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서동대(Dong Dae Seo),이윤정(Yun Jung Lee),박일권(Il Gwon Park),이현주(Hyun Ju Lee),박성제(Seong Je Park),표승일(Seung Il Pyo),윤길숙(Kil Sook Yun),서동완(Dong Wan Seo),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),김기락(Ki Rhack Kim) 대한소화기학회 2001 대한소화기학회지 Vol.37 No.5
Endometriosis is defined as the presence of endometrial tissue outside the uterus. We experienced 51-year-old woman with symptom of epigastric pain and sign of a palpable mass on the left quadrant abdomen. A cystic mass in the tail area of the pancreas was found on CT scan and was removed surgically. It was a cystic mass originated from the mesentery and separated from the pancreas. It was diagnosed as endometrial cyst histopathologically. (Korean J Gastroenterol 2001;37:389-391)
홍진희 ( Jin Hee Hong ),서동대 ( Dong Dae Seo ),전태주 ( Tae Joo Jeon ),오태훈 ( Tae Hoon Oh ),신원창 ( Won Chang Shin ),최원충 ( Won Choong Choi ),조현선 ( Hyun Sun Cho ) 대한소화기학회 2010 대한소화기학회지 Vol.55 No.2
Spontaneous regression of hepatocellular carcinoma (HCC) is extremely rare. We report a case of 67-year-old man having HBV-associated HCC with multiple lung metastases which regressed spontaneously. The patient had single liver mass and received surgical resection. The mass was confirmed as HCC histopathologically. Nine years after surgical resection, a 3.3 cm sized recurred HCC was detected on the resection margin in CT scan. Transarterial chemoembolization (TACE) was performed 3 times, and lung metastases developed thereafter. The patient received 2 more sessions of TACE, however, metastatic lung nodules were in progress very rapidly. We decided to stop TACE and followed the patient regularly without any anti-cancer treatment. Nine months after development of lung metastasis, the size and number of metastatic lung nodules decreased and were not detected anymore after 14 months. Serum alpha-fetoprotein levels also decreased to normal range and no viable tumor was noted in the liver. The patient is still alive 12 years after the first diagnosis of HCC and 16 months after lung metastasis developed. (Korean J Gastroenterol 2010;55:133-138)
서지영 ( Ji Young Seo ),오태훈 ( Tae Hoon Oh ),전태주 ( Tae Joo Jeon ),서동대 ( Dong Dae Seo ),신원창 ( Won Chang Shin ),최원충 ( Won Choong Choi ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.2
Hepatic peribiliary cysts (HPCs) are characterized by cystic dilatations of the peribiliary glands located throughout the branches of the biliary systems. Specifically, they are mainly located along the hepatic hilum and major portal tracts. The natural history and prognosis of HPCs are uncertain. In fact, almost all HPCs have been discovered incidentally during radiological examination or autopsy, and they are considered to be clinically harmless. Recently, several cases of HPCs associated with obstructive jaundice or liver failure were reported in patients with pre-existing liver disease in several studies. However, until now there have been no reports of such a case in Korea. Herein, we report a case of HPCs that show a disease course with a poor prognosis. These HPCs developed in a 47-year-old man with progressive alcoholic liver cirrhosis. (Korean J Gastroenterol 2012;60:119-122)
사례보고 : 급성 A형간염에 의해 발생한 혈구포식증후군 1예
서지영 ( Ji Young Seo ),서동대 ( Dong Dae Seo ),전태주 ( Tae Joo Jeon ),오태훈 ( Tae Hoon Oh ),신원창 ( Won Chang Shin ),최원충 ( Won Choong Choi ),유수진 ( Soo Jin Yoo ),한태희 ( Tae Hee Han ) 대한간학회 2010 Clinical and Molecular Hepatology(대한간학회지) Vol.16 No.1
