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임신성 당뇨와 고혈압으로 발현되어 진단되었던 갈색 세포종 1예
김유지 ( Yu Ji Kim ),윤지영 ( Ji Young Yoon ),송수경 ( Soo Kyeong Song ),조인진 ( In Jin Cho ),박성철 ( Sung Chul Park ),임정호 ( Jung Ho Lim ),정주영 ( Joo Young Chung ),이현 ( Hyun Lee ),이경애 ( Kyung Ae Lee ) 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.1
Pheochromocytoma is derived from the chromaffin tissue. This tumor is characterized by a combination of various clinical manifestations that include the paroxysmal hypertension, severe headache, palpitations and diaphoresis. In addition, hyperglycemia can be caused by the excess of catecholamines or other bioactive substances. Pheochromocytoma during pregnancy is rare and associated with very high maternal and fetal morbidity and mortality. We present case a 27-year-old pregnant woman at 22th weeks of gestation with uncontrolled hypertension and gestational diabetes mellitus. She was admitted with an initial diagnosis of preeclampsia. Ultrasound revealed a right adrenal mass and biochemical test and MRI imaging were compatible with pheochromocytoma. Laparoscopic adrenalectomy was performed and her blood pressure and blood sugar level was normalized without medication after adrenalectomy. The diagnosis of pheochromocytoma in pregnant patients is often missed because these tumors have the ability to produce signs and symptoms that mimic other forms of hypertension and diabetes, including the gestational hypertension, gestational diabetes mellitus and preeclampsia. Therefore, clinicians should consider pheochromocytoma as differential diagnosis in pregnant patients with uncontrolled hypertension and diabetes.
윤지영 ( Ji Young Yoon ),송수경 ( Soo Kyeong Song ),김유지 ( Yu Ji Kim ),조인진 ( In Jin Cho ),이현 ( Hyun Lee ),이식 ( Sik Lee ) 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.1
Iliac artery aneurysms are usually asymptomatic and often found incidentally. We report a case of an iliac artery aneurysm causing hydronephrosis. Three-dimensional computed tomography clearly displayed the aneurysm. Large aneurysms can be associated with complications such as compression, thrombosis, thromboembolism and rupture. Compression of the adjacent organs causes urological, gastroenterological, and neurological symptoms. The urological symptoms include hematuria, bladder outlet obstruction, and flank pain. Compression of ureter can lead to hydronephrosis, ureteric colic and pyelonephritis. Hydronephrosis arising from aneurysm is progressive and finally results in nonfunctioning kidney.
임성혁,박상구,백재승,김갑규,김기업,이유지,Lim, Sung Hyuk,Park, Sang Ku,Baek, Jae Seung,Kim, Kab Kyu,Kim, Ki Eob,Lee, Yu Ji 대한임상검사과학회 2019 대한임상검사과학회지(KJCLS) Vol.51 No.2
여러가지 약물에도 발작의 증세가 조절되지 않는 난치성 뇌전증 환자에서 다양한 치료법들을 시도해 볼 수 있다. 하지만 그 중 수술적인 방법이 필요한 환자에서는 수술 전 검사를 통해 발작부위의 절제부분을 결정한다. 정확한 병변의 측정과 안전한 수술을 위해 뇌 피질에 전극 삽입술을 시행한다. 피질에 삽입된 전극으로 단순히 뇌파만을 기록하는 것이 아니라 다양한 검사를 시도해 그 부위가 갖는 기능을 확인할 수 있고 그런 검사법 중 하나로 유발전위 검사법이 있다. 2015년 1월부터 2018년 12월까지 70명의 환자를 대상으로 측정된 파형의 경향이 의미하는 바를 분석하였다. 뇌 피질에 삽입된 전극에서 기록된 체성감각유발전위는 중심고랑의 주행경로를 찾아 일차운동영역 및 일차감각영역을 피해 수술 할 수 있다. 또한 청각유발전위와 시각유발전위를 이용해 청각피질과 시각피질에서 기능적 피질의 확인과 뇌파검사상 나타난 발작초점부위와의 관계를 비교해 절제부위를 결정하는데 도움을 주고 수술 후에 발생할 수 있는 기능적 장애를 최소화 할 수 있다. Various treatments can be attempted in patients with intractable epilepsy, in whom the symptoms of seizures are not controlled by various drugs. On the other hand, in patients requiring a surgical method, a preoperative examination is needed to determine the portion of seizure site to be resected. Electrodes are inserted into the cerebral cortex for accurate lesion measurements and safe operation. The electrodes inserted in the cortex not only record the electroencephalography (EEG), but also allow various tests to confirm the function of the part. One of these methods is the evoked potential test. From January 2015 to December 2018, the trends of measured waveforms in were analyzed 70 patients. The somatosensory evoked potential (SSEP) recorded on the electrode inserted in the cerebral cortex can be searched for the pathway of the central sulcus to avoid the primary motor area and primary sensory area. In addition, using the middle latency auditory evoked potentials (MLAEP) and flash visual evoked potentials (FVEP), the functional cortex in the auditory cortex and the visual cortex were compared with the seizure focus point on the EEG to help determine the location of the ablation and minimize functional impairment after surgery.
