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자가면역 갑상선염을 동반한 비장의 염증성 가성 종양 1예
류제헌 ( Je Hyun Ryu ),이경해 ( Kyung Hae Lee ),김재현 ( Jae Hyun Kim ),박선만 ( Sun Man Park ),김영진 ( Young Jin Kim ),계세협 ( Sea Hyub Kae ),이진 ( Jin Lee ) 대한내과학회 2017 대한내과학회지 Vol.92 No.4
Inflammatory pseudotumor is a benign disease entity, which is histologically composed of inflammatory cells and fibrotic stroma. It is mainly found in the respiratory tract, but it has also been reported in the liver, central nervous system, soft tissues, urological system, and gastrointestinal tract. It is extremely rare in the spleen and there have been no cases of splenic inflammatory pseudotu-mor associated with autoimmune thyroiditis in Korea. The pathogenesis or etiology is unknown, but hypotheses include infection, autoimmunity, and parenchymal necrosis with hemorrhage. Because inflammatory pseudotumor may mimic malignant tumors on radiologic findings, pathologic confirmation is necessary to distinguish it from lymphoproliferative disorders of the spleen and oth-er malignant tumors. We report a case of inflammatory pseudotumor of the spleen associated with autoimmune thyroiditis in a pa-tient who complained of periumbilical pain. (Korean J Med 2017;92:406-410)
소장 질환의 진단과 치료에 있어 이중풍선 소장내시경의 유용성
최민호 ( Min Ho Choi ),이경해 ( Kyung Hae Lee ),류제헌 ( Je Hyun Ryu ),한승용 ( Seung Yong Han ),변현우 ( Hyeon Woo Byun ),고동희 ( Dong Hee Koh ),장현주 ( Hyun Joo Jang ),은창수 ( Chang Soo Eun ),계세협 ( Sea Hyub Kae ),이진 ( J 대한장연구학회 2008 Intestinal Research Vol.6 No.1
Background/Aims: Double balloon eneterscopy is a promising endoscopic method to examine the entire small bowel and to conduct therapeutic procedures. This study was performed to evaluate the clinical outcome and usefulness of double balloon enteroscopy. Methods: We enrolled patients with suspected small bowel disease. Double balloon enteroscopy was performed in 61 patients and 89 procedures were undetaken between August 2004 and October 2007 at Hangang Sacred Heart Hospital. Results: Indications for double balloon enteroscopy were obscure gastrointestinal bleeding, chronic abdominal pain or diarrhea and the presence of a suspicious small bowel tumor. Double balloon enteroscopy contributed to the diagnosis of small bowel diseases in 82.0% of patients. In 46 patients (75.4%), specific treatments were influenced by the results of double balloon enteroscopy. There were no significant complications. Conclusions: Double balloon enteroscopy is one of the most useful methods for the diagnosis and treatment of small bowel disease. (Intest Res 2008;6:31-36)
화상 환자에서 발생한 외과적 중재술을 요하는 감염성 심내막염 2예
김근숙,이태유,정연손,최창순,최민호,류제헌,김철홍,조구영,우흥정 대한감염학회 2003 감염과 화학요법 Vol.35 No.3
감염성 심내막염은 화상 후에 발생할 수 있는 치명적인 합병증이다. 임상 증상은 일반적으로 없는 경우가 대부분이고 지속되는 발열과 양성 혈액 배양 검사가 유일하다. 감염의 다른 확실한 원인 없이 발열과 양성 혈액 배양 검사가 있을 때는 감염성 심내막염을 강력하게 의심해야 하며 심장 초음파로 진단 가능하다. 감염성 심내막염은 사망률은 높지만 초기에 진단하면 항생제 정주를 지속하는 것으로 치료할 수 있다. 저자들은 화상환자에서 발생한 수술적 처치를 필요로 하는 감염성 심내막염 2예를 경험하였기에 보고하는 바이다. Infective endocarditis is a rare but fatal complication following burn injury. The clinical presentation is silent, but with persistent fever and positive blood culture. The manipulation of clinical care as well as the burn wound itself and immunosuppression caused by extensive bums puts the burn patients at risk of bacteremia. Staphylococcus aureus and Gram-negative bacilli are most common pathogens of infective endocarditis following burns. We report herein two cases of infective endocarditis in the burn patients who requires surgical intervention. The first case was caused by Pseudomonas aeruginosa with complication of multifocal pneumonia, and the second case by coagulase-negative stapylococcus with cerebral hemorrhage.