혈구포식증후군은 매우 드물지만 발생할 경우 매우 심각한 임상 경과를 보인다. 조직병리학적으로는 활성화된 대식세포나 조직구가 골수나 세망내피계에서 혈구를 포식하는 모습을 관찰할 수 있으며 임상적으로는 고열, 간비종대, 혈구감소, 간기능이상 및 고페리틴혈증을 보인다. A형간염바이러스는 이차성 혈구포식증후군을 일으키는 매우 드문 원인이다. 저자들은 급성 A형간염 후 혈구포식증후군이 합병된 22세 여자 환자를 보고한다. 환자는 급성 A형간염의 전형적인 경과를 보이며 검사실 검사 및 임상적으로 호전되다가 혈구포식증후군이 발생하면서 간부전 및 파종혈관내응고가 진행되었고 결국 복강 내 출혈로 사망하였다. Hemophagocytic syndrome (HPS) is a rare but serious condition that is histopathologically characterized by activation of macrophage or histiocytes with hemophagocytosis in bone marrow and reticuloendothelial systems. Clinically it presents with high fever, hepatosplenomegaly, pancytopenia, liver dysfunction, and hyperferritinemia. Hepatitis A virus is a very rare cause of secondary HPS. We report a case of a 22-year-old woman infected by hepatitis A virus who was consequently complicated with HPS. She presented typical clinical features of acute hepatitis A, and showed clinical and biochemical improvements. However, HPS developed as a complication of acute hepatitis A and the patient died of intraperitoneal bleeding caused by hepatic decompensation and disseminated intravascular coagulation. (Korean J Hepatol 2010;16:79-82)
강건희 ( Gun Hi Kang ),전태주 ( Tae Joo Jeon ),서동대 ( Dong Dae Seo ),오태훈 ( Tae Hoon Oh ),김수현 ( Sooh Yun Kim ),조현선 ( Hyun Sun Cho ),배병노 ( Byung Noe Bae ),김정연 ( Jung Yeon Kim ) 대한소화기학회 2011 대한소화기학회지 Vol.57 No.6
We present a case of ileal stenosis with delayed presentation 3 months after car accident. Ileal stenosis after blunt abdominal trauma is a rare clinical entity. We present CT and small bowel series 3 months after trauma. Image showed segmental thickening of intestinal wall and proximal bowel dilation. At surgery, a stenotic bowel loop was adjacent to a fibrotic mesentery. Histological examination showed ulcers, inflammatory cells and fibroblasts infiltrated to the muscularis mucosae, submucosa, and mesentery. The most likely cause, supported by most authors, implicates an injury to the mesentery. Post-traumatic ischemic bowel stenosis may result from even small tears and contusions of mesentery. Posttraumatic intestinal stenosis should be included in the differential diagnosis in a patient with a history of blunt abdominal trauma and signs of intestinal obstruction. (Korean J Gastroenterol 2011;57:370-373)
강화미 ( Hwa Mi Kang ),오태훈 ( Tae Hoon Oh ),서지영 ( Ji Young Seo ),전태주 ( Tae Joo Joen ),서동대 ( Dong Dae Seo ),신원창 ( Won Chang Shin ),최원충 ( Won Choong Choi ),김정연 ( Jung Yeon Kim ) 대한소화기학회 2011 대한소화기학회지 Vol.58 No.4
Background/Aims: Hyperplastic polyps (HPs) are the most common cause of all benign epithelial gastric polyps, constituting 30 to 93%. Although gastric HPs are usually considered as benign lesions compared with adenoma, neoplastic transformation has been known to occur rarely. We aimed to identify the clinical factors of gastric HPs predicting for neoplastic transformation. Methods: Between January 2002 to August 2010, a total of 274 gastric HPs, which had been removed by endoscopic polypectomy or surgical resection from 210 patients, were analyzed retrospectively. Results: Neoplastic transformation was found in 15 cases (5.5%) of 274 HPs including 10 cases of low grade dysplasia (3.7%), 2 cases of high grade dysplasia (0.7%) and 3 cases of adenocarcinoma (1.1%). Neoplastic transformations were significantly associated with >1 cm in size (n=10 [66.7%] vs. n=91 [35.1%], p=0.024), with pedunculated shape (n=9 [60.0%] vs. n=62 [23.9%], p=0.002), with previous history of gastrectomy (n=3 [20.0%] vs. n=3 [1.2%], p=0.002) and with synchronous neoplastic lesions occurring elsewhere in the gastric mucosa (n=5 [33.3%] vs. n=31 [12.0%], p=0.021). However, no significant difference was found between HPs with and without neoplastic transformation in terms of age, sex, number of polyps detected per patient, location, macroscopic appearance such as erosion, hyperemia. Conclusions: Neoplastic transformation of gastric HPs had significant relationships with >1 cm in size, pedunculated shape, postgastectomy state, and synchronous neoplastic lesion. Therefore, endoscopic polypectomy should be considered in these HPs to avoid the risk of missing HPs with neoplastic potential. (Korean J Gastroenterol 2011;58:184-189)
결핵성 흉막염 치료 중 역설적 반응으로 나타난 결핵성 복막염
김선영 ( Sun Young Kim ),오태훈 ( Tae Hoon Oh ),서지영 ( Ji Young Seo ),홍진희 ( Jin Hee Hong ),전태주 ( Tae Joo Jeon ),서동대 ( Dong Dae Seo ),신원창 ( Won Chang Shin ),최원충 ( Won Choong Cho ) 대한소화기학회 2011 대한소화기학회지 Vol.57 No.6
