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허창재 ( Chang Jae Hur ),민보람 ( Bo Ram Min ),이유진 ( Yoo Jin Lee ),장병국 ( Byung Kuk Jang ),황재석 ( Jae Seok Hwang ),김은수 ( Eun Soo Kim ),박경식 ( Kyung Sik Park ),조광범 ( Kwang Bum Cho ),강유나 ( Yu Na Kang ),정우진 ( Woo 대한소화기학회 2015 대한소화기학회지 Vol.65 No.4
Background/Aims: Hepatic angiosarcoma, a rare and aggressive liver malignancy, is difficult to diagnose because of a lack of specific clinical features. The clinical and radiological features of patients with histologically confirmed hepatic angiosarcoma were examined. Methods: Among 2,336 patients diagnosed with primary hepatic carcinoma at Keimyung University Dongsan Medical Center (Daegu, Korea) between May 2002 and February 2012, eight (0.03%) with histologically confirmed primary hepatic angiosarcoma were included. The patterns of disease diagnosis, tumor characteristics, treatment responses, and prognoses were reviewed retrospectively. Results: Median age was 66 years-old (range, 41-80 years). Four patients were male. Five patients were compulsive drinkers. All patients had no HBsAg and anti-HCV. Initial radiologic diagnoses revealed primary hepatic angiosarcoma (n=2), hepatocellular carcinoma (n=2), hemangioma (n=2), and hepatic metastatic carcinoma (n=2). Definitive diagnoses were made by percutaneous needle biopsies in seven patients and surgical resection in one patient. At the time of the initial diagnosis, extrahepatic metastases were detected in three patients (37.5%). Metastatic sites included the spleen and lung, pericardium, and bone, in one patient each. Two patients underwent conservative treatments. The remaining patients underwent surgical resection (n=1), transcatheter arterial chemoembolization (n=1), and systemic chemotherapy (n=4). The median survival period was 214 days (range, 21-431 days). Conclusions: Hepatic angiosarcoma is a highly progressive disease with a poor prognosis. Detailed studies including histological examinations are essential to facilitate early diagnosis of the disease. (Korean J Gastroenterol 2015;65:229-235)
증례 : 소화기 ; 간성뇌증을 동반한 A형간염 바이러스와 E형간염 바이러스의 동시감염 1예
박진홍 ( Jin Hong Park ),김병석 ( Byung Seok Kim ),이창형 ( Chang Hyeong Lee ),김선영 ( Sun Young Kim ),서정현 ( Jung Hyun Seo ),허창재 ( Chang Jae Hur ) 대한내과학회 2011 대한내과학회지 Vol.80 No.2S
With recent hygienic improvements in Korea, the occurrence of overt acute viral hepatitis A in adults is increasing. Acute viral hepatitis E, which has seldom been reported, has also been increasing in Korea over the past few years. Reports regarding coinfection of hepatitis A virus (HAV) and hepatitis E virus (HEV) and their clinical courses are very rare. Acute hepatitis A usually improved by conservative management, but coinfection of HAV and HEV may lead to severe forms of disease. When patient with acute hepatitis A presents with an atypical clinical course such as hepatic encephalopathy, HEV infection, which has identical transmission routes to HAV, must be considered. We report a case of coinfection of HAV and HEV with hepatic encephalopathy. (Korean J Med 2011;80:S101-S105)
박혜민 ( Hye Min Park ),도민영 ( Min Young Do ),최세명 ( Sei Myung Choi ),양경호 ( Kyung Ho Yang ),허창재 ( Chang Jae Hur ),조광범 ( Kwang Bum Cho ) 대한췌담도학회 2015 대한췌담도학회지 Vol.20 No.4
대부분의 십이지장 천공은 증상을 유발하므로 급성기에 발견된다. 그러므로 시기를 알 수 없이 우연히 발견된 만성 십이지장 천공은 드물고 치료의 기준도 명확하지 않다. 본 증례 경우에는 보존적 치료 후에 병변이 호전되었다. 이와 같이 우연히 천공이 발견된 증례는 드물고 향후 관심이 필요할 것으로 사료되어 문헌 고찰과 함께 보고한다. Duodenal perforation can occur due to complications caused by ulcers, other inflammation or by the instrument used during the procedure such as endoscopy, endoscopic retrograde cholangiopancreatography (ERCP); however, its incidence is not high. Most cases of perforation of the lateral wall of the duodenum are acute and require immediate surgical or endoscopic treatment. Cases of chronic duodenal perforation are rarely reported. This report presents the case of a previous perforation that was discovered unexpectedly during ERCP in a patient with cholangitis due to common bile duct stones. The time of occurrence of the perforation was unknown. After medical treatment, the patient was able to return to daily life. We have reported this case along with a literature review.