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RISS 인기검색어
- 검색키워드
- 저자 : 정수민 ( Soo Min Jeung ) (검색결과 3 건)
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허정민,문석배,정수민,신현백,서정민,이석구,Huh, Jeung-Min,Moon, Suk-Bae,Jung, Soo-Min,Shin, Hyun-Baik,Seo, Jeong-Meen,Lee, Suk-Ku 대한소아외과학회 2010 소아외과 Vol.16 No.2
Malrotation is a congenital anomaly that becomes symptomatic more frequently during infancy. The indication for surgical treatment at that age is straightforward. In older children, the diagnosis may be more difficult because of chronic and vague complaint. The aim of this study is to compare the symptoms, rate of volvulus and surgical findings in children younger and older than one year. A retrospective study of 40 patients in a a single medical center diagnosed with malrotation from April 1996 to May 2010 was performed. There were 20 (50 %) boys and 20 (50 %) girls. At the time of operation, 27 (67.5 %) patients were younger and 13 (32.5 %) were older than 1 year. Vomiting was seen in 20 cases (74.1 %) of the younger group compared to 2 cases (15.4 %) of the older group. Abdominal sonography and upper gastrointestinal series showed a sensitivity of 100%. Operative findings: 12 (44.4 %) of the younger group presented with volvulus compared to none of the older group. The Ladd's procedure was routinely performed with appendectomy in all cases and bowel resection was requires when volvulus included bowel necrosis or other anomalies were found. After definite procedures, surgical correction for adhesive obstruction was necessary in 5 menbers (18.5 %) of the younger group and 1 patient (7.7 %) in the older group. There was 1 death due to respiratory failure and pneumonia. Abdominal pain was more frequent symptom and bilious vomiting was less frequent. Volvulus did not occur in the older group. Malrotation should be diagnosed promptly in children over 1 year of age by upper gastrointestinal series and abdominal ultrasonography even though symptoms are not as clear cut as in infants.
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증례 : 감염 ; 배양 음성 심내막염처럼 발생한 심장 침범 베체트병 1예
윤희영 ( Hee Young Yoon ),박신희 ( Shin Hee Park ),정수민 ( Soo Min Jeung ),서유리 ( Yu Ri Seo ),서보미 ( Bo Mi Seo ),김성한 ( Sung Han Kim ),유빈 ( Bin Yoo ) 대한내과학회 2015 대한내과학회지 Vol.89 No.2
Behcet`s disease is an inflammatory disorder of unknown etiology with multi-organ involvement. Although it rarely involves the heart, once the heart is involved the results can be devastating. However, since cardiac involvement has various manifestations, diagnosis is challenging. The clinical features and echocardiographic findings of cardiac Behcet`s may mimic culture-negative infective endocarditis. A correct diagnosis is usually made postoperatively. Here, we report the case of a 55-year-old male who was initially diagnosed with infective endocarditis that caused metastatic vertebral osteomyelitis. He underwent immediate cardiac surgery and received empirical antibiotics, but all culture findings were negative, however, he had a sustained fever and elevated inflammatory marker levels. After reviewing the results of pathologic and imaging studies, a final diagnosis of cardiac Behcet`s disease was made. He was successfully treated with a high dose of corticosteroids. This report demonstrates a rare case of cardiac Behcet`s disease mimicking culture-negative infective endocarditis. (Korean J Med 2015,89:249-253)
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경피적 내시경적 괴사 제거술에서 완전 피복 식도 금속 스텐트의 유용성
이나겸 ( Nah Kyum Lee ),박도현 ( Do Hyun Park ),박신희 ( Shin Hee Park ),박수연 ( Su Yeon Park ),정수민 ( Soo Min Jeung ),오진선 ( Jin Sun Oh ),서보미 ( Bo Mi Seo ) 대한췌담도학회 2015 대한췌담도학회지 Vol.20 No.2
괴사성 췌장염은 사망률이 높고 괴사된 췌장 부위에 감염이 동반되어 있을 경우에 패혈증과 다발성 장기 부전이 발생하여 사망률이 더욱 증가하는 중대한 질환으로 과거에는 수술적 괴사 제거술이 많이 시행되었지만 최근에는 경피적 배액술 또는 내시경적 괴사 제거술과 같은 최소 침습 시술이 치료에 널리 이용되고 있다. 저자들은 경피적 배액술과 내시경적 배액술을 시행하였으나 치료 반응이 없고 임상적으로 악화 경과를 보이는 환자에서 직경이 넓은 식도 금속 스텐트를 사용하여 경피적 내시경적 괴사 제거술을 시행하여 대장주변(paracolic gutter)에 있는 막으로 둘러싸인 괴사를 성공적으로 치료한 사례들을 경험하였고 식도 금속 스텐트를 사용하여 경피적 내시경적 괴사 제거술이 시행된 증례는 국내에서 이전에 보고된 바가 없기에 이를 문헌 고찰과 함께 보고하는 바이다. Necrotizing pancreatitis is associated with high rates of morbidity and mortality. Managing necrotizing pancreatitis is challenging, and minimally invasive treatment modalities recently replaced traditional open necrosectomy. Percutaneous catheter drainage and endoscopic necrosectomy are now widely used because they are less invasive, safer, and can more effectively remove necrotic materials. Various methods and novel techniques have been introduced to manage walled-off necrosis. Herein, we report a case series of patients with necrotizing pancreatitis who were successfully treated using fully covered esophageal metal stent and endoscopic necrosectomy via the percutaneous approach. Percutaneous endoscopic necrosectomy using a fully covered esophageal stent is an effective endoscopic treatment for patients with walled-off necrosis that extends along both sides of the paracolic gutter, reduces the number of necrosectomy sessions, and improves disease status faster than conventional treatment. Korean J Pancreatobiliary 2015;20(2):88-93
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