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배일헌,한기석,차상훈,김성진,박길선,송형근,Bae, Il-Heon,Han, Gi-Seok,Cha, Sang-Hun,Kim, Seong-Jin,Park, Gil-Seon,Song, Hyeong-Geun 대한영상의학회 2002 대한영상의학회지 Vol.46 No.2
수질외 형질세포종 중에서 담낭에 발생한 예는 매우 드물어 세계적으로 1예만 보고되어 있고, 국내에는 아직 보고된 바가 없다. 저자들은 63세 남자 환자에서 상복부 초음파검사와 복부 전산화단층촬영에서 담낭의 팽창이나 주변조직으로 침범이 없는 미만성 담낭벽비후의 소견을 보였고, 수술로 확진된 수질외 형질세포종을 경험하였기에 보고한다. Extramedullary plasmacytoma of the gallbladder is extremely rare. A review of the literature in English revealed only one case, involving a patient with initial extramedullary plasmacytoma of the maxillary sinus. In this report, we describe the case of a 63-year-old man with surgically confirmed extramedullary plasmacytoma confined to the gallbladder. At ultrasonography and computed tomography, diffuse and uniform thickening of the gallbladder wall without evidence of surrounding tissue infiltration was depicted.
최재운(Jae-Woon Choi),배일헌(Il-Hun Bae),박선미(Seon Mee Park),김대훈(Dae Hoon Kim),류동희(Dong Hee Ryu),송영진(Young Jin Song) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.73 No.3
A laparoscopic cholecystectomy is the gold standard for symptomatic gallbladder stones. Reports of a pseudoaneurysm following a cholecystectomy have recently increased. Herein, the case of a 36-year-old man, who had an unusual complication following a routine laparoscopic cholecystectomy for gallbladder stones, is reported. On postoperative day 6, the patient was readmitted via the emergency room with severe abdominal pain and right shoulder pain. A selective hepatic angiography revealed a pseudoaneurysm of the branch of the right hepatic artery, which was treated with transarterial embolization. A pseudoaneurysm is an uncommon complication of a laparoscopic cholecystectomy. If any suspicion of a pseudoaneurysm is presented, prompt attention and angiography are necessary, as the condition can cause life-threatening bleeding.
괴상형 간세포암 : 수술적으로 절제한 괴상형 간세포암종 증례
이신영 ( Shin Young Lee ),채희복 ( Hee Bok Chae ),류동희 ( Dong Hee Ryu ),배일헌 ( Il Hun Bae ),성노현 ( Ro Hyun Sung ) 대한간암연구회 2009 대한간암학회지 Vol.9 No.-
A 59-year-old male patient visited ER complaining of persistent pain in his right upper quadrant abdomen. He had suffered from end stage renal disease secondary to long-term hypertension and had been under the maintenance hemodialysis for 13 years. Half a month ago, he recognized a mass at his epigastric area. He did not have any history of liver disease in his lifetime. Physical exams revealed that he had a tender and hard mass on his right upper quadrant and epigastric area. Total bilirubin was 0.6 mg/dL, AST/ALT was 59/75 IU/L, and AFP was 105,740 ng/mL. Computed tomography showed the huge liver mass in the left lobe and its size was estimated about 16cm. The regional lymph node was also found in the porta hepatis area. He received complete resection of the hepatoma and was discharged. We concerned about high probability of recurrence because of the pre-operative AFP level and vascular invasion in the pathologic specimen.
민인철(In Chul Min),류동희(Dong Hee Ryu),이옥준(Ok Jun Lee),배일헌(Il-Hun Bae),최재운(Jae-Woon Choi) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.6
A case of gallbladder perforation without cholecystitis or trauma is described herein. The patient was a 74-year-old woman who initially presented with right lower quadrant pain of the abdomen. A laparotomy was performed with the impression of an acute appendicitis at a local clinic. However, the appendix was normal and a large amount of bile was noted in the peritoneal cavity. The patient was referred to our hospital. An exploratory laparotomy was performed with the suspicion of a hollow viscous perforation. A pin point perforation of the gallbladder fundus was identified. There were no gallstones or definite inflammation of the gallbladder wall. Although gallbladder perforation without cholecystitis or trauma is rare, gallbladder perforation without cholecystitis should be considered in elderly patients with bile peritonitis of unknown etiology.
증례 : 소화기 ; 임신 중 발생한 고중성지방혈증에 의한 급성 췌장염 1예
강지영 ( Ji Young Kang ),최관용 ( Guan Yong Choi ),정희석 ( Hee Seog Jeong ),이달식 ( Dal Sic Lee ),주혜진 ( Hye Jin Joo ),배일헌 ( Il Hun Bae ),박선미 ( Seon Mee Park ) 대한내과학회 2009 대한내과학회지 Vol.77 No.1
고지혈증과 급성 췌장염이 있었던 임산부에서 임신과 비만으로 유발된 제V형 고지혈증에 의한 급성 췌장염을 경험하였기에 문헌고찰과 함께 보고한다. Hypertriglyceridemia-induced pancreatitis is a rare, but serious, complication of pregnancy. We report a case of acute pancreatitis associated with type V hyperlipoproteinemia in pregnancy. A 36-year-old primigravida was admitted at 16 weeks of gestation with severe abdominal pain. Chemical analysis showed high serum pancreatic enzymes and very high serum triglyceride. Abdominal magnetic resonance imaging (MRI) showed diffuse swelling of the pancreas and a peripancreatic fluid collection. A diagnosis of acute pancreatitis with type V hyperlipoproteinemia was made. She recovered from the acute pancreatitis with conservative management and the serum triglyceride decreased rapidly with dietary restriction of fat, insulin/glucose, fenofibrate, and omega-3. We review the management of hypertriglyceridemia-induced acute pancreatitis in pregnancy. (Korean J Med 77:104-108, 2009)
건강한 젊은 남자에서 발생한 자발성 신동맥 박리에 의한 신경색 1 예
오석진(Seok Jin Oh),김혜영(Hye Young Kim),권순길(Sun Gil Kwon),박영선(Young Sun Park),김기석(Ki Seok Kim),김형삼(Hyoung Sam Kim),배상석(Sang Seok Bae),엄재호(Jae Ho Earm),배일헌(Il Hun Bae),한기석(Ki Seok Han) 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.5
Spontaneous renal artery dissection is an uncommon cause of renal infarction. Previous reports of spontaneous renal artery dissection has been associated with hypertension or fibromuscular dysplasia. We report herein the case of a previously healthy, normotensive patient with renal infarction due to spontaneous renal artery dissection who remained normotensive throughout his course without therapy. A previously healthy 31-year--old man with well-documented normotension had a sudden onset of right flank pain and delayed onset of elevation of lactic dehydrogenase, hematuria, and proteinuria. Thin section spiral computerized tomogram shows linear intraluminal filling defect suggesting intimal flap. Angiography shows dissection of main right renal artery. Six months later, he has remained well and normotensive without therapy. To our knowledge, this is the first case of spontaneous renal artery dissection in normotensive patients in Korea.