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대장암이 동반된 Streptococcus bovis 에 의한 아급성 심내막염 1예
곽경근(Kyeng Kunn Kwack),소순찬(Soon Chan So),박해규(Hae Kyu Park),이덕기(Duck Kee Lee),김종형(Jong Hyeng Kim),유두열(Doo Yel Lyu),신현민(Hyen Min Shin),황동인(Dong In Hwang),임응훈(Eung Hoon Lim),한상국(Sang Kook Han) 대한내과학회 2000 대한내과학회지 Vol.59 No.2
Streptococcus bovis, a group D non-enterococcal organism has recently received increased attention, especially for its role as a cause of infective endocarditis and associated colorectal neoplasm. Infectious endocarditis due to group D streptococci include two non-enterococcal species, S. bovis and S. equinas, which may be mistaken for enterococci in clinical laboratory. However, S. bovis is readily distinguished from the enterococci by screen with bile-esculin hydrolysis and growth in 6.5% NaCl broth. Although endocarditis caused by S. bovis or enterococci share common clinical findings, therapeutically and prognostically, S. bovis endocarditis more resembles infection with viridans group organism. Also the infection of S. bovis significantly increased the prevalence of colorectal cancer in previous report. As discussed above, the patients with S. bovis endocarditis are carried out study of colorectal cancer. We report a case of endocarditis with colon cancer caused by S. bovis in 54 year old female.(Korean J Med 59:198-202, 2000)
이소성 점막을 동반하지 않은 Meckel 게실 환자에서 발현된 대량 하부 장관 출혈 1예
박석준,김종형,신현민,이덕기,김석은,소순찬,곽경근,박해규 대한소화기내시경학회 2000 Clinical Endoscopy Vol.20 No.2
Meckel's diverticulum, which is a persistence of a remnant of the omphalomesenteric duct, is the most common developmental anomaly of the gastrointestinal tract, with an incidence of about 2% in the general population. Typically, Meckel's diverticulum is a true diverticulum because it arises from the antimesenteric border of the small bowel and all layers of the intestinal wall are present. Complications of Meckel's diverticulum include bleeding, perforation, diverticulitis, intestinal obstruction, stones, intussusception, hernia, and neoplasm. Bleeding in particular is a common complication and has always been caused by an ulceration of the ileal mucosa adjacent to the acid-producing ectopic gastric mucosa in a Meckel's diverticulum. A case was recently experienced involving massive hematochezia from Meckel's diverticulum without ectopic gastric mucosa in a 27 year-old woman, and in herein reported.
김화영,박석준,이창후,김석은,한성민,소순찬,강정협,곽경근,박해규,박영희 대한소화기내시경학회 1998 Clinical Endoscopy Vol.18 No.4
Primary carcinoid tumor of duodenum are rare, Usually, small duodenal carcinoid tumors are often discovered endoscopically. Most of these tumors are asymptomatic, but in rare cases, jaundice, hemorrhage, duodenal obstruction, or carcinoid syndrome were apparent. Uaually, the recommended treatment is surgical or endoscopic excision of the tumor. We experienced a case of carcinoid tumor of duodenu in 53 year-old women. A 53-year-old female patient was admitted to our hospital because of epigastric discomfort and indigestion. On the gastrofiberscopic examination, 0.9 cm sized polypoid mass with central umblication was noted on the duodenall bulb. The biopsy specimen showed carcinoid cells. She was treated with endoscopic polypectomy.
