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간장 ( 肝臟 ) 및 담도 ( 膽道 ) : 담관낭종의 15예에 대한 임상적 고찰
김선주(Sun Joo Kim),정재삼(Jae Sam Chung),조무식(Moo Sik Cho),조주영(Joo Young Cho),김대수(Dae Soo Kim),황성규(Seong Gyu Hwang),이문호(Moon Ho Lee),임건일(Gune Il Lim),구영무(Young Moo Koo),김창호(Chang Ho Kim),송옥평(Ok Pyeong Song) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
N/A Congenital diatation of the common bile duct is an uncommon condition. More than 190 cases have been reported in the Korean literature up to date including the present series. We reviewed 15 cases of choledochal cyst treated surgically at the Chun-an Hospital, Soonchunhyang University, between January 1984 and July 1990. The results were as follows. 1) Age ranged from 1 year to 64 years and 7 of 15 cases were above 30 years. The ratio of men to women was 1: 6.5. 2) The durations of symtoms varied widely from 3 days to 13 years. 3) The frequency of the triad of symptoms and signs were in order of abdominal pain 14 cases (93%), jaundice 8 cases (53%) and abdominal mass 7 cases (47%), The classical triad of mass, pain and jaundice was present in 6 cases (40%). 4) Ultrasonography was useful as the initial diagnostic tool in all cases As next diagnostic studies, abdominal CT was performed in 6 cases, ERCP in 4 cases and PTC in 3 cases. 5) According to the classification of Todani, 13 cases (87%) were type I and two cases (13%) were type II. 6) The associated disease were cholecystitis in 8 cases, stone in common bile duct in 4 cases, cancers in 2 cases, GB empyema in 1 case and bile peritonitis in 1 case 7) Preoperative diagnosis was made in 13 (87%) of 15 cases 8) Surgical procedure used were principally choledochocystoduodenostomy in 3 cases, choledo-chocystojejunostomy in 8 cases, cyst excision in 2 cases, T tube choledochostomy in 1 case, and T tube choledochostomy with delayed cyst excision in 1 case.
조류에 실험적으로 감염시킨 Rickettsia tsutsugamushi의 증식.
구영무,송호연,이강순 순천향대학교 1992 논문집 Vol.15 No.2
For the survey of possibility of the inapparrent infection of R. tsutsugamushi in bird, we infected the chicken with suspension of R.tsutsuggamushi via intraperitoneal and subcutaneous routes. We observed the chicken on various vital signs and examined indirect immunofluorescent staining, pathologic and electron microscopic finding on liver and spleen of chicken. The result were as follow ; 1. We can;t detect the any abnormal finding in chicken infected with suspension of R.tsutsugamushi, except the highly increased levels of SGOT and SGPT when compared to control group. 2. In indircet immunofluorescent staining, antibody titers to R.tsutsugamushi in serum of infeted chickens were increased rapidlly after 2-3 weeks of infection. Also, positive fluorescent cells were observed in liver and spleen of infected chicken. 3. Patholigic finding of liver and spleen in infected chicken were showed inflammatory cells infiltration and vasculitis, especially endothelial cells lining small blood vessel were showed marked proliferation and degeneration. 4. In electron microscopic finding, R. tsutsugamushi were observed mainly in endothelial cells lining blood vessels of liver and spleen. In conclusion, the inapparent infection of R. tsutsugamushi in chicken was conformed and these results suggest the need of move wide scale of survey in wild bird and migrant birds in near future.
김선영,조무식,구영무,송재화,안철용 대한외상학회 1994 大韓外傷學會誌 Vol.7 No.1
A clinical review was made on a case of chronic gastric volvulus with previous traumatic diaphragmatic hernia which was operated upon the Department of Gener al Surgery, Soon Chun Hyang University Hospital, Chun An, Korea, on March, 1994. Gastric volvulus is a rare disease defined as torsion of the stomach of more than 180 with closed loop obstruction, which usually combined with idiopathic or secondary diaphragmatic hernia, eventration of diaphragm, hiatal hernia. Gastric volvulus may occur at any age, especially fifth decade and the incidence is approximately the same in both sexes. Acute volvulus presents a striking clinical picture first described in 1904 by Bor chardt, who emphasized the following three features. 1. Severe epigastric pain and distension. 2. Vomiting followed by violent retching with an inability to vomit. 3. Difficulty or inability to pass a nasogastric tube. Chronic volvulus may be symptomless and an incidental finding on a barium enema or chest x-ray film. When symptoms occur, they are frequently those of mild, continuous or intermittent upper abdominal discomfort that may be impossiblc to differentiate from peptic ulcer, calculous disease of gallbladder. Most cases of total gastric volvulus are organoaxial, as are the majority of acute case and this type is usually associated with diaphragmatic hernia of eventration. In contrast, the mesenteroaxial type is more often idiopathic and partial in extent chronic volvulus. Acutc volvulus can sometimes be reduced by the passage of nasogastric tube but in most cases it cannot be passed, and immediate operation will be required. If primary volvulus has no obvious cause, gastropexy must be considered by taking the anterior wall of the stornach to the parietal peritoneum. If gastric necrosis has taken place, local excision, subtotal gastrectomy or total gastrectomy will be required, depending on the extent of' the ischemic injury. A case of chronic, organoaxial and mesenteroaxial gastric volvulus complicated traumatic diaphragmatic hernia was treated surgically by primary repair of diaphragmatic clefect and gastropexy, and the patient was good prognosis postoperatively. The authors report with a review of literatures.
김창진,이문호,김선주,황성규,조무식,구영무,송옥평,이지윤 대한소화기학회 1992 대한소화기학회지 Vol.24 No.3
Familial polyposis coli is a rare autosomal dominant disorder characterized by the development of hundreds to thousands of adenomatous polyps in the large bowel. Thease polyps will degenerated into adenocarcinoma, if untreated.Recently, this disease is recognized as the adenomatous polyposis syndrome which can involve the entire gastro-intestinal track. We experienced 3 cases of familial polyposis coli. Two of these three patients were accompanied with gastroduodenal adenomatous polyp and underswent surgical resection of colon.