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孫宜錫,崔振學,韓昇洙,安炳善 대한내과학회 1964 대한내과학회지 Vol.7 No.12
In medical practice, it is generally believed that duodenal diverticulum is symptomless. However, surprisingly enough more cases of duodenal diverticulum with various gastrointestinal symptoms are encountered in our clinic in recent years and this paper presnts the results of our recent clinical observation of duodenal diverticulum in 29 cases. The incidence of duodenal diverticulum among 515 X-Ray examinations of the upper gastrointestinal tract was 5.6% (29 Cases). Sex distribution was 31% (9 cases) in male and 69% (20cases) in female. In regards to the age distribution, the highest incidence was found in 4 th decade of life (72.4 %). The duodenal diverticulum was found most frequently among the inner aspect of the duodenum (94.4%), and in 80.5% it was located in the seond portion of the duodenum. The single diverticulum was found in 86.2% of cases. and multiple diverticuli was found in 13.8% of cases. The size of diverticulum was various ranging between 3 ㎜, and 97 ㎜, in longitudinal diameter. 30.6% of cases showed 20-29 ㎜, in diameter. The shape of the diverticulum was round in almost all the cases. Complications were found in 10.3% of the diverticulum and associated diseases other than diverticulum were found in 62.1% of cases. General symptoms of gastrointestinal tract were found in most of the cases of duodenal diverticulum in contrast to the general believe that duodenal diverticulum is symptomless, and hunger pain, epigastric discomfortness, nausea and vomiting, which are prominent in peptic ulcer, were noted in highest proportion. Gastric juice analysis showed various results ranging between low acidity and high acidity but the high acidity was found more frequently in duodenal diverticulum when it is compared with results found in peptic ulcer.
孫宜錫,金應瑞,宋昌燮,李聖浩,李寧均,朱東雲,Hewlett, Thomas H. 中央醫學社 1961 中央醫學 Vol.1 No.4
A case of ruptured aneurysm of a sinus of Valsalva is presented. The clinical diagnosis is made by the characteristic, clinical picture of sudden dyspnea and congestive heart failure in a previously healthy soldier and the presence of a characteristic continuous murmur at the left sternal boarder in the 3rd-4th intercostals space which appears to be a rather low, location for the murmur of patent ductus arteriosus. This clinical diagnosis was confirmed by right and left heart catheterization and retrograde aortography. On the X-ray film of retrograde aortography a direct communication between aorta and right ventricle was well demonstrated. A characteristic pressure pattern of early diastolic dip in the right ventricle in the presence of this abnormal communication was briefly discussed.