점액종으로 오인된 우심실에서 발생한 감염성 심내막염 1예
정주영 ( Joo Young Chung ),송수경 ( Soo Kyeong Song ),김유지 ( Yu Ji Kim ),박성철 ( Sung Chul Park ),윤지영 ( Ji Young Yoon ),이현 ( Hyun Lee ),임정호 ( Jung Ho Lim ),조인진 ( In Jin Cho ),정래영 ( Lae Young Jung ),윤하용 ( Ha Yo 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.1
Infective endocarditis in right-sided heart has rare incidence of 5~12%. And right ventricle is less common site of right-sided heart infective endocarditis. Risk factors for infective endocarditis are drug abuse, previous operation history, any invasive procedures such as sampling, scaling, needling, hemodialysis, and previous infectious history. It rarely happens in a patient without any predisposing factor. Herein we report a case of infective endocarditis in right ventricle without any predisposing factor.
이산화탄소 분압 감시 중 파형의 이상으로 발견된 마취가스 분석선의 손상 -증례 보고-
임정호 ( Jung Ho Lim ),윤하용 ( Ha Yong Yoon ),이현 ( Hyun Lee ),주연미 ( Yeon Mi Ju ),정주영 ( Ju Young Jung ),김유지 ( Yu Ji Kim ),장슬아 ( Seu La Jang ),박성철 ( Sung Chul Park ),이나리 ( Na Ri Lee ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
이산화탄소 분압은 마취의 기본 감시 항목이며, 분압과 분압의 파형을 분석하여 호흡관리를 위한 목적으로 활용되고 있다. 본증례는 마취 장비의 문제를 이산화탄소 분압의 파형을 감시하여 발견한 증례로서 이산화탄소 분압의 감시가 환자의 호흡관리 이외에도 마취 준비의 무결성을 확인하기 위한 목적으로도 매우 유용하게 이용되었기에 보고하고자 한다. 16-year-old man underwent emergency operation for open reduction and internal fixation due to left femoral bone fracture. At end of anesthetic induction, capnogram changed to abnormal shape on anesthetic monitor after position transposition of operating table. He was shown normal mechanical breathing sound via stethoscope on both lung fields. We changed a D-FENDTM Water Trap on anesthetic monitor. However capnogram was not corrected. Then we changed anesthesia gas sampling line. Capnogram was corrected to normal shape. We report the case of ruptured anesthesia gas sampling line identified by abnormal capnogram on anesthesia monitor during position transposition of operating table.
이현 ( Hyun Lee ),윤하용 ( Ha Yong Yoon ),조인진 ( In Jin Cho ),정주영 ( Joo Young Chung ),임정호 ( Jung Ho Lim ),장슬아 ( Seol A Jang ),송수경 ( Soo Kyeong Song ),윤지영 ( Ji Young Yoon ),김유지 ( Yu Ji Kim ),이창섭 ( Chang Seop 전북대학교 의과학연구소 2013 全北醫大論文集 Vol.37 No.1
쯔쯔가무시병은 O. tsutsugamushi에 의해 발생하는 전신의 혈관염으로 다양한 합병증을 일으킬 수 있다. 저자들은 쯔쯔가무시병에 의해 발생한 급성 결석성 담낭염을 조기 진단하여 내과적 치료를 통해 성공적으로 치료하였다. 쯔쯔가무시병이 유행할 때, 급성 담낭염의 원인으로 쯔쯔가무시병을 반드시 고려해야 한다. Scrub typhus is an acute febrile disease caused by O. tsutsugamushi. It has been known that this disease can be complicated by many other diseases including pneumonia, acute kidney injury, meningitis, and sepsis. Acute cholecystitis is a very rare complication in patients with scrub typhus. The authors experienced a rare case of scrub typhus complicated by acute calculous cholecystitis, which is treated by appropriate antibiotic. Clinicians should be cautious about the development of acute cholecystitis when they encounter patients with scrub typhus.