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포스터 전시 : 담도,췌장 ; 담도계에 발생한 NET 와 Small cell carcinoma
윤상정 ( Sang Jeong Yoon ),최덕례 ( Duck Yeii Choi ),박성규 ( Seong Kyu Park ),김배영 ( Bae Young Kim ),이승민 ( Seung Min Lee ),조윤주 ( Yun Joo Jo ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
<증례 1> 77세 여자가 3-4일 전부터 우상복 통증과 열감이있으면서 황달이 발생하여 본원에 내원하였다. 과거력상 2년전 본원에서 간내 담석 및 농양으로 치료 받은 병력이 없었다. 내원당시 환자는 만성병색을 보였고, 혈압110/70mmHg, 맥박 78회/분, 체온 36.9℃, 호흡수 20회/분이었다. 진찰소견상 우상복 압통과 반발통이있었고, 공막은 노랗게 관찰되었고 짙은 소변색을 보였다. 검사실 소견으로 말초혈액 검사에서 WBC 28,600/㎣, HB
포스터 발표 : 담도,췌장 ; 중증 급성 췌장염에서의 다발성 장기부진의 예후적 중요도
윤상정 ( Sang Jeong Yoon ),최덕례 ( Duck Yeii Choi ),박성규 ( Seong Kyu Park ),김배영 ( Bae Young Kim ),이승민 ( Seung Min Lee ),조윤주 ( Yun Joo Jo ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
〈목적〉 급성 췌장염은 임상적으로 경증에서 중증에 이르기까지 다양하면, 동반된 합병증으로 초기에 정확한 진단과 적절한 치료가 이루어져야 한다. 저자들은 급성 췌장염 환자에서 장기부전의 발생빈도를 알아보고, 장기부전이 예후에 미치는 영향을 평가하고자 하였다. 〈방법〉 본 연구에서 1996년부터 199년까지 4년간 을지의과 대학 병원에 내원하여 급성 췌장염으로 진단 받고 치료받았던 환자 187예를 대상으로 하였다. 이들은 남자 140예, 여자 47예였고,
정도영(Do Young Jung),이수진(Su Jin Lee),이미화(Me Hwa Lee),최덕례(Duck Yeii Choi),박성규(Sung Kyu Park),윤현수(Hyeon Soo Yoon),김건영(Kun Young Kim),한현영(Hyun Young Han),강동욱(Dong Wuk Kang) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.6
Pyogenic liver abscess is a serious clinical problem, which gives rise to complication in 30-50% of the cases. Spontaneous subcapsular hemorrhage is a rare complication associated with liver abscess. A 30-year-old woman was admitted with right upper quadrant abdominal pain, febrile sensation, and myalgia for 3 days. A septated 6×6 ㎎ sized ill-defined round and low-density lesion with hematoma was observed in subcapsular area of both hepatic lobe. Hepatic arteriography showed stretching of the branches of the right hepatic artery without extravasation of the contrast material. Ultrasono-guided percutaneous transhepatic aspiration was performed for subcapsular hematoma. The aspirates had blood count of WBC 58,500/㎣, hemoglobin of 7.8 g/dL, and platelet of 20,000/㎣. The aspirates of low density lesion was pus, in which Klebsiella pneumoniae was isolated. Liver biopsy was performed around the abscess and there was no evidence of hepatic neoplasia. After treatment of antibiotics for six weeks and percutaneous transhepatic drainage, she recovered completely. We report a rare case of pyogenic liver abscess complicated with spontaneous subcapsular hemorrhage. (Korean J Gastroenterol 2001;38:449-452)
신정맥하부를 포함한 간이하 하대정맥 및 총장골정맥의 선천성결손 1 예
김미숙(Mi Suk Kim),백만순(Man Sun Back),최덕례(Duck Yeii Choi) 대한내과학회 1997 대한내과학회지 Vol.52 No.2
Obstruction of the inferior vena cava may presented with unusual and varied pathologic condition and be due to thrombus, extension of tumor, extrinsic compression, or intrinsic caval disease. Thrombus is major cause of obstruction of the inferior vena cava and congenital absence of the inferior vena cava with azygos continuation is extremely rare. In congenital absence of the inferior vena cava (Infrahepatic interruption of inferior vena cava with azygos continuation), infrahepatic inferior vena cava is obliterated but infrarenal portion of the inferior vena cava is patent. In this anormaly, blood from the lower extremities and kidney drained into azygous vein and hemiazygous vein via ascending lumbar vein which eventually into the superior vena cava. These anormaly is seen in 0.6% of patients with congenital heart disease, particularly in cases of polysplenia. We experienced one case of congenital absence of the infrahepatic inferior vena cava, which involved infrarenal portion and the common iliac vein with azygos continuation in 63-year-old male. He was complained of lower abdominal pain, constipation. We report this case with reviewing literatures.
