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김용태(Y . T . Kim),송영기(Y . K . Shong),이기업(K . U . Lee),이문호(M . H . Lee),박건춘(K . C . Park),유은실(E . S . Yu),이준호(J . H . Lee),진태선(T . S . Jin) 대한내과학회 1991 대한내과학회지 Vol.40 No.5
Phenochromocytoma is a catecholamine-secreting tumor, most of which grow at the adrenal gland. About 109p Of pheochromocytomas are detected at the extra-adrenal chromaffine tissues and are called paraganglioma. The main symptoms of pheochromacytoma include hypertension, headache, palpitation, and sweating. Gastrointestinal symptoms such as abdominal pain, constipation, and vomiting are found in 20~40% of patients with pheochromocytoma, but these are usually overlooked because of the severe, prominant cardiovascular symptoms. Intestinal pseudo-obstruction without hypertension in pheochromocytoma is very rarely found. It is caused by the decreased motility of the intestine and the over-contraction of the intestinal sphincter, which are caused by the unbalanced activation of a-and b-adrenal receptors. It can be hypothesized that catecholamine receptors in the cardiovascular system are down-regulated or desensitized, but those in the intestine remain intact. We report herein a case of pheochromocytoma in which intestinal pseudo-obstruction was the main presenting clinical manifestation. Symptoms of intestinal pseudo-obstruction were completely relieved by administration of phenoxybenzamine, an α-receptor blocker, and excisional surgery.

김용태(Y . T . Kim),유권(K . Yoo),정현채(H . C . Jung),이효석(H . S . Lee),윤용범(Y . B . Yoon),송인성(I . S . Song),최규완(K . W . Choi),김정룡(C . Y . Kim),최병인(B . I . Choi),최상운(S . W . Choi) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.2
N/A To investigate the prevalance of cholelithiasis in liver cirrhosis, a retrospective study using biliary ultrasonography was performed in 222 patients with liver eirrhosis and in 177 controls. Gallstones were found more often in cirrhotic patients (13.5%) than in controls (5.6%) (p<0.05). Their prevalence was the same in both sexes. The prevalence of gallstone increased in decompensated liver cirrhosis (p<0.05). The prevalence was higher in HBs-Ag negative liver cirrhosis than HBs-Ag positive liver cirrhosis (p<0.01). The linear trend of increasing prevalence with increasing age in non cirrhotic group was not observed in patients with liver cirrhosis. This study confirms, by means of sonography, the high prevalence of cholelithiasis in liver cirrhosis in Korean adults.