식도십이지장 림프종과 감별이 곤란하였던 십이지장 결핵 1예
한성민,김화영,박석준,이창후,김석은,강정협,소순찬,김종률,임응훈 대한소화기내시경학회 1997 Clinical Endoscopy Vol.17 No.6
Primary duodenal tuberculosis, duodenal Crohn's disease, duodenal lymphoma, duodenal cancer is extremely rare event. Vague upper abdominal pain, weight loss(10 Kg) had been present for several months in a 52-yeer-old woman. Endoscopy revealed an irregular ulcer in the second part of the duodenum. CT of the abdomen revealed pooly defined hypodense and centrally low density masses along the hepatoduodenal ligament, with poor separation from the head of pancreas. Hypotonic duodenogram showed spiculation and smooth indentation of mucosal fold at medical aspect of sup. portion m descending duodenum. ERCP showed medially displaced distal CBD and main pancreaticduct. At first, lymphoma, cancer, Crohn's disease, duodenal tuberculosis were considered in the differential diagnosis. Endoscopic biopsy sepecimen of duodenal lesion showed atypical lymphocytes. We excluded the diagnosis of the duodenal cancer. We started anti-tubercular drugs because in our country tuberculosis is endemic. After 4 weeks anti-tuberculosis therapy, follow up endoscopy and biopsy specimens showed healing stage of duodenal ulcer and chronic granulomatous inflammation with multinucleated giant cell. Thus we concluded that when duodenal lesion which could not confirmed histopathologically it was wise to start antitubercular therapy than to perform exploraparotomic dianostic procedures.
한성민,김화영,김재일,박석준,이창후,유인환,박주일,김석은,강정협,곽경근,박해규,소순찬 대한소화기학회 1998 대한소화기학회지 Vol.31 No.5
Although the survival rate of patients with stomach cancer has been increased by the early diagnosis and treatment of the disease, it still remained the second most common cause of death with cancer. Studies about the premalignant causes of stomach cancer has been in progress, actively. It is well known that the risk of development of stomach cancer increases after the partial gastrectomy far the treatment of benign gastric disease. The importance of regular follow up of gastrofiberscopic examination is suggested for the early diagnosis of possible stomach cancer in these patients. In addition, it is known that the vagotomy and pyloroplasty for the treatment of duodenal ulcer increase the risk of the development of stomach cancer. However, no case has been reported in Korea. We report a case of adenocarcinoma of stomach occurring after tnmcal vagotomy and pyloroplasty, which have been performed for the treatment of duodenal ulcer perforation with review of relevant literatures.
박영희,한성민,김화영,박석준,이창후,김석은,강정협,곽경근,박해규,소순찬 대한소화기학회 2000 대한소화기학회지 Vol.35 No.4
Hepatocellular carcinoma (HCC) usually spreads to the lung and regional lymph nodes by direct extention, lymphatic route, and vascular dissemination. Rarely, it happens to metastasize to the bones. Metastases to other organs such as bones seem to occur by erosions of pulmonary veins into the systemic circulation or retrogradely, into vertebral venous plexuses via portal vein. Treatment results were poor with a median survival of 5 months. We experienced multiple bone metastases in a 61-year-old male patient with small HCC. In conclusion, this report is valuable in presenting unusual multiple bone metastases in small HCC.
사지 근무력증을 동반한 Lidde `s syndrome 1예
김화영,이덕기,이창후,김종형,신현민,임응훈,강정협,한성민,박해규,곽경근,소순찬 대한신장학회 1998 Kidney Research and Clinical Practice Vol.17 No.1
Liddle's syndrome was described in 1963 by Liddle, et aL, as the disease featuring a hypertension and hypokalemia but with negligible secretion of aldosterone. This syndrome, which morphologically belongs to an abnormal intrinsic tubular disorder with normal renal function, is characterized by hypokalemia, metabolic alkalosis, and hypertension due to the abnormal increase in excretion of potassium in distal tubules or collecting duct and the increase in reabsorption of sodium in distal tubules. This syndrome, which is rare disease, is observed with the low level of plasma and urinary aldosterone and su- ppressed plasma renin level and is known as dominant mode of inheritance with a family background. The authors paid attention to a 79-year-old man who showed a high blood pressure of 210/130mmHg as well as musle weakness, especiaUy lower extre- mities due to metabolic alkalosis featuring a hypokalemia level of 2.0mEq/L when he was admitted to our hospital, Because his serum potassium were not improved with the medication of intravenous potassium supply, and his blood pressure continued to be high without the improvement of muscle weakness, we prescribed 300mg of spironolactone for two weeks. His symptom, however, was not cured. Then, instead of spironolactone, we prescribed 150mg of triamterene and a low salt diet which finally im- proved his symptoms. Because there has been no reported case in the Korean medical literature, we report a case of successfully treated Liddles syndrome due to triamterene administration.