https://kumel.medlib.dsmc.or.kr/handle/2015.oak/839 2026-04-04T14:12:58Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15206 Title: 후인두 농양과 동반된 전방 경부 경막의 농양 1례 Author(s): 김태일; 김성제; 배준석; 서상일; 김지언; 이동국 Abstract: Epidural abscess of the cervical spine is a rare clinical condition. The presentation of this dis¬order is usually nonspecific and the diagnose unsuspected. In our case, a 30-year-old woman with retropharyngeal abscess presented with headache and neck pain and tenderness, followed by weakness and numbness of her right arm and shoulder 7 days later. Her cervical MRI showed diffuse retropharyngeal abscess, accompanied with anterior cervical epidural abscess extended from C1-2 level to C6-7 level. Neurosurgeons performed decompressive laminectomy and debridement with her impaired for less than 24 hours, followed by broad spectrum antibi¬otics administered intravenously for 4 weeks. Thereafter, she was recovered completely. Early diagnose is difficult but is crucial for successful therapy to reduce morbidity and mortality. We present a case of anterior cervical epidural abscess which combination of operation with antibi-otics improved completely. 1999-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15205 Title: 삽관 육아종 1례 Author(s): 한성욱; 배정인 Abstract: Endotracheal intubation has been used widely for the maintenance of airway in the emergency patients and general anesthesia. However, several complications occur in about 4% after endotracheal intubation. The complications include laryngeal edema, laryngomalacia, laryn¬geal stenosis, laryngeal granuloma etc.. Among these complications, laryngeal granuloma is a relatively rare complication. Authors reported a case of laryngeal granuloma which developed after endotracheal intubation. A 33-year old female patient visited our hospital Emergency Room due to right humerus and left scapular fracture, liver laceration and pleural effusion. At 2 days after admission, sudden dyspnea developed and oxygen therapy was done. After oxygen therapy, PaC>2 was not elevat¬ed above 70 mmHg. Then endotracheal intubation was performed, it was difficult to intubate endotracheally due to short neck and obesity. She was intubated for 5 days. The patient was discharged after 1 month of medical treatment. At 2 months after discharge, the patient felt a progressive hoarseness and foreign body sensation in larynx. She was diagnosed as laryngeal granuloma at ENT department. She was underwent the surgical operation. 1999-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15204 Title: 부신기능 저하증을 동반한 전이성 부신암 1례 Author(s): 도주호; 류성열; 황준영; 정재진; 이동욱; 이상준; 권기영; 이인규 Abstract: Adrenal insufficiency is caused by destruction of the adrenal cortex, deficient pituitary ACTH secretion, or deficient hypothalamic secretion of corticotropin releasing hormone. The promi¬nent symptoms are weakness, fatigue, weight loss, and gastrointestinal complaints, but these symptoms are common to many other diseases. Thus, the diagnosis of adrenal insufficiency needs the exception of other diseases. Primary adernal insufficiency comes from autoimmune disease, granulomatous disease, metastatic malignancies such as lung and breast carcinoma, hemorrhagic infarction associated with anticoagulant therapy or meningococcemia, and rare hereditary diseases. In this paper, we present a case of lung cancer with adrenal metastasis which causes adrenal insufficiency. The patient was treated with chemotherapy and steroid replacement therapy successfully. 1999-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15203 Title: 고관절에 발생한 색소융모 결절성 활액막염의 진단과 치료 Author(s): 오두환; 전시현; 강창수 Abstract: To investigate the clinical characteristics of pigmented villonodular synovitis of the hip and its appropriate treatment modalities. We retrospectively analyzed the clinical symptoms and signs, laboratory data, radiologic findings and methods and results of treatment of 4 patients of which the diagnosis was confirmed microscopically. The most common complaints was pain and a palpable mass was combined in one case. The limitation of joint motion was present in 3 cases and laboratory data were normal in all cases. On plain films, a classic form with large and multiple lucencies was found in 2 cases and a osteoarthritis-like form was found in 2 cases. The operative treatment was performed in all cases. In one case, there was no evidence of recurrent disease at 20 months after synovectomy alone. In 2 cases, patients were treated with total hip replacement combined with synovectomy and there were no evidence of recurrent disease at 27 months and 36 months each other. In one case, the patient had a recurrence at 7 years and 6 months after synovectomy alone and underwent total hip arthroplasty combined with synovectomy. At 4 years and 1 month after reoperation, this patient had a local recurrence and underwent curettage and bone graft. The early diagnosis and treatment of pigmented villonodular synovitis will prevent the further destruction of the hip and the thorough synovectomy will decrease the recurrent rate. 1999-12-31T15:00:00Z