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맹주희 ( Maeng Ju Hui ),이희섭 ( Lee Hui Seob ),장진근 ( Jang Jin Geun ),박배근 ( Park Bae Geun ),나병규 ( Na Byeong Gyu ),김용호 ( Kim Yong Ho ),정승문 ( Jeong Seung Mun ),천갑진 ( Cheon Gab Jin ) 대한소화기학회 2003 대한소화기학회지 Vol.42 No.6
Gastric volvulus is an uncommon condition which is difficult to diagnose and treat. It designates abnormal rotation of the stomach along its longitudinal (organoaxial) or transverse (mesenteroaxial) axis. When the rotation exceeds 180˚, gastric obstruction or strangulation may occur. The classical presentation of acute gastric volvulus is the triad of severe epigastric pain, vomiting followed by retching without the ability to vomit, and difficulty or inability to pass a nasogastric tube. Delay in diagnosis and treatment of gastric volvulus can lead to fatal complications such as gastric ischemia, perforation, and hemorrhage. Gastric volvulus is a true emergency which should be treated immediately either surgically or by upper endoscopy. We report a case of an acute incarcerated gastric volvulus due to a left-sided diaphragmatic hernia in an adult male patient, which was treated successfully by operation. (Korean J Gastroenterol 2003;42:544-548)
원발성 담즙성 간경변증에 병발된 전신성 홍반성 루푸스의 임상소견을 갖는 쇼그렌 증후군
이장교 ( Chang Gyo Lee ),장현규 ( Hyun Kyu Chang ),김승용 ( Seung Yong Kim ),강호형 ( Ho Hyung Kang ),김덕재 ( Duk Jae Kim ),장진근 ( Chin Kun Chang ),맹주희 ( Ju Hi Maeng ),이희섭 ( Hui Sup Lee ),박배근 ( Pae Gun Park ),정재걸 ( 대한류마티스학회 2001 대한류마티스학회지 Vol.8 No.1
Primary biliary cirrhosis (PBC) is a chronic inflammatory disease characterized by fibrous obliteration of intrahepatic bile ductules. Although the etiopathogenesis of PBC remains unclear, several studies suggest that a disordered immune response may be involved. This disease is commonly associated with various autoimmune diseases, such as Sjogren`s syndrome, scleroderma, rheumatoid arthritis, Hashimoto`s thyroiditis, polymyositis, and pernicious anemia. More than 80% of cases with PBC are accompanied by at least one autoimmune disorder, and 40% by two or more. Sjogren`s syndrome, defined by dry eyes and xerostomia, may be found in 69 to 81% of PBC patients. However, concurrent coexistence of PBC and systemic lupus erythematosus (SLE) has been rarely described in the literature. We report a 46-year-old female with PBC and Sjogren`s syndrome who also satisfied a classification criteria of SLE.