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橫膈膜下 膿瘍의 臨床的 考察 : Review of 35 Cases
康鎭國 최신의학사 1974 最新醫學 Vol.17 No.4
1. Clinical observation was made on 35 cases of subphrenic abscess treated surgically at the department of surgery, the Presbyterian Medical Center, Chonju, Korea, from Mar. 1955 to Apr. 1966. 2. The 35 cases in this series included 26 males and 9 females, giving a ratio of 3 to 1. The ages ranged from 9 to 63 years and nearly half of the cases were in their 4th decade. 3. Subphrenic abscess developed as a complication of a surgical procedure in 18 cases; operations on the stomach, duodenum and billiary tract accounted for about half of the cases. In the remained 17 non-preoperative cases, hepatobilliary disease accounted for two thirds of the cases, and amebic liver abscess was the leading cause of the hepatobilliary disease. 4. The interval from the onset of symptoms until surgical drainage was 5days to 14 months. Nine cases of the 21 well recovered cases after surgery had operations within 20 days after the onset of symptoms. 5. Bacteriologic studies of abscess was made in 33 cases; positive in 29 cases, negative in 4 cases (12%). Mixed infection was noted in 16 cases(49%). Staphylococcus, Streptococcus and E. coli were tqe most prevalent organisms. 6. Surgical approaches were as follows, Transperitoneal 20 cases. Extraserous 13 cases, and transpleural 2 cases. 7. Complications were ranged widely and the most frequent in pleural effusion (23 cases). No complication was noted in 4 cases(11 % ). 8. Pus drainage after surgery ranged 7 to 74 days. The average was 25 days. 9. Of the 35 subphrenic cases. 21 cases (60%) were healed, 7 cases (20%) died during treatment and 7 cases were discharged in moribund state or against advice.
原發性 肺平滑筋肉腫 1例 : Review of the Literature and Report of a Case
康鎭國 최신의학사 1968 最新醫學 Vol.11 No.5
The incidence of leiomyosarcoma is very low and as a primary lung tumor, it is extremely rare. A search of the literature revealed only about 30' cases. We believe that the case to be reported is the first to be treated by lobectomy in Korea. The patient was 56 year old house wife who had been well until 8 months prior to admission, when she developed productive cough, dull pain in left lower chest, mild dyspnea and weight Ioss. The positive signs of physical examination were dullness and several rales in the left lower chest. At bronchoscopy, the left basilar bronchial lumens showed narrowing by extrinsic pressure but no intraluminal lesion found. Bronchial biopsy and cytology of the bronchial washing reported benign. At thoracotomy, rather well circumscribed tumor was found in left lower lobe and no regional adhesion or metastasis were found grossly. Left lower lobectomy was carried out without difficulty and the postoperative course was uneventful. Pathology reported as primary leiomyosarcoma of the lung. She died '9 months after surgery from recurrence of the disease in left upper lobe of the lung and in mediastinum.
강진국(Jin Kook Kang),서동엽(Dong Youb Suh),이금복(Kum Bok Lee),심명석(Myung Suk Sim),박동선(Dong Sun Park),강문자(Moon Ja Kang) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.5
Foregut choristoma is a benign lesion of the gastrointestinal tract composed of smooth muscle, cysts, and glandular structures lined hy tall columnar epithelium, Brunner's glands, and sometimes pancreatic tissue. As far as we know, only two cases were found in the small intestine outside the duodenum or Meckel's diverticulum in the English literature of the world. A jejunal foregut choristoma in a 73-year-old man with a pancreatic carcinoma is presented.