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이홍복,이성규,변종훈,전인석,김웅봉,두창준,김정례 대한내분비학회 1988 Endocrinology and metabolism Vol.3 No.2
Adrenal myelolipoma is uncommon, nonfunctioning benign tumor, is composed of hemato-poietic cells and fat cells, which simulates the bone marrow. In most cases, this tumor is found incidnetally at autopsy. The advent of cross-sectional abdominal imaging technique has increased the incidence of this tumor, and the importance of the tumor has emphasized among the adrenal diseases. This tumor can be diagnosed by ultrasound and CT which show avasculr, highly fatty mass chatacterestically, and can be confirmed by fine-needle aspiration. Myelolipoma, in most, does not need any treatment, especially surgical removal. So, clinician do his or her best to avoid useless operation on facing such nonfunctioning adrenal tumor.
두창준(Chang Jun Doo),김웅봉(Ung Bong Kim),김주형(Joo Hyoung Kim),백승훈(Seung Hoon Baek),변종훈(Jong Hoon Byun) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.2
N/A Emergency endoscopy was performed in 117 cases with upper gastrointestinal tract bleeding from Jan. 1985 to Apr. 1988 at Korea Veterans Hospital. The results were as follows: 1) The sources of upper gastrointestinal bleeding in these 1l7cases were as follows; gastric ulcer in 35 cases (30.0% ), duodenal ulcer in 22 cases (18.8%), erosive gastritis in 18 cases (15.4%), esophageal varices in 17 cases (14.5%), Mallory-Weiss syndrome in 12 cases (10.3%), gastric cancer in 5 cases (4. 3%), Dieulafoy's disease in 2 cases (1.6%), marginal ulcer in 1 case (0.8%) and undetermined in 5 cases (4 3%). 2) Of the 28 cases with esophageal varices, 11 cases (39.3%) had bleeding from nonesophageal varices. The most frequent cause of the nonesophageal variceal bleeding was the erosive gastritis. 3) In gastric ulcer group, the incidence of massive bleeding on admission was lower (8.5%) than that of in duodenal ulcer (27.3%) and in erosive gastritis group (27.8%), but the rate of emergency operation due to persistent or recurrent bleeding was higher in gastric ulcer group (17.1%) than that of in duodenal ulcer (4.5%) and in erosive.gastritis group(0%). And all of the 2 cases of Dieulafoy's disease received emergency operation. 4) Of the 117 patients with upper gastrointestinal bleeding, 6 were expired (mortality rate:6.1%); 5 from ruptured esophageal varices, 1 from gastric ulcer bleeding. In concusion, emergency endoscopy should be done in patients with upper gastrointestinal bleeding to determine the correct diagnosis and adequate management of the bleeding lesions. Thereby the morbidity and mortality rates from upper gastrointestinal bleeding would be decreased by early and proper management.
Hourglsaa 형 담낭에 발생한 석희유 담즙 1 예
두창준,변종훈,신현자,송국진,전인석,김웅봉,최병수 대한내과학회 1988 대한내과학회지 Vol.35 No.4
Milk of calcium bile or limy bile is a rare condition in which the gallbladder is filled with a thick, pastelike, radiopaque material. It is almost entirely composed of calcium carbonate. The mechanism by which bile turns into limy bile is not well understood, Hewever, complete cystic duct obstruction by gallstones is believed to be a prerequisite for the development of limy bile. Hourglass gallbladder is a deformity of the gallbladder with a constriction or midtransverse septum between the infundibulum and body. Stasis proximal to the constriction probably contributes to calculous formation and may provoke cancerous alternations. This is the account of a case of Hourglass gallbladder associated with limy bile at the fundal compartment in a 43-year-old man who had vague abdominal pain in the right upper quadrant and indigestion for two years. The literature on this subject is briefly reviewed.