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RISS 인기검색어
- 검색키워드
- 저자 : 추성욱(Sung Wook Choo) (검색결과 3 건)
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추성욱(Sung Wook Choo),이재욱(Jae Wook Lee),이장규(Jang Kyu Lee),김성준(Sung Jun Kim),이덕영(Duck Young Lee),박경현(Gyeng Hyen Park),허충(Chung Hur),이진관(Jin Kwan Lee) 대한내과학회 1998 대한내과학회지 Vol.54 No.5
N/A Background: Primary epiploic appendagitis is rarely diagnosed preoperatively and usually results from torsion with subsequent infarction epiploic appendage. Until recent years no diagnostic procedures or clinical symptoms were pathognomic for this disease and the most common pre-operative diagnosis were acute diverticulitis and appendicitis. Rapid advance of imaging technique, especially ultrasound, makes it possible to get image of diseased epiploic appandage. Also primary epiploic appendagitis occurs more frequently than it has been suggested in the literature. Therefore authors analyzed and reviewed clinical features and radiological findings of 15 cases with primary epiploic appen4agitis to give attention to the acute epiploic appendagitis as one of the ways for diagnosing the acute abdominal pain that has unclear diagnosis, thinking that the rapid diagnosis will helpful to escaping the unnecessary operations. Methods: This study included twelve men and three women (aged 20-60years). Surgery was done in two patients, one misdiagnosed for acute appendicitis and another for acute diverticulitis with abscess. Follow up examinations were performed with US and CT (n=3), with US, CT and MHI (n-2) and with clinical course (n=13). Results: All patients had localized abdominal pain and tenderness, mostly in the left lower quadrants (n=12). Duration of pain was 3.3 days (1-15days). Two patients had mild fever and two patients had nausea. Leukocytosis was found in four patients. In all cases US revealed a solid hyperechoic (n=13) or isoechoic (n=2) non-compressible ovoid mass with hypoechoic rim The masses were located under the site of maximum tenderness. CT and MRI finding were compatible with US. Conclusion: Primary epiploic appendagitis can be diagnosed pre-operatively using recent imaging technique, and US finding is fairly characteristic. This disorder is not so rare entity as previously known and must be included in the differential diagnosis of acute unexplained abdominal pain in adults.
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조기위암 수술 후 문합부에 발생한 원발성 위방선균증 1예
이재욱,이장규,이진관,박경현,허충,추성욱 대한소화기내시경학회 1996 Clinical Endoscopy Vol.16 No.5
Primary gastric actinomycosis is an extremely rare disease and less than 20 cases are reported in literature. We experienced a case of gastric actinomycosis in the 63-year-old woman who had subtotal gastrectomy for early gastric cancer(type IIc) 7 month ago. Endoscopic biopsy from elevated lesion on stoma was found to show the neutrophilic infiltration and sulfur granule. She placed on tetracycline for 30 days. Follow up endoscopy showed no abnormality. We report this case with literature review.
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이장규,이재욱,박동철,이진관,홍영애,조준탁,추성욱 대한내과학회 1998 대한내과학회지 Vol.54 No.6
Infections with Listeria monocytagenes have been observed in men with increasing frequencies and common clinical manifestations arc meningitis and common. However, the organism is rarely seen as a pathogen in adults, except urder circumstances in which same factor such as malignancv, corticosteroid or organ transplantation, might have compromised normal defence mechanism Pregnancy might be another predisposing factor of the Listerial infection. We presented a of Listerial pneumonia and bacteremia which induced preterm delivery in 28 years old primipara. Isolate from blood cultures showed morphological, cultrual and biochemical characteristics of Listeria moncytogenes. She had ampicillin treatment far 2 weeks and uneventful recovery. The baby delivered in preterm showed mild icterus but otherwise good health and had no evidence of Listerial infection.
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