정경태(Kyung Tae Jung),이현상(Hyun Sang Lee),박강서(Kang Seo Park),조병석(Byung Seok Cho),최호순(Ho Soon Choi),최덕례(Duck Yeii Choi),유석준(Seok Joon Yoo),박미자(Mee Ja Park) 대한내과학회 1994 대한내과학회지 Vol.46 No.5
Leiomyosarcoma originated from muscularis propria and gastric leiomyosarcoma is almost single mass. It most frequently involve the gastric fundus and often ulcerate and bleed. Early diagnosis of leimyosarcoma is seldom accomplished, before complications such as bleeding or obstruction appear. Diagnosis can be established only by exploratory operation and histologic examination. Microscopically it consist of spindle shaped smooth muscle with pleomorphism and several mitotic figures per high power field. Leiomyosarcomas rarely invade adjacent viscera and characteristically do not metastasize to lymph nodes but may spread to the liver and lung. The treatment of choice is radical resection and insensitive to radiation therapy or chemotherapy. We report a case of gastric leiomyosarcoma consists of four masses in a 32-year-old woman which was proved histopathologically.
성시경(Shi Gyeong Seong),김덕기(Deok Ki Kim),박기현(Kee Hyun Park),박성규(Seong Kyu Park),류창수(Chang Soo Ryu),최덕례(Duck Yeii Choi) 대한소화기학회 1997 대한소화기학회지 Vol.29 No.4
Although lipoma is a rare benign tumor of the alimentarty tract, it is the third most common benign tumor of small intestine. In the small bowel, lipomas are found maos frequently in the distal ileum. The diagnoses are delayed or middes in many cases because symptoms are absent or vague and nonspecific until significant complications such as intussusception, obstruction, and hemarrhage develope. Preoperative diagnosis is very important because it helps to spare an unnecessary radical operation in high rick patients. The precise diagnosis was increased by the development of endoscopic tools and characteristic fat density in computed tomography. Recently, we experienced a intussuscepting small intedtinal lipoma which was diagnosed by computed tomography before surgery, Thus, we report a case with a brief review of literatures. (Korean J Gastroenterol 1997; 29: 543-548)
Menetrier 병에 동반된 낭성 심재성 위염 1 예
박기현(Kee Hyun Park),성시경(Shi Gyeong Seong),김덕기(Deok Ki Kim),류창수(Chang Soo Ryu),이방희(Bang Hee Lee),이현상(Hyun Sang Lee),고정희(Jung Hee Ko),박강서(Kang Seo Park),최호순(Ho Soon Choi),최덕례(Duck Yeii Choi),박미자(Mee Ja P 대한내과학회 1995 대한내과학회지 Vol.48 No.6
Menetrier's disease, hypertrophec gastritis or hypertophic gastropathy, with mucosal hypertrophy in which the enlarged gastric rugae involved part or all of the stomach giving the appearance of cerebral convolutions. The enlarged rugae which characterize this disease are not attributable to lymphoma, infiltrative carcinoma or non-neoplastic disease, such as syphilis, tuberculosis kor sarcoidosis. Most impressive of Histologic features if the expanded or thickened mucosa, are mostly to an elongation of the foveolae, which become tortuous or corkscrew. Often these elongated pits will extended to the base of the mueosa where they may become cystic. On occasion, the deep cysts may apper to penetrate the muscularis mucosae and extend into the superficial submucosa, where they are surrounded by bundles of smooth muscle, another example of gastric cystica profunda. Gastritis cystica profunda is a rare condition in which mature glandular epithelium extends into the tissues beneath the muscularis in which mature glandular epithelium extends into the tissues beneath