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지속적 외래 복막투석 환자에서 발생한 급성췌장염 및 봉소염 1 예
김상기(Sang Gi Kim),서향은(Hyang Youn Seo),김성규(Sung Gyu Kim),황중하(Jung Ha Hwang) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.2
The diagnosis of acute pancreatitis occurred in CAPD patients is quite difficult due to its clinical similarity with acute peritonitis. Delayed diagnosis and treatment of acute pancreatitis in CAPD patients may result in fatal complication. We experienced a case of acute pancreatitis in a CAPD patient. A 62 years old female visited the hospital with acute abdominal pain and cloudy effluent for 3 days. She has been on CAPD for 3 years and had two episodes of peritonitis at 6 months and 1 year before the admission. The causative organism was Streptococcus viridans in each episode. The peritonitis symptoms and peritoneal leukocyte count incresed despite of using Vancomycin® and Netilmicin® . Causative organism was not isolated from dialysis. Serum amylase concentrations increased from 105mg/dL at the admission to 1,052mg/dL on day 10 of admission. Abominal ultrasonography and abdominal computerized tomogram revealed fat iafiltration, focal necrosis and multiple cyst formation at pancreas area. Computerized tomogram guided aspiration cytology revealed acute inflammation and necrosis. Bacteria were not found in the aspirate. Clinical symptoms were improved after discontinuation of CAPD and intraperitoneal use of antibiotics. The patient restarted CAPD on the day 18 and remained without complications. We report this case with a brief review of literatures.
조지형 ( Jo Ji Hyeong ),장민화 ( Jang Min Hwa ),조영준 ( Jo Yeong Jun ),박선희 ( Park Seon Hui ),조동규 ( Jo Dong Gyu ),김성호 ( Kim Seong Ho ),황중하 ( Hwang Jung Ha ),조규향 ( Jo Gyu Hyang ),도준영 ( Do Jun Yeong ),윤경우 ( Yun 대한내과학회 2003 대한내과학회지 Vol.65 No.4
목적: 학교, 군, 직장 등에서 집단 신체검사가 의무적으로 행해지면서 우리 나라에서 무증상 요 이상은 임상에서 흔히 접할 수 있는 질환임에도 아직 이에 대한 임상 및 조직 병리학적 소견에 관한 연구는 부족한 상태이다. 저자들은 무증상 요 이상을 주소로 내원한 환자들의 임상양상 및 신 생검을 통한 병리학적 소견을 조사하여 이전의 보고들과 비교 분석하고자 하였다. 방법: 1998년 1월부터 2002년 7월까지 대구지역 3개 종합병원에 무증상 요 이상을 주소 Background: Asymptomatic urinary abnormalities are one of the most frequent abnormalities in clinical nephrology. However, there are few large-scaled studies about the clinical manifestations and the pathologic findings of the disease. The aim of present
이동욱,이중기,이한균,권범찬,박진석,우창근,남근하,권소정,황중하 대한내과학회 1998 대한내과학회지 Vol.54 No.4
Mesenteric fibromatosis is a rare nonmetastasizing fibrous tumor, characterized by fibroblastic proliferation without evidence of inflammatory response or definite neoplasia. It appears at any age, but mainly in the second to fifth decades as incidence of two to four desmoid tumor cases per 1 million people per annum. It is pseudoencapsulated and locally invasive and has a tendency to recur, but metastases are rare. It is more frequent with Gardner`s syndrome(adenomatosis coli) in which 50% of them will appear as mesenteric fibromatosis. Trauma, especially that of previous surgery, has been associated with the subsequent development of desmoid tumor. The treatment of choice is a wide margin resection of the tumor. we experienced a case of mesenteric fibromatosis without Gardner`s syndrome 2 years after appendectomy in a 31-year old man and recurred at 21 months after resection and report with a review of literatures.