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문윤수 ( Yun Su Mun ),권오상 ( Oh Sang Kwon ),이장영 ( Jang Young Lee ),박경남 ( Gyeong Nam Park ),한현영 ( Hyun Young Han ),이민구 ( Min Koo Lee ) 대한외상학회 2013 大韓外傷學會誌 Vol.26 No.1
Severe blunt abdominal trauma frequently involves the liver. The development of nonsurgical treatment of liver trauma has led to more frequent appearance of unusual complications. A hepatic arterioportal fistula (APF) is a rare complication of liver trauma. We present a case of traumatic APF in a patient with liver trauma. A 31- year-old male visited our emergency department with pain in the right upper abdomen following a traffic accident. Initial physical exam and abdominal computed tomography (CT) revealed liver laceration with hemoperitoneum. An abdominal CT obtained on day 11 revealed early opacification of the right portal vein on the arterial phase. After we had come to suspect an APF of the liver, its presence was confirmed on angiography. It was subsequently managed by using transcatheter coil embolization. In patients with portal hypertension and no evidence or history of cirrhosis, one should consider an APF as a potential etiology if history of liver biopsy or penetrating trauma exists. In a patient with liver trauma, serial abdominal CT is important for early detection and treatment of an APF.
문윤수(Yun-Su Mun),조병선(Byung-Sun Cho),이민구(Min-Koo Lee),박성혜(Sung-Hye Park),최영진(Young-Jin Choi),박혜원(Hye-Won Park),김창남(Chang-Nam Kim),강윤중(Yoon-Jung Kang),박주승(Joo-Seung Park),정인목(In-Mok Jung),김상준(Sang-Joon K 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.6
Purpose: We report our early experience of endovascular abdominal aortic aneurysm repair (EAVR) performed by vascular surgeon. Methods: A retrospective study was performed based on the medical records of 9 cases operated for EVAR due to abdominal aortic aneurysm at the Eulji University Hospital from Jan. 2007 to Apr. 2008. Results: 9 subjects consisted of 7 males and 2 female and their mean age was 70.0 years. The surgical indications of EVAR were 5 cases of abdominal pain, 3 asymptomatic cases, and 1 of pulsating abdominal mass. The mean diameter of aneurysm, mean diameter of the aortic neck, mean length of the neck and mean aortic neck angle was 56.0 mm, 23.4 mm, 32.0 mm and 46.8˚ respectively. The mean time for stent-grafting was 241.8 minutes and the mean contrast amount was 301.4 ml. Adjunctive procedures were performed in 3 cases. One case had the type Ⅱ endoleak from the right internal iliac artery. And all cases showed to be technical and clinical success. Deployment-related complications occurred in 2 cases (access site hematoma and lymphorrhea). Mean length of hospitalization and ICU stay were 10.5, 1.2 days. The mean follow up period was 2.4 months (1∼12). There was no newly developed complication such as endoleak and so on. Conclusion: In this study, it was shown that vascular surgeon could successfully perform EVAR. In this era of minimal invasive surgery, vascular surgeon should play an important role even in intervention such as EVAR. And it suggests that it requires more effort and the experience of a vascular surgeon.
양승현 ( Seung Hyun Yang ),문윤수 ( Yun Su Mun ),권오상 ( Oh Sang Kwon ),이민구 ( Min Koo Lee ) 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.4
Purpose: Traumatic pancreatic injury is not common in abdominal trauma injury. However, the morbidity and the mortality rates of patients with pancreatic injury, which are related with difficulties of initial assessment, establishment of diagnosis, and treatment are relatively high. The aim of this study is to review our institution`s experience and suggest a diagnosis and therapeutic algorithm for use in cases involving traumatic pancreatic injury. Methods: Eighteen(18) patients with blunt pancreatic injury from January, 2004 to October 2012 were included in this study. We analyzed treatment and diagnosis method, other organ injury, treatment interval, hospital stay and complications retrospectively. Results: Nine patients were treated with conservative medication and another nine patients were treated surgically. Complications occurred in nine patients, and one patient died due to intraventricular hemorrhage and subdural hemorrhage with multiple organ failure. Delayed surgery was performed in three cases. The early and delayed surgery groups showed difference in hospital stay and intensive care unit stay. Delayed surgery was associated with a longer hospital stay (p=0.007) than immediate surgery. Conclusion: In blunt pancreatic trauma, proper early diagnosis and prompt treatment are recommended necessity. Based on this review of our experience, we also suggest the adoption of our institution`s algorithm for cases involving traumatic pancreatic injury. (J Trauma Inj 2012;25:261-266)
권오상 ( Oh Sang Kwon ),문윤수 ( Yun Su Mun ),우승효 ( Seung Hwo Woo ),한현영 ( Hyun Young Han ),황정주 ( Jung Joo Hwang ),이장영 ( Jang Young Lee ),이민구 ( Min Koo Lee ) 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.4
Ureteral trauma is rare, accounting for less than 1% of all urologic traumas. However, a missed ureteral injury can result in significant morbidity and mortality. The purpose of this case presentation is to suggest another method for early detection of ureteral injury in blunt traumatic patient. A 47-years-old man was injured in pedestrian traffic accident. He undergone 3-phase abdominal CT initially and had had a short-term follow-up simple. We suspected ureteral injury. Our final diagnosis of a ureteral injury was based on follow-up and antegrade pyeloureterography, he underwent emergency surgery. We detected the ureteral injury early and took a definitive action within 24 hours. In blunt trauma, if abnormal fluid collection in the perirenal retroperitoneal space is detect, the presence of a ureteral injury should be suspected, so a short-term simple X-ray or abdominal CT, within a few hours after initial abdominal CT, may be useful. (J Trauma Inj 2012;25:291-295)
예진봉 ( Jin Bong Ye ),설영훈 ( Young Hoon Sul ),문윤수 ( Yun Su Mun ),고승제 ( Seung Je Go ),권오상 ( Oh Sang Kwon ),구관우 ( Gwan Woo Ku ),이민구 ( Min Koo Lee ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3
Neck trauma is a relatively uncommon but can be a life-threatening injury. Several guidelines for neck trauma is established to recommend a proper management such as no clamping of bleeding vessels, no probing of wounds, Trendelenberg position for preventing venous air embolism. Here, we present a regretful case of 49-year-old man with neck trauma presenting undesired bleeding after probing of wound, and then discuss about treatment guildeline for neck trauma with a review. [ J Trauma Inj 2015; 28: 198-201 ]