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The True Deep Femoral Artery Aneurysm: A Case Report
장이찬,박성수 대한혈관외과학회 2017 Vascular Specialist International Vol.33 No.1
A 55-year-old man with a palpable pulsatile mass and pain in his left thigh was presented to us. He had no history of trauma in his left leg, interventions, operation, or medical diseases, including cardiac valve disease, endocarditis, and systemic infection. The size of the aneurysm was 10 cm×7 cm with a mural thrombus in ultrasonography and multidetector computer tomography. There was no evidence of other aneurysms or occlusive lesions in the other arteries. The aneurysm was resected without a vascular reconstruction of the deep femoral artery. The patient’s symptom improved rapidly. The patient had an uneventful postoperative recovery without complications. We report a case of true deep femoral artery aneurysm, which was successfully treated with resection of an aneurysm without a vascular reconstruction.
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장이찬,한세환,김선회,박용현 ( Lee Chan Jang,Se Hwan Han,Sun Whe Kim,Yong Hyun Park ) 대한소화기학회 1992 대한소화기학회지 Vol.24 No.4
We reviewed 29 cases with biliary-enteric fistula diagnosed and treated at Seoul National University Hospital from 1980 to 1991. The incidence was 0.8% of hepatobiliary operations. The male patients were 12 and females were 17 (1;1.4). The moet common etiologic disease was gallstone disease (23 cases) and other cases were gallbladder cancer (3 cases), peptic ulcer (2 cases) and pancreatic cancer (1 case). Cholecystoduadenal fistula was the most common type (14 cases) and choledochoduodenal fistula was second common type (11 cases). Others were cholecystocolic (2 cases) and cholecystocholedochal fistulas (2 cases). The mean age of patients was 51 years. The most common symptom was RUQ pain (22 cases) and history of cholangitis was found in 17 cases. Preoyerative diagnosis was made in 14 cases (56%). Postoperative complications were found in 7 cases (Wound abscess 2, residual stones 2, cholangitis 1, cvtanleaus fistula 1, bleeding 1). In our results, we noted that mean age of the biliary-enteric fistula patients was younger than that of the other reports from western countries. Female predominance was not so distinct and choledo- choduodenal fistula occupied rriuch larger proportion (38%) compared to western country. These differences were considered as the result of high incidence of intrahepatic duct and common bile duct stones in our country.
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장이찬,허윤석,김선회,박용현 ( Lee Chan Jang,Yoon Serk Hur,Sun Whe Kim,Yong Hyun Park ) 대한소화기학회 1992 대한소화기학회지 Vol.24 No.4
The most duodenal diverticulum is asymptomatic and incidental finding. Less than 10 percent of demonstrated duodenal diverticula are ever the source of the symptom, and only about 1% require operation due to serious complication of duodenal diverticulum. Elective operation, on the basis of persistent discomfort still remains controversial because of high mortality (8-10%) and recurrence of symptom. Forty cases of duodenal diverticula treated at the Department of Surgery, Seoul National University Hospital for 12 years were reviewed. The most common site of duodenal diverticula was second, medial portion of duodenum. The associated disease were existed in 22 cases. The most common associated disease was gallstone (10 cases). The surgical indications were persistent pain (5 cases), cholangitis symptom (2 cases) and intestinal obstruction symptom (1 cases). In two cases, symptom recurred and in one case, unidentified stomach cancer was cause of symptom. There was one mortality. In conclusion, operation of duodenal diverticulum should be reserved for seriously complicated diverticulum and the surgeon should be aware that duoenal diverticulum may be symptomatic, but other causes should be considered.
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장이찬,박성수 대한혈관외과학회 2016 Vascular Specialist International Vol.32 No.3
This is a case report that suggests the possible association between multiplesplanchnic arterial aneurysms and long-distance running. The clinical featuresof one patient admitted at Chungbuk National University Hospital for treatmentof multiple splanchnic arterial aneurysms were reviewed. A 54-year-old manhad a recurrent, intermittent and epigastric pain for 2 months. There was noabnormality in gastroscopy and colonoscopy. An abdominal computed tomographyangiography documented calcified superior mesenteric artery (SMA) and splenicartery aneurysms. The patient had a history of recreational long-distance runningfor over 10 years. His average running time per week was more than 10 hours. There was no evidence of systemic arteritis, connective tissue disorder or infectiousprocess that may have caused the aneurysms. He did not take any drugs. The SMAaneurysm was opened, and the aneurysmal segment of SMA was replaced with avein graft. The splenic aneurysm was observed. The patient recovered without anysequelae.
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