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A Case of ST-segment elevation myocardial infarction mimicking Stress-induced Cardiomyopathy
지병수,허성호,윤희정,정해빈,박철홍,전준한,곽재욱,김영철,이석주,진승원 한국심초음파학회 2008 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.16 No.1
ST-segment elevation myocardial infarction (STEMI) is a disease decribed by typical chest pain, ST-segment elevation on eletrocardiogram, elevated cardiac enzymes, along with wall motion abnormality under echocardiographic findings, and it is caused by vulnerable plaques. However, stress induced cardiomyopathy (SICM) may show similar clinical symptoms, but specific echocardiographic findings (i.e. transient left ventricular regional wall motion abnormalities with peculiar apical ballooning appearance) and normal coronary angiography may differentiate it from STEMI. Therefore, one may mistake STEMI for SICM, and lead to serious error in diagnosis and treatment of the disease. We report a case of STEMI mimicking SICM, and suggest an idea to approach the patient with SICM. ST-segment elevation myocardial infarction (STEMI) is a disease decribed by typical chest pain, ST-segment elevation on eletrocardiogram, elevated cardiac enzymes, along with wall motion abnormality under echocardiographic findings, and it is caused by vulnerable plaques. However, stress induced cardiomyopathy (SICM) may show similar clinical symptoms, but specific echocardiographic findings (i.e. transient left ventricular regional wall motion abnormalities with peculiar apical ballooning appearance) and normal coronary angiography may differentiate it from STEMI. Therefore, one may mistake STEMI for SICM, and lead to serious error in diagnosis and treatment of the disease. We report a case of STEMI mimicking SICM, and suggest an idea to approach the patient with SICM.
70세 남자환자에서 발생한 장 무회전증에 의한 중장염전
지병수 ( Byung Soo Jie ),김은옥 ( Eun Ok Kim ),김진석 ( Jin Seok Kim ),이화정 ( Hwa Jeong Lee ),송윤미 ( Youn Mi Song ),김영신 ( Young Shin Kim ),정성훈 ( Sung Hoon Jung ),오정환 ( Jung Hwan Oh ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.5
Intestinal malrotation is a congenital disorder that results from the failure of normal bowel rotation and fixation during the 5th gestational week. The incidence of intestinal malrotation is <0.2%, but prompt diagnosis is important because this anomaly can cause midgut volvulus and lead to fatalities. Compared to infants presenting with acute symptoms, such as abdominal pain, vomiting, or diarrhea, adult patients complain of intermittent self-limited abdominal pain. We present a case of intestinal malrotation complicated by midgut volvulus improved with conservative care in a 70-year-old man. The diagnosis was suggested on the basis of imaging findings.
중추성 요붕증과 뇌하수체 기능부전으로 나타난 뇌하수체 전이성 유방암 1예
곽재욱,지병수,홍순화,김지현,이승환,조재형,권혁상,윤건호,차봉연,손호영 대한내분비학회 2007 Endocrinology and metabolism Vol.22 No.2
저자들은 다음, 다뇨 및 야뇨의 증상을 호소한 환자에서 완전 중추성 요붕증 및 뇌하수체 기능부전을 진단하고 이를 통하여 유방암의 뇌하수체 전이를 확인한 국내 첫 번째 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Metastasis to the pituitary gland from systemic cancer is a rare condition. The breast and lung are the most common sites of primary tumor metastasis. Pituitary metastasis may present with diabetes insipidus, cranial nerve palsy and hypopituitarism, and diabetes insipidus is the most frequent symptom at presentation. We report here on a 44 year-old woman with pituitary metastasis from breast cancer, and she developed central diabetes insipidus and hypopituitarism. The clinical diagnosis was made by performing a water deprivation test, a combined pituitary test and a MRI brain scan, and the latter showed metastatic tumor in the pituitary gland with invasion of the pituitary stalk. Symptomatic relief was obtained with administration of desmopressin; the urine osmolarity was increased with this treatment.We report here on a case of pituitary metastasis from breast cancer and the patient developed central diabetes insipidus and hypopituitarism. We also include a review of the relevant literature. (J Kor Endocrine Soc 22:125~129, 2007)