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육종필(Jongpil Ryuk),박진영(Jinyoung Park) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.3
A 67-year-old-man, who had a medical history of hypertension and angina pectoris, was referred to our hospital due to dysuria and a palpable lower abdominal mass. He was a farmer until at the age of 50 and then had been working at a textile factory. The physical examination revealed a fixed, firm and round mass in the lower abdomen. The laboratory data were within the normal ranges, except for elevation of CA-125 (128 U/㎖). Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed a 6×5 ㎝ round hypodense mass in the pelvic cavity. Preoperative ultrasound-guided needle biopsy resulted in a suspicious rhabdomyosarcoma. Exploratory laparotomy revealed a 10×8 ㎝ size firm, round mass that was located between the superior aspect of the urinary bladder and lower anterior abdominal wall. En bloc excision of the mass with partial cystectomy was performed. The pathologic diagnosis was primary malignant peritoneal mesothelioma. The postoperative course was uneventful.
Abdominal Aortic Aneurysm Repair in Patient with a Renal Allograft: A Case Report
김형기,육종필,최향희,허승,권상휘 대한의학회 2009 Journal of Korean medical science Vol.24 No.1
Renal transplant recipients requiring aortic reconstruction due to abdominal aortic aneurysm (AAA) pose a unique clinical problem. The concern during surgery is causing ischemic injury to the renal allograft. A variety of strategies for protection of the renal allograft during AAA intervention have been described including a temporary shunt, cold renal perfusion, extracorporeal bypass, general hypothermia, and endovascular stent-grafting. In addition, some investigators have reported no remarkable complications of the renal allograft without any specific measures. We treated a case of AAA in a patient with a renal allograft using a temporary aortofemoral shunt with good result. Since this technique is safe and effective, it should be considered in similar patients with AAA and previously placed renal allografts.