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하헌돈(Heon Don Ha),강창규(Chang Gyu Kang),김영운(Young Un Kim),오성광(Sung Kwang Oh),황석주(Soek Joo Hwang),김대영(Dae Young Kim),임선재(Seon Jae Yim),박승욱(Seung Wook Park),이두용(Doo Yong Lee) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.6
Internal biliary fistula is a very rare disease. Fistula is usunlly produced by chrnnic disease of liiliary tract associated with ;allstone,and may be produced by peptic ulcer, by malignancy or traurna The common types giien in order are cholecystoduodenal, cholecystocolic, choledochoduo- <Ienal, cholecystogastric fistula. Etc. The mechanism of fistula forniatinns is due to adherence of the inflnmmed gallbladder or cnn mnn bile duct to adjacent viscus and exit of a gallstone into the adjacent orgm. Thc clinical .,ymptoms,signs, laboratory findings are often so nnnspecific that f'istiila is u.iually difficult tn <Jiagnose preoperatively. Preoperative diagnostic rate is io between 31% fn m7% of reported case. A 4S years old male visited Dae Senn SlJN general hospital because of persistent diarrhea ond abdominal discomfort. Of' 15 years prior to his visit, he had been suffered from the severe RlSQ pain ancl treated by medical regimen nnder impression of acute cholecystitis associated with gallstnne. And occasionally intermitent RIJQ pain persisted imtill 6 years ago, when sudden disappearence oF RUO pain developed, then followed by persistent diarrhea and lower abdominal discomfort. Pneumchilia is found on abdorninal sonogram, and the fistula trnct between gallbladder arvt colon has bee disclosed on barium enema study and F.RCP, abdominal CT. But surgical intcrvcntinn h,I t eer delayed because of patients cvnsent. (Korean 3 tastroenterol ]995:27: 893-89'7l
이기용,임선재,윤재철,이계성,김성숙,이미선,김삼용 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1
Castleman's disease is a condition characterized by masses composed of benign lymphoid tissue. Castleman's disease usually occur as a solitary lesion in the mediastinum and less frequently in the neck, and rarely in retroperitoneum and pelvis. Castleman's disease is classified into hyline-vascular type and the plasma cell type. We report a case of 52-year-old woman with Castleman's disease in the retroperitoneum. She was admitted to our hospital with the complaint of right lower quadrant pain for 3 days. Ultrasonography, computed tomography, magnetic resonance imaging and angiography were performed. The mass was located in the retroperitoneum, had a size of 6 X 5 cm with internal calcification and it was completely removed by operation. Pathological review showed a byline-vascular type of giant lymph node hyperplasia(Castleman's disease) in portocaval space of retroperitoneum. Follow up physical examination and abdominal CT scan 3 years after operation revealed no recurrence of disease.
오성광,황석주,임선재,김대영,이계성,윤재철,이기용,유운석,김삼용,이미선 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.1
Pulmonary metastases form uterine leiomyomas are extremely rare despite of high frequency of unterine leiomyoma. Metastatic uterine leiomyomas are seen in asymptomatic middle-aged female patients, who has a history of previous uterine leiomyoma. The lung metastases appear histologically benign as are the primary uterine tumor, so they are called benign metastasizing leiomyomas. We experienced a case of benign metastasizing leiomyoma and hereby report after 5 years of follow-up.
황석주,김영운,오성광,김대영,임선재,박승욱,이두용,이헌영 충남대학교 의과대학 지역사회의학연구소 1995 충남의대잡지 Vol.22 No.2
Pancreatic cystadenoma is very rare, slow growing tumor and generally preoperative differential diagnosis may be difficult. A 43-year-old female was admitted to our hospital with the complaint of abdominal discomfort in the epigastrium for about preceeding 5 years. Ultrasonography and Computed tomography were performed. When endoscopic retrograde cholangio-pancreatogram was performed, displacement of distal pancreatic duct by huge mass was noted and injected dye was drained irregulary into the cavity of mass. Distal pancreatectomy was performed with splenectomy. The mass size of distal pancreas was 7X4cm, and the cyst contained with yellowish thick mucoid fluid. Diagnosis was confirmed the mutinous cystadenoma of the pancreas on histologic examination.