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회결장동맥의 동맥류 파열에 의한 대량 장출혈을 동반한 베체트 장염
김승업 ( Seung Up Kim ),천재희 ( Jae Hee Cheon ),임준석 ( Joon Seok Lim ),백승혁 ( Seung Hyuk Paik ),김상겸 ( Sang Kyum Kim ),이상길 ( Sang Kil Lee ),이용찬 ( Yong Chan Lee ),김원호 ( Won Ho Kim ) 대한소화기학회 2007 대한소화기학회지 Vol.49 No.6
Behcet`s disease has been recognized as a systemic vasculitis characterized by the involvement of multiple organs such as orogenital ulcers, eye lesions including uveitis and optic neuritis, and skin lesions including folliculitis and erythema nodosum. Vascular involvement occurs occasionally and is classified into thrombosis and aneurysm. However, massive gastrointestinal bleeding from arterial aneurysm is a rare manifestation of intestinal Behcet`s disease. Recently, we experienced a case of intestinal Behcet`s disease presenting with massive gastrointestinal bleeding due to aneurysmal rupture of ileo-colic artery. A 30-year-old male with Behcet`s disease was admitted because of massive gastrointestinal bleeding. A large ileo-cecal ulcer was revealed as a bleeding focus on colonoscopic examination. Celiac angiography showed aneurysm and stenosis of ileo-colic artery. After the failure of hemostasis with arterial embolization, ileocecectomy was performed. After the resection hematochezia was completely stopped. (Korean J Gastroenterol 2007;49:400-404)
유영훈(Young Hoon Ryu),이종두(Jong Doo Lee),김희중(Hee Joung Kim),이병희(Byung Hee Lee),임준석(Joon Seok Lim),김병문(Byung Moon Kim) 대한핵의학회 1998 핵의학 분자영상 Vol.32 No.5
N/A Purpose: The purpose of this study was to evaluate the phenomenon of diaschisis in the cerebellum and cerebral certex in patients with pure basal ganglia hemorrhage using cerebral blood flow SPECT. Materials and Methods: Twelve patients with pure basal ganglia hemorrhage were studied with Tc-99m ECD brain SPECT Asymmetric index (AI) was calculated in the cerebellum and cerebral cortical regions as │CR-CL│/(CR-CL)×200, where CR and GL and the mean reconstructed counts for the right and left ROIs, respectively. Hypoperfusion was considered to be present when AI was greater than mean+2 SD of 20 control subjects. Results: Mean AI of the cerebellum and cerebral cortical regions in patients with pure basal ganglia hemorrhage was significantly higher than normal controls (p<0.05): Cerebellum (18.68±8.94 vs 4.35±0.94, mean±SD), thalamus (31.91±10.61 vs 2.57±1.45), basal ganglia (35.94±16.15 vs 4.34±2.08), parietal (18.94±10.69 vs 3.24±0.87), frontal (13.60±10.8 vs 4.02±2.04) and temporal cortex (18.92±11.95 vs 5.13±1.69). Ten of the 12 patients had significant hypoperfusion in the contralateral cerebellum. Hypoperfusion was also shown in the ipsilateral thalamus (n=12), ipsilateral parietal (n=12), frontal (n=6) and temporal cortex (n=10). Conclusion: Crossed cerebellar diaschisis (CCD) and cortical diaschisis may frequently occur in patients with pure basal ganglia hemorrhage, suggesting that CCD can develop without the interruption of corticopontocerebellar pathway.