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즐례 : 대장내시경 시행 중 회장 삽관을 통해 우연히 발견된 무증상의 소장 림프종
김은희 ( Eun Hee Kim ),이래석 ( Rae Seok Lee ),허주연 ( Joo Yeun Hu ),최윤석 ( Yoon Seok Choi ),김교희 ( Gyo Hui Kim ),오정환 ( Jung Hwan Oh ),노상영 ( Sang Young Roh ) 대한내과학회 2014 대한내과학회지 Vol.86 No.1
Primary lymphoma of the small intestine is commonly diagnosed after serious complications, such as bowel perforation and bleeding. It results from vague symptoms and the lack of routine screening programs due to low prevalence. Ileal intubation can be used for screening and diagnosis of various small intestinal diseases. However, the value of routine terminal ileum intubation during colonoscopy remains controversial because of its low diagnostic yield. In Korea, there has been no report of asymptomatic primary lymphoma of the small intestine discovered through ileal intubation during colonoscopy. Thus, we report a case of asymptomatic primary lymphoma of the small intestine diagnosed incidentally through terminal ileum intubation during screening colonoscopy, and we review the literature on small intestinal lymphoma and the value of routine ileal intubation. (Korean J Med 2014;86:49-53)
보존적 치료로 호전된 단일 대각지 폐색 심근경색으로 인한 심근외벽 파열
유영지 ( Yeong Ji Yu ),최영 ( Young Choi ),김교희 ( Gyo Hui Kim ),김태훈 ( Tae-hoon Kim ) 대한내과학회 2016 대한내과학회지 Vol.90 No.3
Myocardial rupture is a rare but lethal complication of myocardial infarction. Immediate conservative management is critical, but surgery should be considered if the patient’s hemodynamic state and degree of hemopericardium do not improve after pericardiocentesis. In this case, a 54-year old patient without underlying disease came to the emergency after experiencing chest pain for two weeks with suddenly aggravated severe dyspnea. The patient was found to have a hemopericardium with cardiac tamponade, so pericardiocentesis was immediately executed. Transthoracic echocardiogram revealed akinesia of the left ventricular muscle and focal wall thinning. The patient was diagnosed with complete occlusion of a single diagonal branch and ventricular free wall rupture using a coronary computed tomography scan. After conservative treatment, vital signs and cardiac function stabilized, and there was no definitive sequela. This case is clinically significant because myocardial rupture, a lethal complication of myocardial infarction, was successfully managed with non-surgical, conservative treatment. (Korean J Med 2016;90:234-238)
췌장 신경 내분비종양에서 sunitinib과 고중성지방혈증
유상훈 ( Sang Hoon Yoo ),우인숙 ( In Sook Woo ),정윤화 ( Yun Hwa Jung ),김교희 ( Gyo Hui Kim ),조영윤 ( Young Yun Cho ),한치화 ( Chi Wha Han ) 대한내과학회 2015 대한내과학회지 Vol.88 No.1
Sunitinib is a multi-target tyrosine kinase inhibitor used to treat gastrointestinal stromal tumors, renal cell carcinoma, and pancreaticneuroendocrine tumors. The most common adverse reactions are known to be nausea, fatigue, diarrhea, stomatitis, esophagitis,hypertension, skin toxicity (hand-foot syndrome), hypothyroidism, and reduction in the cardiac output of the left ventricle. Herein,we report the case of a 57 year-old female who visited our hospital complaining of epigastric pain. She had been taking sunitinib at25 mg/day to treat a metastatic pancreatic neuroendocrine tumor. Upon computed tomography performed on admission, we observedthat fluid had collected around the pancreas. Laboratory analysis revealed hypertriglyceridemia (triglycerides 993 mg/dL). Tyrosine kinase inhibitors are known to have limited effects on lipid metabolism. In this case, we suggest that hyperglycemia seemsto have had a limited effect on lipid levels. We are rather of the view that hyperglycemia, a history of distal pancreatectomy, and hypothyrodisim,indirectly caused the observed hypertriglyceridemia.