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이준영 ( Jun Young Lee ),오성렬 ( Seong Ryeol Oh ),양봉준 ( Bong Joon Yang ),최석채 ( Suck Chei Choi ),박원철 ( Won Cheol Park ),최금하 ( Keum Ha Choi ),윤기중 ( Ki Jung Yun ) 대한장연구학회 2011 Intestinal Research Vol.9 No.1
Angiosarcoma is a malignant vascular neoplasm that usually involves the skin or soft tissues. A primary rectal angiosarcoma is exceedingly rare. A 77-year-old female was admitted to the hospital for evaluation of constipation and hematochezia. The patient had a history of uterine cervix carcinoma which was treated with surgery and radiation therapy. A colonoscopy revealed a friable, ulceroinfiltrative tumor with multiple hyperemic mucosae in the rectum. Microscopically, the tumor exhibited vasoformative growth with nuclear atypism and numerous mitoses. The tumor cells were strongly positive for CD31, CD34, and Factor VIII. We report a case of rectal angiosarcoma that developed after radiation therapy. (Intest Res 2011;9:57-60)
최창수 ( Chang Soo Choi ),서검석 ( Geom Seog Seo ),김기훈 ( Ki Hoon Kim ),양봉준 ( Bong Joon Yang ),안용환 ( Yong Hwan Ahn ),최석채 ( Suck Chei Choi ) 대한장연구학회 2009 Intestinal Research Vol.7 No.1
Tuberculous peritonitis is not an uncommon disease, but the diagnosis is often missed and delayed because of the variability of disease presentation and non-specific clinical manifestations. In this report, we discuss a rare case of tuberculous peritonitis which presented as a submucosal mass in the colon. A 61-year-old woman registered at our hospital for a physical check-up. She had a weight loss of 3 kg over the past 6 months. The colonoscopic findings showed submucosal lesions (4 and 6 mm in size, yellow in color, and hard) which were suspected to be a carcinoid tumor. However, an abdomen-pelvic CT scan and laparoscopic findings suggested peritoneal tuberculosis. The result of laparoscopic biopsies was chronic granulomatous inflammation without caseous necrosis. After the standard anti-tuberculosis medications for 6 months, the previous lesions on the CT scan had resolved. (Intest Res 2009;7:60-63)
권경희,김현정,양봉준,백승훈,이명수,박병현,조정구 대한내과학회 2004 대한내과학회지 Vol.66 No.2
쉬한증후군 환자에서 T파 역전, QT간격 연장과 함께 재발성 심실빈맥이 발생하였고, 적절한 호르몬 보충 치료후 심전도 이상이 정상으로 회복된 예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Electrocardiographic abnormalities commonly associated with hypopituitarism are low QRS voltage, ST-segment depression, inverted T waves and a prolonged QT interval. Although the mechanism remains unclear, glucocorticoid therapy, an intracelluar-extracellular electrolyte imbalance of myocytes, and histopathological changes in the myocardium are thought to play a role in this disorder. We discribe a 64 year old woman with recurrent ventricular tachycardia associated with QT prolongation in Sheehan's syndrome. Ventricualr tachycardia was treated by lidocain and direct current cardioversion. Sheehan's syndrome was confirmed by past history, anterior pituirary stimulation test and brain MRI showed empty sella. After hormone replacement treatment, inverted T waves and prolonged QT interval was normalized and ventricular tachycardia did not recur.