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젊은 여자에서 체중 감량을 위한 한약 복용 후 생긴 우측 허혈성 대장염 1예
김남준 ( Nam Jun Kim ),김충훈 ( Chung Hun Kim ),조진현 ( Jin Hyun Cho ),고성민 ( Sung Min Ko ),민병훈 ( Byung Hoon Min ) 대한장연구학회 2011 Intestinal Research Vol.9 No.3
Ischemic colitis has a relatively high prevalence in the elderly population with underlying vascular disorders such as hypertension and usually occurs on the left side of the colon. However, ischemic colitis also rarely occurs in healthy young adults with no risk factors. Herbal medication use is increasing, particularly for weight loss. Ischemic colitis associated with herbal medication use has been rarely reported. Here, we describe a case of right-sided ischemic colitis in a young woman that was potentially linked to the use of herbal medication. An 18-year-old woman was admitted to our emergency department with abdominal pain and bloody diarrhea for 1 day. Her medical history was unremarkable for bowel ischemia risk factors. However, she had taken herbal medication for weight loss for the past 2 weeks. Abdominopelvic CT showed diffuse wall thickening with decreased mucosal enhancement from the ascending to the transverse colon. A colonoscopic biopsy specimen showed coagulative necrosis of the mucosa, hemorrhage, and inflammatory cell infiltration. The abdominopelvic CT, colonoscopy, and biopsy findings were compatible with ischemic colitis. Her abdominal pain and bloody diarrhea improved completely with conservative management, and she was advised to discontinue the use of herbal medications. (Intest Res 2011;9:230-233)
대동맥박리에 의한 파종성혈관내응고의 단백질분해 효소억제제 치료
고성민 ( Sung Min Ko ),김남준 ( Nam Jun Kim ),김충훈 ( Chung Hun Kim ),조진현 ( Jin Hyun Cho ),이은영 ( Eun Young Lee ),허경민 ( Kyung Min Huh ),김덕경 ( Duk Kyung Kim ) 대한내과학회 2012 대한내과학회지 Vol.82 No.3
Disseminated intravascular coagulation (DIC) is a rare complication of aortic dissection. We report an unusual case of a 64-year-old woman with DIC associated with chronic aortic dissection who developed catastrophic intracranial hemorrhage. Computed tomography (CT) revealed partially thrombosed false lumen in the chronic dissected aneurysm of the thoracoabdominal aorta, which remained after surgery for acute type A aortic dissection. The laboratory profile showed features of DIC, including thrombocytopenia, hypofibrinogenemia, and increased D-dimer levels. Bleeding diathesis, including ecchymosis and coagulopathy, showed improvement following treatment with protease inhibitors (nafamostat and camostat). (Korean J Med 2012;82:341-346)