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송준현(Jun Hyeon Song),함기백(Ki Baik Hahm),조홍근(Hong Keun Cho),강진경(Jin Kyoung Kang),박인서(In Suh Park),김은영(Eun Young Kim),임대순(Dae Sonn Yim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3
Multiseptate gallbladder is a rare congenital anornaly. Only 23 cases have been reported pre- viously in the world literature. Since the failure of fusion of numerous intraepithelial clefts has been considered to be a conceivable mechanism for the production of multiseptate gallbladder, the genesis of t.his anomaly is of embryologic interest. The multiseptate gallbladder has its spe- cific radiologic appearance. The septations appear as fine, radiolucent defects within the con- trast filled gallbladder, sirnulating honeycomb appearance. These septat,ions are very thin and have been over looked and confused with stones, so that careful inspection is necessary. In this case report, we described a 49 year-old female patients, whose ERCP and ultrasono- graphic findings were compatible with multiseptate gallbladder and reviewed cases which has been reported in literature. (Korean J Gastroenterol 1994; 26: 607-613)
Budd - Chiari 증후군에서 인공혈관 이식 후 개존성 진단에 대한 Doppler 초음파검사의 유용성
김경희,김원호,심원흠,전재윤,한광협,최흥재,강면식,임대순 대한소화기학회 1991 대한소화기학회지 Vol.23 No.1
A graft-interpositioning shunt operation between portal vein, superior mesenteric vein, inferior vena cava and right atrium (meso-atrial, meso-cavo-atrial, porto-cavo-atrial shunt) is indicated in Budd-Chiari syndrome when porta-systemic decompression is required. This is true when the inferior vena cava is not suitable as a receptacle for the shunt because of thrombosis of the inferior vena cava. The occlusion rate of these shunts is high because of their long length and slow flow rates. Thus, follow-up of these patients is essential, and angiography has been the accepted standard for the evaluation of shunt patency. Unfortunately, angiography requires both an in-hospital stay and an invasive procedure. To bypass these inconveniences, using Doppler ultrasonography we have evaluated shunt patency in three patients. From the well-functioning graft, a narrow and phasic flow signal was detected, and the patency of the shunt was confirmed by angiography. From the poor-functioning graft with stenosis, a wide and continuous flow signal was detected. This malfunctioning graft was confirmed by the faint visualization of the graft during angiography and by the high pressure gradient (20 mmHg) between inferior vena cava and right atrium. From the non-functioning graft no flow signal was detected, and the obstruction of the graft was confirmed by angiography. We concluded that Doppler ultrasonography is a simple, noninvasive and very useful way to assess patency of a shunt between the portal vein, superior mesenteric vein, inferior vena cava and right atrium.