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Terlipressin 투여 후 발생한 말초 허혈 합병증 1예
이종섭 ( Jong Sup Lee ),이홍식 ( Hong Sik Lee ),정성우 ( Sung Woo Jung ),한우식 ( Woo Sik Han ),김민정 ( Min Jeong Kim ),이상우 ( Sang Woo Lee ),최재현 ( Jai Hyun Choi ),김창덕 ( Chang Duck Kim ),류호상 ( Ho Sang Ryu ),현진해 ( Ji 대한소화기학회 2006 대한소화기학회지 Vol.47 No.6
Hepatorenal syndrome is a severe complication of cirrhosis, Leading to death in more than 90% of cases in the absence of Liver transplantation. Several treatments have been attempted as a bridge to Liver transplantation. Among such treatments, terlipressin is a nonselective V1 vasopressin agonist. When comparing with ornipressin, it is known to have a similar vasoconstricting potency, but much Less ischemic complication. We report a case of gangrene on toes and necrosis on the infusion site of Left hand which developed after the use of terlipressin due to hepatorenal syndrome in a 41-year-old-man with Liver cirrhosis. Ischemic complication of terlipressin is rare and there has been no case report in Korea. Although it is rare, we must pay attention to the peripheral ischemic complication of terlipressin. (Korean J Gastroenterol 2006;47:454-457)
이홍식,김승주,김창덕,류호상,현진해,김광희,송관규,지종대 대한소화기학회 1998 대한소화기학회지 Vol.32 No.3
Systemic lupus erythematosus (SLE) is a multisystem disease with a variety of clinical manifestations. The development of the disease is often variable and characterized by repeat of exacerbation and remission. Dming the course of their illness, thirty-five to forty pereent of patients with SLE show signs or symptoms of gastrointestina1 involvement. We report two cases of acute panneatitis associated with SLE. The patient of the case 1 was a 27-year-old female who was admitted after 1 day of seizure and epigastric pain. Brain MRI showed normal findings and Abdominal CT showed mild pancreatic enlargement. The symptoms were improved with treatment, The patient of the case 2 was a 33-year-old female who complained of epigastric pain. Abdominal sonography showed mild pancreatic enlargement. The condition of the patient was improved with conservative treatment.
박현철,류호상,진윤태,현진해,정태시,배지연,김열홍 대한내과학회 1991 대한내과학회지 Vol.41 No.1
The most common type of biliary-enteric fistula is the cholecystoduodenal form. Cholecystoduodenal fistulas are mainly caused by gallstones, whereas peptic ulcers cause most choledochoduodenal fistula. Most of the biliary-enteric fistula are found in a completely formed state and mostly in patients with gallstone ileus or obstruction or incidentially in investigations of other diseases. In our report, we present a case of choledochoduodenal bulb fistula associated with polyphoid granulomas caused by gallstone.