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Pancreatic Arteriovenous Malformation as an Unusual Cause of Chronic Gastrointestinal Bleeding in a Patient with Early Gastric Cancer: Multimodality Imaging Spectrum with Pathologic Correlation

  • Lee, Borahm;Lee, Jeong Eun;Cho, June Sik;Shin, Kyung Sook;You, Sun Kyoung;Cheon, Kwang Sik;Song, In Sang;Kim, Kyung Hee
    • Investigative Magnetic Resonance Imaging
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    • v.19 no.4
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    • pp.241-247
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    • 2015
  • Arteriovenous malformation (AVM) of the pancreas is extremely rare, although it may be increasingly diagnosed due to the widespread use of cross-sectional imaging of the abdomen. Early diagnosis of this disease is important to prevent delay of treatment and resulting fatal complications. We report a rare case of pancreatic AVM in a 48-year-old man who presented with severe chronic anemia and early gastric cancer, which made diagnosis challenging. Imaging findings, including ultrasound, computed tomography, and magnetic resonance imaging, are shown, as well as the pathologic features.

Gastrointestinal Pseudoobstruction and Sensory Neuronopathy in Small Cell Lung Cancer (거짓 장막힘과 감각신경세포병증으로 발현된 소세포폐암 1예)

  • Lee, Hyun-Jeong;Choi, Young-Chul;Yun, Dong-Joo;Ko, Young-Chai;Jang, Sang-Hyun;Yoon, Soo-Jin;Oh, Gun-Sei;Lee, Soo-Joo
    • Annals of Clinical Neurophysiology
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    • v.13 no.2
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    • pp.106-110
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    • 2011
  • Subacute sensory neuronopathy and gastrointestinal pseudoobstruction are considered classical paraneoplastic neurological syndromes. We report a 56-year-old male who presented with typical symptoms of subacute sensory neuronopathy and autonomic neuropathy with gastrointestinal pseudoobstruction. The biopsy of the palpable supraclavicular lymph node revealed a small cell lung cancer. To our knowledge, intestinal pseudoobstruction and sensory neuronopathy in a small cell lung cancer have not been reported in Korea.

Cardiopulmonary Bypass Strategies to Maintain Brain Perfusion during Lung Transplantation in a Patient with Severe Hypercapnia

  • Sohn, Bongyeon;Park, Samina;Lee, Hyun Joo;Jeong, Jin Hee;Choi, Sun Mi;Lee, Sang-Min;Seo, Jeong-Hwa;Kim, Young Tae
    • Journal of Chest Surgery
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    • v.52 no.1
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    • pp.58-60
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    • 2019
  • Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied the pH-stat method for acid-base regulation, and thereby achieved the desired outcome without any neurologic deficit.

Exercise-induced rhabdomyolysis with acute kidney injury complicated by posterior reversible encephalopathy syndrome: a case report

  • Kim, Su Min;Lee, Yoo Jin;Heo, Chang Min;Park, Si Hyung;Park, Kang Min;Ko, Jung Hae;Park, Bong Soo;Kim, Yang Wook
    • Annals of Clinical Neurophysiology
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    • v.24 no.2
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    • pp.93-97
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    • 2022
  • Posterior reversible encephalopathy syndrome (PRES) is a rare condition manifested by inflammation in certain areas of the brain. Rhabdomyolysis with acute kidney injury (AKI) complicated by PRES is rarely reported. A 26-year-old female presented with neurological symptoms, high blood pressure, and AKI. Her symptoms improved with blood pressure control, anticonvulsant drug medications, and renal replacement therapy. This case demonstrates that PRES should be considered in the differential diagnosis of patients who have rhabdomyolysis with AKI accompanied by neurological symptoms, including headaches and convulsions.

The Effects of Internal Marketing Perceived by Nurses on Self-Efficacy and Hospital Image

  • Shin, Seung-Hee;Jung, Ji-Hee;Shin, Jae-Ik
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.5
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    • pp.103-111
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    • 2019
  • The purpose of this study was to investigate how internal marketing affects self-efficacy and hospital image in university hospital nurses. In addition, it was to identify which factors of internal marketing is the most important factor perceived by the nurses. The sample consisted of 228 nurses working in one university hospital located in Changwon city of Gyeongnam province. The measurements included internal communication (5 items), empowerment (5 items), reward (3 items), education and training (5 items), working environment (3 items), leadership (5 items), self-efficacy (5 items), and hospital image (8 items) based on a review of related previous studies. Survey data were analyzed employing SPSS version 20.0 and AMOS version 20.0. The nurses rated internal communication (0.887) of the internal marketing sub-factors the most important, while they evaluated working environment (0.802) the lowest. The internal marketing perceived by nurses has a positive effect on self-efficacy (0.476) and hospital image (0.674). Nurses' self-efficacy also had a positive effect on hospital image (0.226). The findings reveal that the managers should build a positive climate of internal marketing activities in order to enhance nurses' self-efficacy and hospital image.

