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엄중섭 ( Jung Seop Eom ),김광하 ( Gwang Ha Kim ),송근암 ( Geun Am Song ),백동훈 ( Dong Hoon Baek ),류광덕 ( Kwang Duck Ryu ),이경남 ( Kyung Nam Lee ),박도윤 ( Do Youn Park ) 대한소화기학회 2011 대한소화기학회지 Vol.58 No.6
Duplication cysts are uncommon congenital malformations that may occur anywhere throughout the alimentary tract. The stomach is an extremely rare site of occurrence. Here, we report a case of gastric duplication cyst initially presenting with a gastric submucosal tumor. A 28-year-old man complained of dyspepsia lasting 1 year and upper endoscopy revealed an ellipsoid submucosal tumor at the greater curvature of the antrum. We intended to use the injection-and-cut technique: however, after saline injection, the lesion was dented and impossible to grasp with a snare. Therefore, we decided to perform endoscopic submucosal dissection and removed the tumor without complication. Histopathology revealed a 0.6×0.6 cm-sized duplication cyst, and there has been no recurrence in 2 years. (Korean J Gastroenterol 2011;58:346-349)
고정희 ( Jung Hee Koh ),엄중섭 ( Jung Seop Eom ),김정섭 ( Jung Sub Kim ),송상헌 ( Sang Heon Song ),곽임수 ( Im Soo Kwak ),성은영 ( Eun Young Seong ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.1
Emphysematous pyelonephritis is an unusual, severe gas-forming infection of renal parenchyma and its surrounding areas. It is a rare cause of septic pulmonary embolism. We report on a case of emphysematous pyelonephritis complicated with renal vein thrombosis and septic pulmonary embolism with review of the literature. A 51-year-old diabetic woman was admitted to our hospital with symptoms of fever, diffuse abdominal pain and nausea. Her initial laboratory findings showed pyuria and leukocytosis. She was diagnosed with acute pyelonephritis with abscess formation on contrast enhanced abdominal CT. She was treated with antibiotics and percutaneous abscess aspiration, but progressed to emphysematous pyelonephritis complicated with renal vein thrombosis and septic pulmonary embolism. Finally she underwent the left total nephrectomy.
증례 : 순환기 ; 급성 대동맥 박리가 대동맥 분지혈관을 침범한 경우 경피적 시술로 치료한 2예
최진희 ( Jin Hee Choi ),엄중섭 ( Jung Seop Eom ),이혜원 ( Hye Won Lee ),전혜경 ( Hye Kyung Jeon ),이한철 ( Han Cheol Lee ),송승환 ( Seunghwan Song ),김해규 ( Hae Kyu Kim ) 대한내과학회 2012 대한내과학회지 Vol.82 No.1
The involved area is an important guide to the treatment of an acute aortic dissection. Generally, a Stanford type A aortic dissection requires surgery, whereas an uncomplicated Stanford type Baortic dissection is managed medically. However, managing a Stanford type Baortic dissection involving the visceral, renal, or iliac arteries is controversial because surgical perioperative mortality is higher than that for medically managed patients. Some researchers have attempted endovascular treatment to reduce perioperative mortality and protect vital organs. We experienced two cases of descending aortic dissection with compromised visceral, renal, and iliac arteries that were successfully treated by percutaneous stent insertion. (Korean J Med 2012;82:78-84)
신민지 ( Min Ji Shin ),류광덕 ( Kwang Duck Ryu ),전혜경 ( Hye Kyung Jeon ),엄중섭 ( Jung Seop Eom ),이경남 ( Kyung Nam Lee ),이하린 ( Ha Rin Rhee ),송상헌 ( Sang Heon Song ),성은영 ( Eun Young Seong ),이수봉 ( Soo Bong Lee ),곽임 대한내과학회 2012 대한내과학회지 Vol.82 No.3
Background/Aims: Because preoperative diagnosis of xanthogranulomatous pyelonephritis (XGP) is difficult, due to its similarities to other renal diseases, the diagnosis is made postoperatively in most cases. The purpose of this study was to describe the clinical findings in 11 patients with histologically documented XGP. Methods: We retrospectively reviewed the characteristics, laboratory and radiological findings, preoperative diagnoses and operative methods of 11 patients with XGP, who underwent a surgical procedure or percutaneous renal biopsy. Results: Among eleven patients, nine had flank pain and six had anemia. Preoperatively, three patients were diagnosed as XGP, two with renal cell carcinoma, two with renal tuberculosis, one with renal abscess, one with perirenal abscess, one with renal staghorn calculi with non-functioning kidney, and one with pyelonephrosis. On the basis of the computed tomography (CT) features, the diffuse or global forms (70.0%) were more common than the localized or focal forms (30.0%). One patient diagnosed with renal cell carcinoma preoperatively was diagnosed as XGP through an intraoperative frozen section renal tissue biopsy and underwent partial nephrectomy. One patient diagnosed as focal XGP underwent percutaneous biopsy of the renal mass, which confirmed the diagnosis. This patient received treatment with only antibiotic therapy. Conclusions: CT can be considered the preferred diagnostic tool for the evaluation of XGP; however, percutaneous renal biopsy seems to be valuable in selected cases for differential diagnosis of renal malignancy. (Korean J Med 2012;82:313-320)