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서지영 ( Ji Young Seo ),김광실 ( Gwang Sil Kim ),김대명 ( Dae Myung Kim ),김선영 ( Sun Young Kim ),유경돈 ( Kyung Don Yoo ),홍진희 ( Jin Hee Hong ),주혜원 ( Hye Won Joo ),조영미 ( Yong Mee Cho ),김상현 ( Sang Hyun Kim ),박원도 ( W 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.5
Kidney involvement in systemic lupus erythematosus (SLE) is common. The incidence of venous thrombosis in SLE ranges from 5-15%, and venous thrombosis in lupus nephritis associated with nephritic syndrome or antiphospholipid antibody syndrome is reported in 30-35%. Lupus nephritis with nephrotic syndrome is not infrequently encountered at the point of diagnosis of SLE, but venous thrombosis as the first manifestation of SLE is rare. Herein we present our clinical experience with a case of multiple venous thrombosis with nephrotic-range proteinuria as the first manifestation of lupus nephritis.
김선영 ( Sun Young Kim ),전태주 ( Tae Joo Jeon ),홍진희 ( Jin Hee Hong ),김광실 ( Gwang Sil Kim ),오태훈 ( Tae Hoon Oh ),서동대 ( Dong Dae Seo ),신원창 ( Won Chang Shin ),최원충 ( Won Choong Choi ) 대한소화기학회 2008 대한소화기학회지 Vol.52 No.3
Intussusception is primarily a disease of children, and is relatively rare in adults. Unlike childhood intussusception, adult intussusception has an identifiable leading lesion such as malignant or benign neoplasm. However, intussusception caused by hemangioma is very rare. There were few cases of small bowel intussusception caused by hemangioma in adults, but those reports were presented with abdominal pain. This report describes a 65-year-old female who suffered from small bowel intussusception caused by hemangioma presenting with intestinal bleeding. Upper gastrointestinal endoscopy and colonoscopy were performed, but bleeding focus was not found. Abdominal computed tomography showed the target sign of small bowel with a leading point of mass. This mass turned out to be a hemangioma after the small bowel resection. Therefore, small bowel intussusception by hemangioma should be also considered as a bleeding focus when an adult patient presented intestinal bleeding without bleeding focus in the stomach and colon. Herein we report a case of small bowel intussusception caused by hemangioma presenting with intestinal bleeding. (Korean J Gastroenterol 2008;52:183-187)