the muscularis mucosae. Benign gastric pseudotumor, gastritis cystica profunda, posses malignant histological features but functionally benignly. It is an analogous to similiar conditions affecting the small and large intestines that are called, repectively, enteritis and colitis cystica profunda. The proposed pathogenesis of these abnormalities relates to ischemia, chronic inflammation, and the presence of a foreign body. We present a case of Menetrier's disease assocated with gastritis cystica profunda and a brief review of clinical and pathologic pictures and management.
윤현수(Hyeon Soo Yoon),이미화(Me Hwa Lee),이수진(Su Jin Lee),김건영(Kun Young Kim),유연표(Yun Pyo You),정도영(Do Young Jung),노경환(Gyoung Hwan Roh),한현영(Hyun Young Han),박성규(Sung Kyu Park),최덕례(Duck Yeii Choi) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.2
Pyogenic liver abscess is a serious clinical disease with severe complications in 10-20% of the cases. Metastatic septic endophthalmitis is a rare complication associated with liver abscess. Despite appropriate treatment, the outcome is devastating. We experienced a case of pyogenic liver abscess complicated with endophthalmitis. The bacterial organism cultured from liver abscess was Klebsiella pneumoniae. Treatment of this patient was composed of percutaneous drainage under ultrasonographic guidance, systemic and intravitreal antibiotic therapy. After treatment for 6 weeks, the liver abscess was resolved completely, but the visual outcome was very poor despite intensive treatment. We report a case of pyogenic liver abscess complicated with endophthalmitis. (Korean J Gastroenterol 2001;38:120-123)
최덕례 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.1
Background/Aims: Our aims in this study were to determine histopathology and distri-bution of small colonic polyps (up to 6 mm). Small polyps were found frequently in the colon and rectum at colonoscopy. The size of polyps which should be removed endo-scopically has been controversial. Methods: Medical reports of all patients undergoing total colonoscopic examination during 8-year period were reviewed. Results: Eight hun-dred thirty-three small (up to 6 mm) colorectal polyps, removed during colonoscopy, have been analyzed. Of the small polyps, 58.8% were neoplastic, 17.7% were hyperplastic, 22.7% were inflammatory; 0.1% contained atypia, 0.1% were carcinoid, 0.6% were xan-thoma, 0.1% were adenocarcinoma. In the colon except rectum, neoplastic polyps were more common than non-neoplastic polyps. The difference in distribution of the major types of polyps in the right colon and transverse colon was significant (p <0.0001). Conclusions: Most small polyps proximal to the rectum are neoplastic. All polyps should e removed when encountered during colonoscopy due to the high prevalence of adenoma among small polyps.
이석주,김광일,김동호,김홍성,우상민,최덕례,정현용 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.1
An extremely rare case of primary melanoma involving only rectum is reported. This 59 year-old male patient was admitted to the hospital because of hematochezia, difficulty of defection. Endoscopic examination and radical excision showed polypoid lesion with ulceration which measured 6x6x3cm in 2cm from the anal verge. Histopathologic, H&E stain and electron microscopic examination(EM) were performed from endoscopic biopsies and excisional mass. We are reporting a case primary rectal melanoma with brief review of literature.