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김도하,박철각,양연철,정구영,이청숙,이철희,정재락,최대화 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.1
Postappendectomy bleeding is a rare and occasionally catastrophic phenomenon. Bleed-ing in the gastrointestinal tract may occur early or late. The cause of late bleeding included ulceration, vascular malformation or granuloma. We experienced a case of delayed appendiceal stump ulceration and bleeding who underwent an appendectomy 1 year ago. The patient was admitted due to melena. A colonoscopy showed a well-circumscribed deep ulcer containing of silk suture material at the base of appendiceal stump. Biopsy revealed only granulation tissue with nonspecific inflammation. The silk was removed by biopsy forcep and sulfasalazine was tried. A repeat colonoscopy showed the complete ulcer healing 3 months later. We report this case with a review of literatures.
이종화,김도하,박철각,양연철,정구영,이청숙 대한소화기학회 1999 대한소화기학회지 Vol.32 No.6
Spontaneous hepatic hemorrhage is a rare complication of pregnancy usually associated with severe preeclampsia or the HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome. It usually occurs during the latter part of pregnancy or the postpartum period. Although it is a rare pregnancy related liver disease, it could be a life-threatening condition, especially if it is found after rupture. The incidence is high among the older and multiparous women, but the pathogenesis of this disease has not been fully understood yet. We experienced a patient having a subcapsular hematoma during the postpartum period that was not associated with preeclampsia. She began to have right flank and shoulder pain two days after delivery. Abdominal CT scan revealed a 7 ×12 ×20 cm sized sub capsular hematoma without rupture. She was treated conservatively with a percutaneous hepatic drainage. Nineteen days after the procedure, she was discharged without any complication. Two months later, follow-up ultrasonography shod only minimal amount of hematoma.
갑상선기능저하증을 동반한 속발성 갑상선 유전분증 1 예
서재희,김도하,박철각,양연철,이철희,정재락,박재후,김영일 대한내분비학회 1999 Endocrinology and metabolism Vol.14 No.4
Amyloidosis results from the deposition of insoluble, fibrous amyloid proteins, nearly always in the extracellular spaces of organs and tissues. There are several varieties of amyloidosis, each of which is identified by the immunochemical nature of amyloid protein fibrils. Amyloid goiter is a very rare clinical entity and can be confused with a neoplasm. We have experienced a case of amyloid goiter with hypothyroidism secondary to tuberculosis. A 20 years old women with 5 months history of pulmonary tuberculosis was admitted with complaints of diarrhea, abdominal pain, weight loss at one year ago. She had a non-tender, diffuse and firm goiter. Also she had normal thyroid function at the first admission but was found to be hypothyroid at the second admission, 10 months later. Histologic examination revealed amyloid deposition in thyroid gland, stomach, colon and rectum (J Kor Soc Endocrinol 14:752-756, 1999).
거대 위궤양에서 발견된 집락형성형 모균증(Mucormycosis) 1예
김정수,이선호,김성률,박능화,김도하,양연철,박철각 대한소화기내시경학회 2000 Clinical Endoscopy Vol.20 No.1
Mucormycosis is an uncommon, frequently fatal opportunistic infection. Mucormycosis of the gastrointestinal tract is usually found in patients suffering from chronic illness and is thought to arise from fungi entering the body through food. When gastric mucormycosis is presented as an invasive fungal infection, the prognosis is extremely poor. But when the fungus colonizes on the gastric mucosa or on necrotic debris without invasion of the blood vessels, the prognosis is good. A case is herein reported of a colonization type of gastric mucormycosis in a 46 year old male alcoholic. On histologic examination, characteristic findings of nonseptate hyphae with right angle branchings were observed in the ulcer debris without tissue or vessel invasion. Also, the broad and ribbon-like aseptate hyphae was noted on the fungus culture. The patient was treated with nystatin syrup and a proton pump inhibitor without systemic antifungal therapy.