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대엽성 폐렴의 양상을 보인 폐 Cryptococcosis 1예
박석영,윤영연,오귀염,권낙기 대한화학요법학회 1996 대한화학요법학회지 Vol.14 No.2
A 26 year old lady was admitted due to fever and productive coughing of 10 days duration. She had been working at the office treating stuffs of oriental herb medicine without any problem in her health by then. Chest films revealed consolidative changes involving Lt. lower lobe and she was given systemic antibacterial antibiotics, but her illness was not improved. On 19th hospital day needle biopsy was performed and cryptococcosis was diagnosed involving both alveoli and intertitium. Antifungal agent, itraconazole, was prescribed for 10 weeks and the lesion was resolved completely without remnant change. We discussed this case with review of literatures.
결핵성 림프절염에 의한 담관 폐쇄 및 문맥압항진증 1 예
김진일,김영수,양진모,이정민,김선명,송동섭,박두호,박진노,장은덕,방춘상,권낙기,오귀염 대한소화기학회 1999 대한소화기학회지 Vol.33 No.3
Common causes of biliary tract obstruction are mostly choledocholithiasis and neoplastic diseases. Enlargement of adjacent lymph nodes due to malignant tumors or lymphoma can occasionally ob struct the biliary duct, but obstructive jaundice and portal hypertension produced by periportal tuber culous lymphadenitis are quite rare. Its diagnosis is difficult because symptoms and signs are non specific and clinical tests are not conclusive. Additionally, the lesion mimic a malignancy clinically and radiologically. However, it is important to differentiate it from malignancy. We describe a patien who presented with jaundice and portal hypertension caused by biliary obstruction due to tuberculous lymphadenitis involving distal portion of the common bile duct.
정승은,양진모,김재광,김승남,이인석,정규원,최황,선희식,최명규,오귀염,김원우 대한소화기학회 1999 대한소화기학회지 Vol.33 No.4
Congenital mesocolic hernia is a rare disease which resulted from abnormal rotation of midgut during development period. It is classified by the site of mesocolic defect and hernia sac. The transverse mesocolic hernia is extremely rare. A 57-years-old man was admitted due to nausea, epigastric pain and abdominal distension. He had been diagnosed as duodenal ulcer with pyloric deformity 18 months ago. Simple abdomen X-ray with gastrografin swallowing and abdominal CT highly suggested internal hernia. Surgical exploration was done under the diagnosis of internal hernia. There was a 3 cm sized defect at transverse mesocolon and nearly total small intestine, which was herniated into the lesser sac and retroperitoneal space without strangulation. After simple resection of transverse mesocolic defect and transverse colon, reduction of herniated bowel and simple closure of transverse colon were done.