• Journal of Chest Surgery
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• 제35권11호
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• pp.842-846
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• 2002

하행 괴사성 종격동염은 치원성 및 구강인두 감염증의 합병증으로 발병되며 높은 사망률을 보이는 질환이다. 자연성 인두천공이 원인이 되어 발생한 급성 하행 괴사성 종격동염은 국내에서 보고된 바 없으며 영어로 발표된 문헌들을 조사해서도 한 증례만 검색할 수 있었다. 본 증례의 치료과정 중 종격동내의 배농관이 정확하게 위치되어서 효과적인 배농술이 이루어져야 환자의 생존률을 높이는데 도움이 되리라고 생각되었다. 가톨릭 대학교 의과대학 흉부외과학 교실에서는 자연성 하인두 천공에 의해 발생한 급성 하행 괴사성 종격동염의 증례를 치험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제46권3호
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• pp.230-233
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• 2013

While a diaphragmatic rupture commonly results from trauma to the abdomen and chest, a spontaneous diaphragmatic rupture is very rare. A 68-year-old male presented with chest pain that had originated while doing farm work in a squatting position. Images revealed a 5 cm defect of the left diaphragmatic dome, and the entire stomach was displaced into the thorax. The diaphragmatic defect was round and half had a well-demarcated margin. The remaining fragile tissue was completely excised and was closed primarily. The patient was uneventfully discharged and resumed with a normal diet 10 days after the operation.

• Investigative Magnetic Resonance Imaging
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• 제22권3호
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• pp.177-181
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• 2018

Intraperitoneal metastatic hepatocellular carcinoma (HCC) is uncommon. Although rare, it can spontaneously rupture and cause hemoperitoneum similar to primary HCC in the liver. We present a case of intraperitoneal metastatic HCC that had spontaneously ruptured and appeared as an irregularly margined hemorrhagic mass with T1 high and T2 dark signal intensities on magnetic resonance imaging. Ruptured HCC is a life-threatening emergency with high mortality rate. Spontaneously ruptured intraperitoneal metastatic HCC should be considered if a patient with a history of HCC presents with acute abdomen, although rare.

• Archives of Plastic Surgery
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• 제41권6호
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• pp.734-739
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• 2014

Background Rupture is an important complication of breast implants. Before cohesive gel silicone implants, rupture rates of both saline and silicone breast implants were over 10%. Through an analysis of ruptured implants, we can determine the various factors related to ruptured implants. Methods We performed a retrospective review of 72 implants that were removed for implant rupture between 2005 and 2014 at a single institution. The following data were collected: type of implants (saline or silicone), duration of implantation, type of implant shell, degree of capsular contracture, associated symptoms, cause of rupture, diagnostic tools, and management. Results Forty-five Saline implants and 27 silicone implants were used. Rupture was diagnosed at a mean of 5.6 and 12 years after insertion of saline and silicone implants, respectively. There was no association between shell type and risk of rupture. Spontaneous was the most common reason for the rupture. Rupture management was implant change (39 case), microfat graft (2 case), removal only (14 case), and follow-up loss (17 case). Conclusions Saline implants have a shorter average duration of rupture, but diagnosis is easier and safer, leading to fewer complications. Previous-generation silicone implants required frequent follow-up observation, and it is recommended that they be changed to a cohesive gel implant before hidden rupture occurs.

• Perinatology
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• 제29권4호
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• pp.195-197
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• 2018

As intervention techniques have been developed recently, minimal invasive treatment for uterine myoma using uterine artery embolization is receiving attention increasingly. Uterine rupture occurs rarely, but once it occurs, it may cause fatal results in both mother and fetus. Although the relationship between uterine artery embolization for treatment of uterine myoma and uterine rupture has not been clearly revealed yet, a case implying that the embolization for treatment of uterine myoma can be a risk factor of uterine rupture like previous caesarian delivery or myomectomy.

• 대한족부족관절학회지
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• 제6권1호
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• pp.106-110
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• 2002

The rupture of the Achilles tendon is rather uncommon, but its incidence has been increasing. Main causes are usually due to direct injury or sudden indirect high energy trauma such as sports activity without predisposing disease. Spontaneous rupture of the Achilles tendon are sporadically reported especially from person who took steroid or with similiar predisposing disease. We experienced a patient with bilateral ruptures of the Achilles tendon that had occurred almost spontaneously, without any steroid related medication or underlying diseases.

• Journal of Chest Surgery
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• 제25권8호
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• pp.812-818
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• 1992

The spontaneous rupture of the esophagus is an uncommon disease, but without early diagnosis and treatment, the mortality rate is high. This report is on the two cases treated at the Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyu-ngpook National University. The first patient, after heavy drinking, had vomiting followed by chest pain, dyspnea and subcutaneous emphysema. After diagnosis using an esophagogram, an operation was perfomed. About a 4cm rupture was found at the lower left part of the esophagus and was primarily sutured with the intercostal muscle. The patient was weaned from the ventilator after 40 hours. The second patient had symptoms the same as the first case. Six days after the app-earence of the symptoms, the patient was treated by the Thais onlay gastric patch method. The leakage happened after the surgery and he received a conservative treatment. After discharge no abnormalities, such as leakage and stricture, were found on the eso-phagogram The two patients now live a normal life.

• Journal of Chest Surgery
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• 제11권2호
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• pp.232-236
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• 1978

Twenty-two years old male was operated for spontaneous rupture of the esophagus. In the event of perforation, there is nothing to prevent wide spread dissemination, and a devastating necrotizing chemical insult occurrs which is rapidly complicated by anaerobic and aerobic infection which quickly jeopardizes the patient`s life, often with a fatal result. For these reasons and despite modern diagnostic aids, anesthetic and operative technics, and antibiotics, perforation of the esophagus is still an alarming accident. In this case, thoracotomy and surgical closure of the perforation resulted in satisfactory outcome except postoperative fistula, which healed spontaneously.

• 대한영상의학회지
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• 제81권6호
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• pp.1453-1458
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• 2020

후복막강 출혈은 항응고 치료의 치명적 합병증일 수 있으며, 나이 및 산과력과 상관없이 난소동맥이 출혈 병소일 수 있다. 저자들은 폐경기 여성에서 항응고 치료 중에 발생한 난소동맥 출혈을 경도관 혈관조영술 및 색전술을 통해 정확한 진단 및 효과적인 지혈이 가능했던 증례를 소개하고자 한다.

• 대한영상의학회지
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• 제81권4호
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• pp.958-964
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• 2020

신경섬유종증 1형 환자에서 혈관 이상에 의한 자발성 출혈은 드물지만, 환자에게 치명적인 결과를 초래할 수 있다. 본 저자들은 신경섬유종증 1형 환자에서 발생한 자발성 종격동혈종에 대한 증례를 소개하고자 한다. 출혈은 동측 쇄골하동맥에서 나오는 이소성 기관지동맥의 파열이 원인이었고, coil과 N-butyl-2-cyanoacrylate를 이용한 색전술을 통해 성공적으로 치료하였다.