis. Studies in animal models have shown that bile acids are related to gastric carcinogenesis. In man, distal gastric carcinoma is associated with increased duodenogastric reflux mainly in the stomach after surgery. Internal biliary fistulae are either spontaneous or due to operations on biliary tract. The common cause of spontaneous internal biliary fistula is cholelithiasis, but rarely chronic gastric ulcer may also cause gastrobiliary fistula. We experienced a case of gastric adenocarcinoma on the fundus associated with bile reflux by the gastrobiliary fistula. This gastrobiliary fistula was developed from gastic ulcer that was detected 3 years ago. Because we consider that bile reflux is related to the genesis of gastric adenocarcinoma, we present this case with review of literatures.
폐혈색전증에 의한 급성신부전을 동반한 다발성 대칭성 지방종증 1예
이나리,진흥용,박성주,윤일용,권혁진,문치영,김원,박성광,강성귀 대한내과학회 2002 대한내과학회지 Vol.62 No.5
Multiple symmetric lipomatosis (MSL) is a rare disease characterized by the presence of diffuse, non-tender, symmetric deposits of adipose tissue on the neck, back and upper part of the trunk. It has been reported that this disease could be associated with various metabolic abnormalities such as impaired glucose tolerance, hyperuricemia, alcohol consumption, type 4 hyperlipidemia, renal tubular acidosis and thyroid disorder. We present a case of type 2 MSL with pulmonary thromboembolism. He suffered sudden dyspnea and decreased urine output. The causes of dyspnea and acute renal failure (ARF) in this case were dehydration and hemodynamic disturbance due to pulmonary thromboembolism. After thrombolytic and fluid therapy, his condition was improved. He was discharged on warfarin medication and has remained asymptomatic for 12 months.