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( Yang Bin Jeon ),( Sung Youl Hyun ),( Dae Sung Ma ) 대한외상학회 2019 大韓外傷學會誌 Vol.32 No.2
A 73-year-old man, who, in an inebriated state, had slipped in a flowerbed and was wounded on the left f lank, was transferred to Trauma Center, Gil Medical Center, Gachon University College of Medicine. Based on the chest and abdominopelvic computed tomography, he was diagnosed with multiple rib fractures and hemopneumo-thorax on the left hemithorax and was found to have a bony fragment in the spleen. He had not presented peritonitis and exsanguinous symptoms during the observation period. Seven days later, computed tomography of the abdomen showed suspected diaphragmatic injury and a retained foreign body in the spleen. On exploration by video assisted thoracoc surgery (VATS), a herniated omentum through the lacerated site of the diaphragm was observed. After omentectomy using Endo Gia, the foreign body in the spleen was observed through the lacerated site of the diaphragm. Traumatic diaphragm rupture with a foreign body, in the spleen, was successfully managed by video assisted thoracic surgery via the lacerated site of the diaphragm.
Traumatic Tricuspid Regurgitation as a Cause of Failure to Wean from Mechanical Ventilation
( Yang Bin Jeon ),( Chul Hyun Park ),( Dae Sung Ma ) 대한외상학회 2020 大韓外傷學會誌 Vol.33 No.4
A 55-year-old man underwent emergent sternotomy due to cardiac tamponade occurring just after an accidental fall from a 10-m height. Tricuspid valve regurgitation was found on echocardiography while he was on mechanical ventilation after the operation. The patient was weaned successfully from mechanical ventilation after tricuspid valve repair under cardiopulmonary bypass. Traumatic tricuspid valve regurgitation is a rare blunt chest injury and its symptoms occur late. Tricuspid regurgitation should be considered as a reason for failure to wean from mechanical ventilation after blunt cardiac trauma.
전영빈,배원기,이승진,양대열,문정섭,유권 인제대학교 1998 仁濟醫學 Vol.19 No.2
위선종은 세포 이형성을 가진 선상피의 양성 종양으로, 대부분 2cm 미만의 편평한 융기 형태를 취하며 6∼75%에서 악성 변화가 보고되고 있다. 다양한 내시경적 절제술이 시도되고 있는데 고장식염수-에피네프린 국주를 병용한 점막절제술(ERHSE)은 병변의 가장자리를 미리 절개함으로써 정확하게 완전 절제가 가능하다는 장점이 있다. 저자들은 주름 형태의 거대 위 선종에서 이러한 방법으로 완전 절제가 가능하였던 1예를 경험하여 보고하는 바이다. The gastric adenoma is a benign tumor of glandular epithelium with varying degrees of cellular atypia and with papillary and/or tubular structures. Macroscopically, the gastric adenoma usually looks like a plaque or a polypoid protrusion. The gastric adenoma is considered as a precancerous condition and should be removed. Many techniques have been developed to remove the adenoma. The technique of endoscopic resection utilizing the local injection of hypertonic saline-epinephrine(ERHSE), has the advantage of accurate resection by marking and precutting the resection margin with a needle knife. We report a case of 4.5×1.5cm sized, thickened fold-like adenoma, in a 65 year-old woman, which was successfully reseated with endoscopy using ERHSE technique. Pathological examination of the resected adenoma showed tubular adenoma wish severe dysplasia and focal adenocarcinomatous transformation.