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조철균 中央醫學社 1992 中央醫學 Vol.57 No.3
The clinical study was made on 430 cases of anal diseases who had been treated at the department of general surgery, Nonsan Armed Forces General Hospital from January 1990 to December 1991. The results were as follows: The most frequent disease was hemorrhoid (74.0 %), followed by anal fissure (14.6 %), anal fistula (5.8 %), perianal abscess (4.0 %). The seasonal distribution revealed the peak incidence on spring in hemorrhoid, anal fissure and perianal abscess, and on summer in anal fistula. Examining the anatomical location of hemorrhoid, multiple distribution was observed in 47.8 %, and the most frequent location of single hemorrhoid was on the direction of 7 o'clock (14.4 %), followed by 4 o'clock (11.6 %), 11 o'clock (7.5 %). The type of hemorrhoid was external in 50.0 %, internal in 30.2 % and complicated in 19.8 %. The anal fissure (77.8 %) and perianal abscess (47.1 %) were seen most commonly in the posterior aspects of anus. The most frequent site of fistula opening was posterior aspect of anus (external 36.0 %, internal 48.0 %). In the 3 cases (12 %), the internal opening was not identified. The main clinical symptoms of hemorrhoid were pain (56.9 %), bleeding (55.4 %) and foreign body sensation due to mass (54.8 %). In the anal fissure, bleeding was the most common symptom (82.5 %). And the discharge (80.0 %) and pain (100 %) were main clinical symptom of anal fistula and perianal abscess, respectively. The symptom duration was within one week in 47.417o. Operation was performed in 86 patients (20%) of the total. Postoperative complications were noted in 7 cases (8.1 %) of the operated 36 patients and the most frequent complication was bleeding (42.8 %).
Pancreatic hamartoma diagnosed after surgical resection
Ho-Hyun Kim,Chol-Kyoon Cho,Young-Hoe Hur,Yang-Seok Koh,Jung-Chul Kim,Hyun-Jong Kim,Jin-Woong Kim,Young Kim,Jae-Hyuk Lee 대한외과학회 2012 Annals of Surgical Treatment and Research(ASRT) Vol.83 No.5
A pancreatic hamartoma is a rare benign lesion that may be mistaken for malignancy. A pancreatic hamartoma can present with vague, non-specific symptoms, which can be difficult to diagnose despite modern diagnostic tools. We report here a pancreatic hamartoma diagnosed after surgical resection. A 52-year-old female presented with postprandial abdominal discomfort. Abdominal computed tomography and pancreatic magnetic resonance imaging revealed a 2.2 × 2.5-cm cystic mass in the pancreatic head. The patient underwent a pylorus-preserving pancreaticoduodenectomy. The histopathological and immunohistochemical studies helped make the diagnosis of pancreatic hamartoma. Here, we report a case of pancreatic hamartoma and review the relevant medical literature.
Gallbladder paraganglioma with hemorrhage: A case report and literature review
Sang Hwa Song,Chol Kyoon Cho,Eun Kyu Park,Hee Joon Kim,Young Hoe Hur,Yang Seok Koh,Yun Ho Lee 한국간담췌외과학회 2021 Annals of hepato-biliary-pancreatic surgery Vol.25 No.4
Gallbladder paraganglioma (GP) is a rare tumor, with only 12 cases reported in the literature to date. Due to its rarity, clinical information of GP is insufficient. We present a case of GP in a 48-year-old female along with a literature review of all GP cases described to date. A 48-year-old female presented with intermittent right upper abdominal pain. Preoperative imaging revealed a hematoma in the gallbladder lumen without any definite etiology. Laparoscopic cholecystectomy was performed. Gross examination of the gallbladder revealed multiple small stones and a large hematoma as well as a 1.6-cm-sized polypoid mass at the gallbladder fundus. Microscopic study of the polypoid mass showed a zellballen appearance. Immunohistochemical analysis revealed that the mass was positive for synaptophysin, CD56, and chromogranin, suggesting GP. GP is difficult to diagnose because of non-specific clinical findings. Almost all GP cases are diagnosed based on histologic findings after cholecystectomy. Simple cholecystectomy was performed as a treatment in all reported cases of GP, including our case. There was no postoperative tumor recurrence or metastasis after surgery.