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단일 간 종괴로 보여진 양성 림프구 과다 증식의 고주파 열치료
박서화 ( Seo Hwa Park ),강은규 ( Eun Gyu Kang ),김민욱 ( Min Wook Kim ),김현수 ( Hyun Soo Kim ),김정권 ( Jeong Kwon Kim ) 대한내과학회 2015 대한내과학회지 Vol.88 No.2
Reactive lymphoid hyperplasia (RLH) is a rare benign liver mass that is characterized by proliferation of non-neoplastic lymphocytes extranodally. To date, only 43 cases have been reported in the English literature and 2 cases in the Korean literature. We report a case of hepatic RLH in a 36-year-old woman who had been diagnosed two years previously with an intrahepatic tumor that measured 0.6 × 1.0 cm on abdominal ultrasonography. Her medical history was otherwise unremarkable. On follow-up ultrasonography, the hepatic mass had increased in size. We biopsied the liver mass and the histopathologic findings confirmed reactive lymphoid hyperplasia. Radiofrequency ablation (RFA) was performed instead of surgical resection. The patient is currently doing well with no sign of relapse 1 year and 8 months after the RFA. (Korean J Med 2015;88:177-181)
640절편 MDCT를 이용한 좌심실 박출률과 좌심실 용적 측정: 2차원 심장초음파 비교
박기현 ( Ki Hyun Park ),변세진 ( Se Jin Byun ),강은규 ( Eun Gyu Kang ),박서화 ( Seo Hwa Park ),김현수 ( Hyun Soo Kim ),김민욱 ( Min Wook Kim ),이병호 ( Byung Ho Lee ),정현숙 ( Hyun Sook Jung ),윤성보 ( Seong Bo Yoon ),김영우 ( You 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2
Objectives: The assessment of global left ventricular function and volumes is important in patients with coronary artery disease (CAD) and serves as a valuable diagnostic and prognostic marker. The purpose of this study was to compare left ventricular ejection fraction (LVEF) and volume parameters as measured by 640-slice multidetector CT (MDCT) and two-dimensional transthoracic echocardiography (2D-TTE). Methods: We retrospectively analyzed 125 consecutive patients (Men=56%, mean age, 62.0±12.9 years) who underwent 640-slice MDCT to evaluate known or suspected CAD between October 2011 and March 2012. Agreement for the LVEF and volume parameters by 640-slice MDCT and 2D-TTE was assessed by Pearson’s correlation coefficient for linear regression and Bland-Altman analysis. Results: On 640-slice MDCT, average LVEF was 61.6 ± 12.6 %. On 2D-TTE, average LVEF was 62.8 ± 14.9%. Correlations between 640-slice MDCT and 2D-TTE were that LVEDV (r: 0.801, p<0.001); LVESV (r: 0.929, p<0.001) and LVEF (r: 0.862, p<0.001). Conclusions: There was a good correlation between 640-slice MDCT and 2D-TTE in the evaluation of left ventricular function and volume parameters in practical and clinical situation.
보존적 치료로 성공한 양측성 자발성 신동맥 박리에 의한 신경색 증례
박기현 ( Ki Hyun Park ),강은규 ( Eun Gyu Kang ),박서화 ( Seo Hwa Park ),김민욱 ( Min Wook Kim ),김현수 ( Hyun Soo Kim ),윤성보 ( Seong Bo Yoon ),김영우 ( Young Woo Kim ) 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2
Spontaneous renal artery dissection (SRAD) is a rare condition that precedes renal infarction. Most cases of the previously reported SRAD were unilateral renal artery dissection. We report a case of a 56-year-old man who had bilateral spontaneous renal artery dissection with renal infarction. Enhanced abdominal computed tomography (CT) demonstrated wedge-shaped low density lesions in both kidneys. Selective renal angiography disclosed faint distal flow into true lumen of left renal artery and total occlusion of right renal artery. The patient was managed with medical treatment, and he was discharged with an uneventful clinical course.
변세진 ( Se Jin Byun ),강은규 ( Eun Kyu Kang ),박서화 ( Seo Hwa Park ),정현숙 ( Hyun Sook Jung ),윤성보 ( Seong Bo Yoon ),김영우 ( Yong Woo Kim ) 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2
Acute thromboembolic occlusion of the superior mesenteric artery (SMA) is a life-threatening condition with high mortality, and the lack of accurate and readily available diagnostic clues often results in delay in diagnosis and treatment. We describe the case of a 68-year-old man suffering from SMA thromboembolism presenting as acute heart failure.
담도 내에 장기간 플라스틱스텐트 거치 후 발생한 Stent-stone Complex
김현수 ( Hyun Soo Kim ),김민욱 ( Min Wook Kim ),박서화 ( Seo Hwa Park ),강은규 ( Eun Gyu Kang ),김시호 ( Si Ho Kim ),김근 ( Keun Kim ),김정권 ( Jeong Kwon Kim ) 대한췌장담도학회 2016 대한췌담도학회지 Vol.21 No.1
Plastic biliary stents are commonly used during endoscopic retrograde cholangio-pancreatography. Main indication for biliary stenting is benign or malignant obstruction. Plastic stents can be used as an escape route in patients with large common bile duct stones to provide drainage until definitive treatment. But, stent occlusion is the main disadvantage, limiting their patency to around 3 months, after which replacement is recommended. A biliary stent can act as a nidus for the biliary stone formation leading to stent-stone complex after long-term stent placement. This report was a case of a large stent-stone complex after plastic stent placement for 4 years. The stent-stone complex was successfully removed by mechanical lithotripsy and ballon catheter. In all other cases where plastic stents are placed into the common bile duct we should keep in mind that stents can act as nidus for stone formation, as all foreign bodies do.
박지환,박서화,강은규,경규천,안효동,안소연 이화여자대학교 의과학연구소 2016 EMJ (Ewha medical journal) Vol.39 No.1
Mucormycosis is a rare disease caused by fungi. Most commonly involved sites of mucormycosis infection are sinuses, lungs, skin and soft tissues. Systemic risk factors for mucormycosis are diabetes mellitus, neutropenia, corticosteroid use, hematological malignancies, organ transplantation, metabolic acidosis, deferoxamine use and advanced age. Local risk factors are history of trauma, burns, surgery and motor vehicle accidents. We present a case of cutaneous mucormycosis in a patient with diabetes mellitus. A 66-year-old female with uncontrolled diabetes mellitus, admitted with necrotizing lesion after minor abrasions on leg. We took a culture of the lesion and it is diagnosed with mucormycosis. Disease progressed despite administration of systemic amphotericin B. We performed above-knee amputation and changed antifungal agents into liposomal amphotericin B. A tissue biopsy showed nonseptate, irregularly wide fungal hyphae with frequent right-angle branching. Our case report suggests that patients with risk factors should be observed carefully.