1.Intussusception in an Adult due to Inverted Meckel's Diverticulum with Ectopic Pancreatic Tissue.
Ye Won JUN ; Bong Hyun KYE ; Hyung Jin KIM ; Hyeon Min CHO ; Changyoung YOO ; Seong Su HWANG
Journal of the Korean Surgical Society 2010;79(Suppl 1):S41-S44
Adult intussusception is rare involving of only 1% of the causes of bowel obstruction. We report a case of a 39-year-old female with intussusceptions due to inverted Meckel's diverticulum. She visited our hospital for diffuse abdominal pain during 1 week and aggravated abdominal pain for 2 days. Vital signs were stable, and there was periumbilical tenderness. She had no history of abdominal operation. CT scan showed a 3.7x2.1 cm of fatty mass with focal intussusception in the distal ileum. When the emergency operation was performed, the patient was found to be suffering from ileocolic intussusception. A manual reduction of intussusception showed inverted Meckel's deverticulum at 65 cm proximal to the ileocecal valve, and the segmental resection of small bowel including a Meckel's diverticulum was performed. Pathologic examination revealed a Meckel's diverticulum containing a 0.6x0.6 cm sized aberrant pancreas.
Abdominal Pain
;
Adult
;
Emergencies
;
Female
;
Humans
;
Ileocecal Valve
;
Ileum
;
Intussusception
;
Meckel Diverticulum
;
Pancreas
;
Stress, Psychological
;
Vital Signs
2.A case of hepatoma with hot uptake of Tc-DISIDA to spleen.
Ye Bong LEE ; Sung Jin KIM ; Eun Hwi PARK ; In Sook BANG ; Heung Joo KIM ; Sung Chul YUN ; Won Jae LEE
Korean Journal of Nuclear Medicine 1993;27(1):140-145
No abstract available.
Carcinoma, Hepatocellular*
;
Spleen*
3.Adaptation of New Oral Anticoagulants for Warfarin Anticoagulated Patient with Traumatic Ongoing Hemorrhage.
Jin Bong YE ; Young Hoon SUL ; Jin Young LEE ; Seung Je GO ; Jung Hee CHOI
Journal of Acute Care Surgery 2018;8(1):33-37
The traditional drug for anticoagulation in those with a high risk of thrombosis is a vitamin K antagonist, such as warfarin. On the other hand, this drug has several limitations and hemorrhagic complications. Recently, novel or non-vitamin K-dependent antagonist oral anticoagulants (NOACs) have been developed to solve these problems. This paper presents a case of adaptation of NOAC for a warfarin anticoagulated patient with traumatic ongoing hemorrhages with a discussion of the clinical implications of NOAC.
Anticoagulants*
;
Hand
;
Hemorrhage*
;
Humans
;
Thrombosis
;
Vitamin K
;
Warfarin*
4.Pneumatic Colorectal Injury Caused by High Pressure Compressed Air
Jin Young LEE ; Young Hoon SUL ; Seung Je GO ; Jin Bong YE ; Jung Hee CHOI
Annals of Coloproctology 2019;35(6):357-360
The pneumatic colorectal injury caused by high pressure compressed air are rare and can be fatal. Herein, we present a case of 45-year-old male who developed sudden onset of severe abdominal pain after cleaning the dust on his pants with high pressure compressed air gun dust cleaner. Emergent exploratory laparotomy was done which findings are a huge rectal perforation with multiple serosal and subserosal tear in sigmoid to splenic flexure of colon. Anterior resection with left hemicolectomy, and temporary transverse colostomy was performed. Postoperative course was uneventful. Recently, prognosis is generally favorable because of prompt diagnosis and emergent surgical management.
Abdominal Pain
;
Colon
;
Colon, Sigmoid
;
Colon, Transverse
;
Colostomy
;
Compressed Air
;
Diagnosis
;
Dust
;
Humans
;
Laparotomy
;
Male
;
Middle Aged
;
Prognosis
;
Rectum
;
Tears
5.Appendiceal transection associated with seat belt restraint.
Seung Je GO ; Young Hoon SUL ; Jin Bong YE ; Joong Suck KIM
Annals of Surgical Treatment and Research 2016;91(2):93-95
The seat belt is designed for safety in a motor vehicle and should be worn to prevent severe injuries. But, the seat belt itself can be an injury factor in combination with deceleration forces applied to fixation points of mobile viscera. Here, we present a 23-year-man with traumatic transection of the appendix, highly mobile viscera, following seat belt injury.
Appendix
;
Deceleration
;
Motor Vehicles
;
Seat Belts*
;
Viscera
7.The Association between Resting Heart Rate and Arterial Stiffness in Men
Song Hee DOO ; Hee Jung CHOI ; Sang bong PARK ; Dong JUNG ; Ye Na SHIM ; Han Jin OH
Korean Journal of Health Promotion 2019;19(3):121-127
BACKGROUND:
Early detection of vascular change may improve prediction of subclinical stage of cardiovascular disease, allowing intervention to prevent overt vascular damage. High heart rate is known to increase cardiovascular morbidity and mortality rate in the general population and in individuals with cardiovascular disease. We aimed to investigate the association between resting heart rate (RHR) measured using electrocardiogram (ECG) and arterial stiffness measured using the cardio-ankle vascular index (CAVI) in men.
