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백재승,이안기,이희영,Paick, Jae-Seung,Lee, Ahn-Kie,Lee, Hee-Yong 대한생식의학회 1988 Clinical and Experimental Reproductive Medicine Vol.15 No.2
We found reports of only about 20 cases of well documented ejaculatory duct obstruction presenting with infertility and treated by TUR. While infertility caused by ejaculatory duct obstruction is rare accurate diagnosis by vasoseminal vesiculography is important, since these obstructions may be treatable. In our 29 patients undergoing vasoseminal vesiculography for 1 year to demonstrate obstruction site in seminal tract the ejaculatory duct obstruction was found in 6 patients. The intial methods of treament were TUR of the ejaculatory duct in 2 patients, forceful lavage of ejaculatory duct through the vas deferens in 4 patients. One patient's wife who had undergone TUR of the ejaculatory duct delivered a normal female baby 15 months postoperatively. In one patient who had undergone forceful lavage of ejaculatory duct semen analysis returns to normal level except the motility. When initial methods of treatment fail to get the normal semen we have the plan to perform TUR of the ejaculatory duct or aspiration of seminal fluid in the seminal vesicle under the control of the ultrasonography for AIH according to the level of ejaculatory duct obstruction. Our report suggests that ejaculatory obstruction has been underdiagnosed and should receive more attention by urologist.
간흡충증을 동반한 Dubin - Johnson 증후군 에서의 간내 색소과립의 전자현미경적 관찰
정규원(Kyu Won Chung),정환국(Whan Kook Chung),선희식(Hee Sik Sun),김부성(Boo Sung Kim),정인식(In Sik Chung),이완국(Wan Kook Lee),현영(Young Hyun),이안기(Ahn Kie Lee) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.2
Light and electron microscopic observation were conducted in a liver biopsy specimen from a patient with the Dubin-Johnson syndrome and clonorchiasis. Hepatic pigment was found in the hepatocytes and Kupffer cells by light microscopy. By electron microscopy, the pigment consisted with dense body which composed of amorphous aggregates of eosinophilic dense materials and covered by single membrane. This finding suggests that hepatic pigment may be accumulated by hopatic lysosomal dysfunction as the postulated pathogenesis of this Dicorder.