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증례 : 하벽 심근경색증 후 기저하부에 발생한 좌심실류와 심실중격 파열 1예
이은아 ( Eun Ah Lee ),하태인 ( Tae In Ha ),정상렬 ( Sang Ryul Chung ),문성수 ( Sung Soo Moon ),이수형 ( Soo Hyoung Lee ),홍현진 ( Hyun Jin Hong ),김수형 ( Su Hyoung Kim ) 대한내과학회 2007 대한내과학회지 Vol.73 No.1
저자 등은 하벽 심근경색증의 합병증으로 기저하부에 발생한 좌심실류와 심실중격 파열을 동반한 1예를 경험하였기에 아직 국내에 보고된 예가 없어 문헌고찰과 함께 보고 하는 바이다. The incidence of left ventricular aneurysm following acute myocardial infarction is 5 to 10 percent. Eighty % of aneurysms involve the anteroapical wall of the left ventricle: They are four times more frequent in this wall than in the inferior or posterior wall. Anterior myocardial infarction causes aneurysm in the anteroapical wall of the left ventricle, while inferior myocardial infarction causes aneurysm in the posterobasal wall of the left ventricle. Yet the aneurysmal complications in the interventricular septum after myocardial infarction are very rare. A 74-year-old woman with inferior myocardial infarction presented with both an aneurysm of the inferobasal wall and a ventricular septal rupture, and these were detected by two-dimensional and Doppler echocardiography. The aneurysm originated from the inferobasal portion of the left ventricular wall. The short-axis view of the two-dimensional echocardiography revealed an abrupt discontinuity of the junctional area of the inferoseptum and the inferior segment, and a large aneurysm at the inferior portion of the left ventricular cavity. The communication orifice was 4 cm wide. Color Doppler echocardiography showed a left-to-right shunt flow from the aneurysm to the right ventricle. We report here on a case of an aneurysm of the inferobasal wall and a ventricular septal rupture, and these lesions were detected by two-dimensional and Doppler echocardiography.(Korean J Med 73:86-91, 2007)
김상현,김일두,장미화,배용목,서길동,임성엽,황영훈,김형진,김명준,김수형,조성락 대한소화기내시경학회 2000 Clinical Endoscopy Vol.20 No.6
Two cases are herein reported involving patients with ectopic gallstones which were discharged into the stomach and duodenum through a cholecystoduodenal fistula and successfully removed by endoscopic therapy. In the first case, a 75-year-old man was admitted with epigastric pain. Simple abdomen film demonstrated a round laminated calcification and air biliarygram in the RUQ. Endoscopic examination revealed a fistula on the posterior wall of the duodenal bulb and a brown stone (about 5 cm in diameter) was found in the second portion of the duodenum, It was demolished through endoscopic electrohydraulic lithotripsy (EEH1) and discharged with the stool. In the second case, a 55-year-old man was admitted with epigastric pain. A CT scan revealed an ovoid laminated calcification in the dependent portion of the stomach. Endoscopic examination revealed a fistula on the anterior wa11 of' the duodenal bulb and a black pigmented stone (about 2.5 cm in diameter) was found in the stomach. This stone was removed orally by an endoscopic snare. These patients were discharged and remained asymptomatic.