METHODS:
Data were collected from 5,629 men aged between 20 and 78 years who visited a single-site health promotion center. RHR was measured in a supine posture after resting for 10 minutes using an ECG. Arterial stiffness was measured using the CAVI. The cutoff value for high CAVI was ≥9.0.
RESULTS:
RHR was one of the major determinants of high CAVI after adjusting for age, waist circumference, mean arterial pressure, glycosylated hemoglobin level, triglyceride level, white blood cell count, and lifestyle factors. When RHR groups were defined according to the RHR quartiles, the odds ratio of group with RHR ≥70 bpm, for high CAVI was 3.62 (95% confidence interval [CI], 2.21–5.91) after adjusting for age and lifestyle factors. This association was not changed after adjusting for all other covariates (odds ratio, 2.39; 95% CI, 1.36–4.19).
CONCLUSIONS
RHR measured using ECG is significantly associated with arterial stiffness in men not taking medications for hypertension, dyslipidemia, or diabetes. These findings suggest that RHR may be useful in assessing cardiovascular risk in men.
8.The Association between Non-Alcoholic Fatty Liver Disease Fibrosis Score and Serum Low Density Lipoprotein-Cholesterol Levels in Adults with Non-Alcoholic Fatty Liver Disease
Sang Bong PARK ; Hee Jeong CHOI ; Song Hee DOO ; Dong JUNG ; Ye Na SHIM ; Han Jin OH
Korean Journal of Family Practice 2020;10(2):110-115
Background:
Non-alcoholic fatty liver disease fibrosis score (NFS) is a scoring system applied in clinical practice to predict advanced fibrosis in patients with non-alcoholic fatty liver disease (NAFLD). Evidence shows that progression of steatohepatitis and liver fibrosis reduces the production of verylow- density lipoprotein. The aim of this study was to identify the association of NFS and serum low-density lipoprotein cholesterol (LDL-C) levels and in adults with NAFLD.
Methods:
Data were gathered from 24,889 subjects who had visited a health promotion center. NFS was calculated to assess the severity of fibrosis in all the subjects. Serum LDL-C levels were measured using a direct method.
Results:
Serum LDL-C levels tended to decrease with increasing NFS quartiles (P for trend<0.01). NFS was one of the major determinants of serum LDL-C level after adjusting for age, sex, lifestyle-related factors, and other covariates. The estimated mean serum LDL-C level was significantly lower in the highest quartile of NFS than in the lowest quartile of NFS.
Conclusion
NFS had a negative association with serum LDL-C levels in adults with NAFLD. Elevated LDL-C level is not only a risk factor of cardiovascular disease but also a predictive indicator of NAFLD severity.
9.The Association between Resting Heart Rate and Arterial Stiffness in Men
Song Hee DOO ; Hee Jung CHOI ; Sang bong PARK ; Dong JUNG ; Ye Na SHIM ; Han Jin OH
Korean Journal of Health Promotion 2019;19(3):121-127
BACKGROUND: Early detection of vascular change may improve prediction of subclinical stage of cardiovascular disease, allowing intervention to prevent overt vascular damage. High heart rate is known to increase cardiovascular morbidity and mortality rate in the general population and in individuals with cardiovascular disease. We aimed to investigate the association between resting heart rate (RHR) measured using electrocardiogram (ECG) and arterial stiffness measured using the cardio-ankle vascular index (CAVI) in men. METHODS: Data were collected from 5,629 men aged between 20 and 78 years who visited a single-site health promotion center. RHR was measured in a supine posture after resting for 10 minutes using an ECG. Arterial stiffness was measured using the CAVI. The cutoff value for high CAVI was ≥9.0. RESULTS: RHR was one of the major determinants of high CAVI after adjusting for age, waist circumference, mean arterial pressure, glycosylated hemoglobin level, triglyceride level, white blood cell count, and lifestyle factors. When RHR groups were defined according to the RHR quartiles, the odds ratio of group with RHR ≥70 bpm, for high CAVI was 3.62 (95% confidence interval [CI], 2.21–5.91) after adjusting for age and lifestyle factors. This association was not changed after adjusting for all other covariates (odds ratio, 2.39; 95% CI, 1.36–4.19). CONCLUSIONS: RHR measured using ECG is significantly associated with arterial stiffness in men not taking medications for hypertension, dyslipidemia, or diabetes. These findings suggest that RHR may be useful in assessing cardiovascular risk in men.
Arterial Pressure
;
Arteriosclerosis
;
Cardiovascular Diseases
;
Dyslipidemias
;
Electrocardiography
;
Health Promotion
;
Heart Rate
;
Heart
;
Hemoglobin A, Glycosylated
;
Humans
;
Hypertension
;
Leukocyte Count
;
Life Style
;
Male
;
Mortality
;
Odds Ratio
;
Posture
;
Risk Assessment
;
Triglycerides
;
Vascular Stiffness
;
Waist Circumference
10.Chronic Traumatic Glass Foreign Body Removal from the Lung through a Direct Parenchymal Incision
Su Young YOON ; Si Wook KIM ; Jin Suk LEE ; Jin Young LEE ; Jin Bong YE ; Se Heon KIM ; Young Hoon SUL
Journal of the Korean Society of Traumatology 2019;32(4):248-251
Traumatic intrapulmonary glass foreign bodies that are missed on an initial examination can migrate and lead to severe complications. Here, we present a rare case of a traumatic intrapulmonary glass foreign body surgically removed by a direct pulmonary incision, which preserved the pulmonary parenchyma and avoided severe complications caused by migration.