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소찬수,Yun Sun Choi,고동희,최민호,계세협,Sun Jung Min,이진,장현주 대한소화기내시경학회 2013 Clinical Endoscopy Vol.46 No.1
Brunner’s gland adenoma is a rare benign proliferative lesion developing most commonly in the posterior wall of the duodenum. It is usually small in size and asymptomatic. Depending on its size or location, however, the clinical manifestations of this tumor may be variable from nonspecific symptoms to gastrointestinal bleeding or obstruction. Brunner’s gland adenoma in the proximal jejunum is extremely rare. We report a very rare case of giant Brunner’s gland adenoma developing in the proximal jejunum which presented as iron deficiency anemia and mimicked intussusceptions on radiologic studies.
증례 : 소화기 ; 총간동맥에 발생한 자발성 가성동맥류 1예
소찬수 ( Chan Soo So ),양재훈 ( Jae Hoon Yang ),임유진 ( Yu Jin Lim ),최민호 ( Min Ho Choi ),장현주 ( Hyun Joo Jang ),황대현 ( Dae Hyun Hwang ),이진 ( Jin Lee ) 대한내과학회 2009 대한내과학회지 Vol.77 No.1
간동맥 가성동맥류는 비교적 드문 질환으로, 과거에는 주로 외상에 의해 발생했으나, 최근에는 중재적 시술이나 복강경 수술의 합병증으로 인한 발생이 증가하고 있다. 하지만 자발성 가성동맥류는 매우 드물다. 복통, 종괴, 출혈 및 파열 등의 다양한 증상을 보이며, 파열 시 높은 사망률과 유병률을 보이기 때문에 조기 진단과 치료가 중요하다. 저자들은 지속적인 상복부 통증으로 내원한 환자에서 총간동맥에 발생한 자발성 가성동맥류를 진단하고, 경동맥 코일 색전술로 치료한 증례를 경험하여 보고하는 바이다. Hepatic pseudoaneurysms were once relatively uncommon and often associated with hepatic trauma. Currently, the main etiology of pseudoaneurysms is iatrogenic injuries with the increased use of percutaneous procedures and laparoscopic surgery. However, a spontaneous hepatic pseudoaneurysm is very rare. The clinical manifestations can include pain, swelling, thrombosis, bleeding, and rupture. Early detection is critical for the proper treatment, because ruptured pseudoaneurysms have high morbidity and mortality. We present a case of spontaneous pseudoaneurysm in the common hepatic artery that was treated successfully with transarterial coil embolization. (Korean J Med 77:95-98, 2009)
최윤선,소찬수,고동희,최민호,장현주,계세협,이진,최영희 대한상부위장관ㆍ헬리코박터학회 2017 Korean Journal of Helicobacter Upper Gastrointesti Vol.17 No.2
Acute extensive ischemic gastritis is an extremely rare disease because the stomach has an abundant submucosal vascular plexuswith a dual blood supply from the pancreaticoduodenal and gastroduodenal arteries. Smoking, hypertension, and atheroscleroticvascular diseases can be major risk factors for ischemic gastritis. Acute gastric ischemia presents as an acute abdomen with diarrheaor hematemesis that rapidly progresses to acute peritonitis, irreversible septic shock, and death if untreated. We report a case ofacute extensive ischemic gastritis combined with tetraplegia due to cervical myelopathy and extensive atherosclerotic changes ofthe celiac trunk and abdominal aorta