After the start of anti-tuberculous treatment, paradoxical worsening of tuberculous lesions has been described. However, abdominal tuberculosis as paradoxical response is relatively rare. This report describes the 26-year-old female who suffered from peritoneal tuberculosis while treating tuberculous pleurisy with anti-tuberculous medications. It was considered as paradoxical response, rather than treatment failure or else. She was successfully managed with continuing initial anti-tuberculous medications. When a patient on anti-tuberculous medications is presented with abdominal symptoms, the possibility of paradoxical response should be considered to avoid unnecessary tests and treatments, which may result in more suffering of the patient. Herein, we report a case of peritoneal tuberculosis as paradoxical response while treating tuberculous pleurisy. (Korean J Gastroenterol 2011;57:379-383)
표승일 ( Seung Il Pyo ),이한주 ( Han Chu Lee ),서동대 ( Dong Dae Seo ),신정우 ( Jung Woo Shin ),류수형 ( Soo Hyung Ryu ),박영환 ( Young Hwan Park ),정영화 ( Young Hwa Chung ),이영상 ( Yung Sang Lee ),유은실 ( Eun Sil Yu ),서동진 ( 대한내과학회 2003 대한내과학회지 Vol.64 No.1
Background : Autoimmune hepatitis (AIH), primary sclerosing cholangitis (PSC), primary biliary cirrhosis (PBC), and autoimmune cholangiopathy (AIC) are major classes of liver diseases currently considered autoimmune. We investigated the clinical, biochemi
박성제(Seong Je Park),강호형(Ho Hyung Kang),박일권(Il Gwon Park),서동대(Dong Dae Seo),송혜경(Hye Kyoung Song),이장교(Chang Gyo Lee),고은희(Eun Hee Ko),박주상(Ju Sang Park),서동완(Dong Wan Seo),이성구(Sung Koo Lee),김명환(Myung Hwan K 대한소화기학회 2001 대한소화기학회지 Vol.38 No.4
Afferent loop syndrome (ALS) accompanying acute pancreatitis is characterized by abdominal pain, vomiting and elevation of serum amylase. Thus, it is difficult to differentiate ALS from other causes of acute pancreatitis. However, the history of gastrectomy can be an important clue for diagnosing ALS. We experienced two cases of ALS accompanying acute pancreatitis. The laboratory findings of the patients showed elevation of serum amylase and they were initially diagnosed as only acute pancreatitis. However, the diagnosis were modified as ALS with the aid of computed tomography. After appropriate management, the abdominal pain disappeared and serum amylase level decreased. In conclusion, ALS should be considered as a cause of acute pancreatitis in patients who have the elevated level of serum amylase and a history of gastrectomy. (Korean J Gastroenterol 2001;38:296 -299)
결핵성 복막염과 감별이 어려운 클라미디아 트라코마티스 복막염
강화미 ( Hwa Mi Kang ),오태훈 ( Tae Hoon Oh ),강건희 ( Gun Hi Kang ),전태주 ( Tae Joo Joen ),서동대 ( Dong Dae Seo ),신원창 ( Won Chang Shin ),최원충 ( Won Choong Choi ),양근호 ( Keun Ho Yang ) 대한소화기학회 2011 대한소화기학회지 Vol.58 No.2
Lymphocytic ascites with low serum-ascites albumin gradient (SAAG) are observed mainly in tuberculous peritonitis, peritoneal carcinomatosis, and pancreatic disease. However, pelvic inflammatory disease (PID) induced generalized peritonitis causing diffuse ascites has been rarely described. We report a 26-year old female patient, who was diagnosed as generalized peritonitis with diffuse ascites due to Chlamydia trachomatis infection. Gynecologic examination did not show the clue of PID and in the analysis of ascites, low SAAG, predominant lymphocyte count and high level of adenosine deaminase were noted. Although the best impression was tuberculous peritonitis on the base of these findings, the laparoscopic finding was consistent with PID and the PCR for C. trachomatis infection in cervical swab was positive. This case suggests that C. trachomatis peritonitis should be considered as a rare cause of low SAAG and lymphocytic ascites in sexually active women and should be intensively evaluated including laparoscopic examination. (Korean J Gastroenterol 2011;58:111-116)