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조남중(Nam Joong Joh),김현종(Hyun Jong Kim),강형근(Hyung Geun Kang) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2
Splenic infarction is usually caused by occlusion of splenic artery due either to emboli from valvular vegetation or from mural thromhi on the left side of the heart or to local thrombosis associated with polyarteritis nodosa, lymphoma, sickle cell anemia, etc. In recent year splenic infarction caused by complication of transcatheter embolization or intra-aortic balloon counterpulsation have been increased. Diagnosis of splenic infarction is importannt, chiefly to rule out other causes of left upper quadrant pain, such as splenic rupture, perforation of viscus or ruptured aortic aneurysm. Splenic infartion is not uncommon disease, but in our knowledge, no case was reported in our nation. Here we report a case of splenic infarction caused by emboli from mitral valve vegetation which shows typical finding of septic infarct by ultrasonography, computerized tomography, angiography and histology, with the brief review of literature.
조남중,박세원,김세종,윤종만 ( Nam Joong Joh,Sei Won Park,Sei Jong Kim,Chong Man Yoon ) 대한소화기학회 1980 대한소화기학회지 Vol.12 No.2
Clonorchiasis is the common disease of liver fluke found in east asia including korea. In clonor- chiasis, obstruction of bile duct occur by adult ivorm, biliary stone and adenomatous hyperplasia of ductal epithelium. Bile stasis occur due to obstructed bile dct. And cholangitis and pyogenic abcess are easily complicated. Obstructed and dilated bile duct could often make the retention cyst. The cyst usually contains ova and occasionally adult iorms are aspirated ivithin the cystic fluid. A 53 years-old man with clonorchiasis having retention cvst is reported. The patient I-as admitted to hosptal with epigastralgia and weakness. Nontender, smooth and moderate hard liver was palpated as about 2finger breadth below the right coastal margin. Ova of clonorchis sinensis in stool and skin test for clonorchiasis were positive. L.F.T. were within normal limit. On liver scan with 198 Au colloidal gold on admission, a large single cavity was shown on the posteroin- ferior site of the right lobe. On percutaneous transhepatic cholangiography, nonvisualization of the right hepatic radicle, tapering dilation of the left hepatic radicle with mulberry like cvstic dilatation of small to medium sized bile duct of the left lobe and faint visualization of the common bile duct were shown. Eight adult worm of colonorchis sinensis were aspirated by liver neeedle aspiration. On 30th admission day, first operation was done. 2cm X 3cm sized retention cyst was found on the posteroinferior site of the right lobe with diffuse scattered pyogenic abscesses. Second operation was done I month later the first operation due to obstructed jaundice. Severe dilatation of superficial intrahepatic bile ducts and 2cm X 3cm X 2cm sized hard mass on the bifurcation of the common hepatic duct were found, the latter was histologically confirmed as extrem fibrosis of the wall of bile duct with lymphocytic infiltration without any evidence of malignancy. By operation and biopsy, we confirmed a clonorchiasis with retention cyst and complete obstruc- tion of common hepatic duct due to fibrotic granuloma.
김세종(Sei Jong Kim),윤종만(Chong Mann Yoon),조남중(Nam Joong Joh),장건성(Kun Sung Jang),강형구(Hyeong Koo Kahng) 대한소화기학회 1982 대한소화기학회지 Vol.14 No.2
N/A The therapeutic efiect of topical therapy using gastrofiberscope was evaluated on 48 eases of gastric or duodenal ulcer. Healing agents such as allantoin and ulcerlmin were topically injected and directly coated via endoscope at tbe site of the ulcers weekly. All cases received antiulcer medical therapy concurrently. Results were as follows; 1. Total number of cases was 48; 44 gastric ulcer and 4 duodenal ulcer. 39 patients were male and 9 female. Mean age was 42.2. Duration of ulcer symptoms ranged from one month to 36 months(mean 13 months) and the initial size of ulcer was 7 to 41 mm(mean 19. 8 mm), which was chronic in most cases. 3. Topical therapy was performed in the first group, allantoin was injected topically every week(26 cases) and in the second group, ulcerlmin@ was coated directly(9 cases). In the third group, the above two methods were combined. (13 cases) Mean duration of treatment for healing was 5. 1 weeks; 5 9 weeks in the first group, 5. 7 weeks in the second group and 4. 0 weeks in the third group. 4 Forty-six cases out of 48 cases were healed completely within twelve weeks on endoscopic examination. Only one case recurred and one case showed only slight decrease in ulcer size despite of protracted topical therapy.
복수를 (腹水) 동반한 간경변증환자에서 (肝硬變症患者) 혈장 (血漿) renin 활성 및 Aldosterone 치에 관한 연구
김양순 ( Yang Soon Kim ),최진 ( Jin Choi ),윤종만 ( Chong Mann Yoon ),조국현 ( Kook Hyun Cho ),조남중 ( Nam Joong Joh ) 대한소화기학회 1981 대한소화기학회지 Vol.13 No.1
Plasma renin activity and aldosterone level were investigated in normal control group(10 cases), patients with liver cirrhosis(13 cases) and liver cirrhosis with ascites(17 cases). Plasma renin activity was elevated in cirrhotic group and more marked in hepatic cirrhosis with ascities and aldosterone level was elevated in cirrhotic group with ascities but normal in nonascitic groups. PRA and aldosterone level was negative correlated with plasma sodium and urine volume in ascitic group, but excretion of sodium and potassium were poorly correlated with PRA and aldosterone.