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공장 정맥류 출혈에 대한 색전술 후 이동된 코일의 수술적 제거 1예
김준환 ( Junhwan Kim ),이단비 ( Danbi Lee ),오경환 ( Kyunghwan Oh ),이민기 ( Mingee Lee ),소설 ( Seol So ),양동훈 ( Dong-hoon Yang ),김찬욱 ( Chan-wook Kim ),권동일 ( Dong Il Gwon ),정영화 ( Young-hwa Chung ) 대한소화기학회 2017 대한소화기학회지 Vol.69 No.1
Jejunal variceal bleeding is less common compared with esophagogastric varices in patients with portal hypertension. However, jejunal variceal bleeding can be fatal without treatment. Treatments include surgery, transjugular intrahepatic porto-systemic shunt (TIPS), endoscopic sclerotherapy, percutaneous coil embolization, and balloon-occluded retrograde transvenous obliteration (BRTO). Percutaneous coil embolization can be considered as an alternative treatment option for those where endoscopic sclerotherapy, surgery, TIPS or BRTO are not possible. Complications of percutaneous coil embolization have been reported, including coil migration. Herein, we report a case of migration of the coil into the jejunal lumen after percutaneous coil embolization for jejunal variceal bleeding. The migrated coil was successfully removed using surgery. (Korean J Gastroenterol 2017;69:74-78)
오경환 ( Kyunghwan Oh ),권오찬 ( Oh Chan Kwon ),박형준 ( Hyung Jun Park ),이민기 ( Mingee Lee ),조상철 ( Sang-cheol Cho ),송준선 ( Joon Seon Song ),김성한 ( Sung-han Kim ) 대한내과학회 2017 대한내과학회지 Vol.92 No.1
털곰팡이에 의한 척추 골수염 증례보고가 국내에서는 아직 없었으며, 전 세계적으로도 매우 드물다. 저자들은 급성백혈병으로 3년 전 항암 치료를 받고 재발이 없는 상태로 지내던 환자에서 발생한 털곰팡이에 의한 척추 골수염을 조직형태학적 방법 및 면역조직화학염색 방법으로 진단하였기에 보고하는 바이다. Mucormycosis is a rare but fatal disease and usually affects the rhinocerebrum, lungs, traumatic wounds or surgical sites. Vertebral osteomyelitis due to mucormycosis is very rare, with only three cases caused by mucormycosis since 1970 being reported, and none in Korea. Here, we present a case of vertebral osteomyelitis caused by mucormycosis in a 67-year-old woman, having type 2 diabetes mellitus for 10 years, who was in complete remission from acute leukemia after chemotherapy 3 years previously. (Korean J Med 2017;92:84-88)