Leri-Weill dyschondrosteosis in a newborn presenting with respiratory failure due to severe micrognathia

  • Gang, Mi Hyeon;Lee, Jianne;Lee, Yong Wook;Shin, Ji Hye;Lim, Han Hyuk;Kim, Yoo-Mi;Chang, Mea-young
    • Journal of Genetic Medicine
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    • v.17 no.2
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    • pp.108-111
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    • 2020
  • Short stature homeobox-containing gene (SHOX) is a well-known causative gene for the short stature in Turner syndrome. The clinical manifestation of SHOX gene related disorders varies from SHOX haploinsufficiency, presenting with idiopathic short stature, disproportionate short stature, or Leri-Weill dyschondrosteosis (LWD) to recessive form of extreme dwarfism and limb deformity in Langer mesomelic dysplasia. LWD is usually diagnosed upon suspicion based on short stature and skeletal abnormalities, and it is rarely accompanied with respiratory failure in the neonatal period. Here, we report the case of a newborn infant with LWD presenting with severe micrognathia that caused respiratory distress, which was diagnosed using microarray testing. Even when the manifestation of Madelung deformity is not yet apparent, LWD should be considered as one of underlying diseases related to congenital micrognathia.

Multifocal Extranodal Involvement in Diffuse Large B-cell Lymphoma (DLBCL): Bone, Soft tissue, Testis, and Kidney

  • Cho, Jae Sung;Lee, Kyung Ryeol;Kim, Bong Soo;Choi, Guk Myung;Lee, Jeong Sub;Huh, Jung Sik;Jang, Bogun
    • Investigative Magnetic Resonance Imaging
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    • v.26 no.1
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    • pp.48-54
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    • 2022
  • In this report we present a case of disseminated diffuse large B-cell lymphoma (DLBCL) in a 79-year-old man affecting the bone, soft tissue, testis, and both kidneys, which are rarely affected sites. The formation of a large mass in the bone, soft tissue, and testis due to DLBCL is rarely seen nowadays. In this article, we describe the imaging findings and clinical significance of multifocal extranodal involvement in DLBCL, focusing on involvement of bone, soft tissue, and testis.

Surgical management of supratentorial and infratentorial epidural hematoma in Korea: three case reports

  • Su Young Yoon;Junepill Seok;Yook Kim;Jin Suk Lee;Jin Young Lee;Mou Seop Lee;Hong Rye Kim
    • Journal of Trauma and Injury
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    • v.36 no.4
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    • pp.399-403
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    • 2023
  • Supratentorial and infratentorial epidural hematoma (SIEDH) is a rare but life-threatening complication following traumatic brain injury. However, the literature on SIEDH is sparse, consisting only of a few small series. Prompt diagnosis and the application of appropriate surgical techniques are crucial for the rapid and safe management of SIEDH. Herein, we present three cases of SIEDH treated at our institution, employing a range of surgical approaches.

Ectopic Human Fasciola hepatica Infection by an Adult Worm in the Mesocolon

  • Kim, Ah Jin;Choi, Chang Hwan;Choi, Sun Keun;Shin, Yong Woon;Park, Yun-Kyu;Kim, Lucia;Choi, Suk Jin;Han, Jee Young;Kim, Joon Mee;Chu, Young Chae;Park, In Suh
    • Parasites, Hosts and Diseases
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    • v.53 no.6
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    • pp.725-730
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    • 2015
  • We report here an ectopic case of Fasciola hepatica infection confirmed by recovery of an adult worm in the mesocolon. A 56-year-old female was admitted to our hospital with discomfort and pain in the left lower quadrant of the abdomen. Abdominal CT showed 3 abscesses in the left upper quadrant, mesentery, and pelvic cavity. On surgical exploration, abscess pockets were found in the mesocolon of the sigmoid colon and transverse colon. A leaf-like worm found in the abscess pocket of the mesocolon of the left colon was diagnosed as an adult fluke of F. hepatica. Histologically, numerous eggs of F. hepatica were noted with acute and chronic granulomatous inflammations in the subserosa and pericolic adipose tissues. Conclusively, a rare case of ectopic fascioliasis has been confirmed in this study by the adult worm recovery of F. hepatica in the mesocolon.

Use of succimer as an alternative antidote in copper sulfate poisoning: A case report (황산구리 중독에서 대안 해독제로의 succimer 사용 1례)

  • Han, Sang Kyoon;Park, Sung Wook;Cho, Young Mo;Wang, Il Jae;Bae, Byung Kwan;Yeom, Seok Ran;Park, Soon Chang
    • Journal of The Korean Society of Clinical Toxicology
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    • v.19 no.1
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    • pp.59-63
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    • 2021
  • Copper sulfate is widely used as a fungicide and pesticide. Acute copper sulfate poisoning is rare but potentially lethal in severe cases. Copper sulfate can lead to cellular damage of red blood cells, hepatocytes, and myocytes. Toxic effects include intravascular hemolysis, acute tubular necrosis and, rhabdomyolysis. A 76-year-old man presented with vomiting and epigastric pain. He had ingested a copper-containing fungicide (about 13.5 g of copper sulfate) while attempting suicide 2 hours prior to presentation. From day 3 at the hospital, laboratory findings suggesting intravascular hemolysis were noted with increased serum creatinine level. He was treated with a chelating agent, dimercaptosuccinic acid (succimer). His anemia and acute kidney injury gradually resolved with a 19-day regimen of succimer. Our case suggests that succimer can be used for copper sulfate poisoning when other chelating agents are not available.