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석창현,김해경,박태일,전병민,조현우,김재승,김기범,나병수 대한소화기내시경학회 2010 Clinical Endoscopy Vol.41 No.5
이지장 게실염은 임상증상이 비특이적으로 종종 췌장염이나 담관염으로 오인되기도 한다. 최근 저자들은 복부 CT 후 급성 담관염, 췌장염을 의심했던 환자에서 MRCP와 ERCP 후 십이지장 게실염을 진단하여 이를 보고한다. 십이지장 게실염은 진단이 용이하지 않지만 천공 등 합병증 동반 시 사망률이 높아 급성 복통 환자에서 반드시 감별해야 할 질환으로 생각한다. Duodenal diverticulitis is difficult to diagnose because it can mimic other common diseases such as cholecystitis and perforated ulcer. Recently, we experienced a rare case of duodenal diverticulitis that was initially suspected on abdominal computed tomography as focal pancreatitis. Although duodenal diverticulitis has been increasingly recognizable before surgery, with the advent of multi-detector computed tomography, misdiagnosis remains problematic since duodenal diverticulitis is commonly not considered in the differential diagnosis of acute abdominal pain. We have to consider this rare disease entity because delayed diagnosis might be a cause of substantial morbidity and mortality.
석창현 ( Chang Hyeon Seock ),이단비 ( Dan Bi Lee ),심주현 ( Ju Hyun Shim ),김강모 ( Kang Mo Kim ),임영석 ( Young Suk Lim ),이한주 ( Han Chu Lee ),정영화 ( Young Hwa Chung ),이영상 ( Yung Sang Lee ) 대한간암학회 2012 대한간암학회지 Vol.12 No.1
According to AASLD practice guideline, for patients who present with advanced hepatocelluar carcinoma, new data indicates the efficacy of sorafenib in prolonging life. But there are no data comparing combination transarterial chemoemboliation with sorafenib to sorafenib treatment alone. We experienced a case that treated a patient with combination therapy including transarterial chemoembolization for intrahepatic hepatocelluarcarcinoma, radiation therapy for portal vein thrombosis and sorafenib treatment. He was in stable disease state after 6 months later. Therefore, it seems to be need to study for comparing combination therapy to sorafenib, or to transarterial chemoembolization.
Cisplatin 경동맥화학색전술 후 발생한 용혈성 요독 증후군 1예
석창현 ( Chang Hyeon Seock ),이단비 ( Danbi Lee ),심주현 ( Ju Hyun Shim ),김강모 ( Kang Mo Kim ),임영석 ( Young Suk Lim ),이한주 ( Han Chu Lee ),정영화 ( Young Hwa Chung ),이영상 ( Yung Sang Lee ) 대한간암학회 2012 대한간암학회지 Vol.12 No.2
Hemolytic uremic syndrome (HUS) is a rare condition compromising the clinical triad of acute renal failure, microangiopathic hemolytic anemia, and thrombocytopenia. HUS may be associated with a variety of etiologies, and chemotherapeutic agents have also been reported to be associated with HUS, including mitomycin, cisplatin, bleomycin, and most recently gemcitabine. HUS also has been observed in association with a number of disseminated malignancies in adults, most typically adenocarcinoma of the stomach and breast. But there was no case report of HUS after cisplatin based transarterial chemoembolization (TACE) for hepatocellular carcinoma (HCC). We experienced a case of HUS after cisplatin based TACE and reported this case with several literature reviews.
후천성면역결핍증 환자에서 발생한 아메바성 간농양과 흉막삼출 1예
김기범,나병수,이승훈,석창현,조현우,최원석,김명수 대한감염학회 2010 Infection and Chemotherapy Vol.42 No.5
Recent studies indicate that there is an increased risk of amebic liver abscess among those infected with HIV, which is associated with cell-mediated immunosuppression. Although Entamoeba histolytica infection is common among HIV infected patients,only a few cases of amebic liver abscess with bilateral pleural effusion have been reported. We present a case of a 44-year-old man who presented with fever and right lower quadrant abdominal pain. Amebic liver abscess with bilateral pleural effusion was confirmed by serologic test, clinical symptoms, and radiological findings. HIV infection was incidentally diagnosed during treatment. The possibility of the presence of amebic liver abscess should be considered in HIV infected patients with space-occupying lesions in the liver, and HIV screening should strongly be recommended in patients with amebic liver abscess.