http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
김정식,박성규,배윤오,김진호,김정념,남효정,정성희,성재규,윤상정,이숭환 대한소화기내시경학회 2003 Clinical Endoscopy Vol.26 No.4
Obstructive jaundice primarily results from choledocholithiasis, neoplasm, inflammation and infection such as primary sclerosing cholangitis, postsurgical stricture, AIDS cholangiopathy, extrinsic compression of the biliary trees. However, obstructive jaundice secondary to foreign bodies is rare. Especially, shrapnel induced biliary obstruction is very rare and has never been reported in Korea. We report a patient who had biliary obstruction due to metal shrapnel. He had shrapnel injury 52 year ago during the Korean War. For a long time, he had had no symptoms. He was admitted to our hospital for epigastric pain and jaundice. Abdominal CT scan showed a metallic foreign body in the common bile duct. The patient underwent ERCP, and the shrapnel and several stones were successfully extracted with a basket. (Korean J Gastrointest Endosc 2003;26:236-239) 폐쇄성 황달은 주로 총담관 내 결석, 담관암, 원발성 경화성 담관염이나 수술 후 담관 협착증 같은 염증이나 감염, 전이성 림프절증, 췌장암, 간암, 췌장염, 혈관 확장 등에 의한 외부 압박 등으로 발생된다. 그러나 이물질로 인한 이차성 폐쇄성 황달이 발생되는 경우는 드문 것으로 알려져 있다. 저자 등은 76세 남자에서 발생한 폭탄 파편에 의한 이차성 폐쇄성 황달을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. 환자는 52년 전 6.25 전쟁 때 폭탄 파편을 맞은 후 무증상으로 지내다가, 3년 전 우상복부 동통을 주소로 내원하여 간내 이물질 진단 받았으나 추적 관찰이 되지 않았다. 심와부 동통의 재발 및 황달을 주소로 내원하여 복부 전산화단층촬영 및 내시경적 역행성 담췌관조영술로 총담관 내 파편 및 결석 진단 후 성공적으로 내시경적 제거한 후 경과 관찰 중이다.
김정념,이숭환,김정식,김진호,배윤오,박성규,윤상정,한현영,이헌영 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1
Omental infarction, the end result of impaired perfusion to the greater omentum, is a rare benign self-limiting clinical entity. The main clinical symptom is non-specific localized abdominal pain with a moderately raised white blood cell and erythrocyte sedimentation rate. These findings often mimic an abdominal surgical emergency. This condition is often misdiagnosed as acute appendicitis or cholecystitis. The characteristic feature of CT scan and ultrasonography provide non-invasive diagnosis in most patients with omental infarction. We report a case of patient whose CT scan showed the characteristic finding of omental infarction. The patient was improved spontaneously only with conservative care.
갑상샘기능항진증과 병발한 부갑상샘 증식에 의한 부갑상샘기능항진증
김진호 ( Kim Jin Ho ),이성규 ( Lee Seong Gyu ),박강서 ( Park Gang Seo ),배윤오 ( Bae Yun O ),한상우 ( Han Sang U ),강윤중 ( Kang Yun Jung ),박미자 ( Park Mi Ja ) 대한내과학회 2003 대한내과학회지 증례 특집호 65-5 부록3 Vol.0 No.-
Concurrent hyperthyroidism and primary hyperparathyroidism in the same patient is rare. In most cases of concomitant hyperthyroidism and primary hyperparathyroidism, serum calcium levels are quite elevated. However, recently we diagnosed a patient who had
정도영(Do Young Jung),김용범(Yong Bum Kim),이영환(Young Hwan Lee),이유경(Yu Kyung Lee),김정렴(Jung Rhum Kim),배윤오(Yun Oh Bae),조인성(In Sung Cho) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.6
We experienced a 58-year-old man with hepatitis B virus-related liver cirrhosis and hepatocellular carcinoma, who had undergone spontaneous regression. At the first admission, the patient had 9 cm sized hepatic mass, multiple metastatic pulmonary nodules, and tumor thrombi of hepatic vein, inferior vena cava, and right atrium on chest X-ray and abdominal CT scan. Serum alpha-fetoprotein level was 13,742 ng/mL. Twenty months after the initial diagnosis, the size of hepatic mass decreased to 6 cm and adjacent nodules disappeared on ultrasonography and serum alpha-fetoprotein level decreased to normal range. The pulmonary nodules and tumor thrombi were no longer detectable by chest x-rays, ultrasonography, CT scan, and echocardiography on 20, 42, and 55 months later. He died of hepatic encephalopathy in 56 months after the initial diagnosis. (Korean J Gastroenterol 2001;38:436-439)