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1.
Clinical Endoscopy ; : 298-302, 2016.
Article in English | WPRIM | ID: wpr-94065

ABSTRACT

For patients refusing surgical treatment for deep early gastric cancer, hybrid natural orifice transluminal endoscopic surgery with sentinel lymph node navigation is a potential treatment option, particularly when the anatomic location of the cancer has low probability of lymph node metastasis. We report a case of deep early gastric cancer of the fundus beyond the endoscopic submucosal dissection indication that was treated by hybrid natural orifice transluminal endoscopic surgery with sentinel lymph node navigation. In a conventional approach, a total gastrectomy would have been needed; however, the patient refused surgical intervention. In this case, since the patient showed no positivity of the sentinel lymph node on intraoperative navigation, laparoscopic basin lymph node dissection was not performed. Hybrid natural orifice transluminal endoscopic surgery might be considered for specific regions such as the safety zone where lymph node metastases are less likely to occur.


Subject(s)
Humans , Gastrectomy , Lymph Node Excision , Lymph Nodes , Lymphatic Metastasis , Natural Orifice Endoscopic Surgery , Neoplasm Metastasis , Stomach Neoplasms
2.
Yeungnam University Journal of Medicine ; : 134-137, 2016.
Article in English | WPRIM | ID: wpr-90942

ABSTRACT

Bee sting causes mild symptoms such as urticaria and localized pain, and severe symptoms including anaphylaxis, cardiovascular collapse, and death. We reported on a patient with arterial thrombotic occlusion and severe ischemia in the lower limb after multiple bee stings. The patient was stung 5 times and complained of pallor, pain, and coldness in the left toe, and did not have dorsalis pedis pulsation. Computed tomography angiography showed multiple thrombotic occlusion of the anterior and posterial tibial artery below the knee. Local thrombolytic therapy using urokinase was administered and the occluded arteries were successfully recanalized.


Subject(s)
Humans , Anaphylaxis , Angiography , Angioplasty, Balloon , Arteries , Bee Venoms , Bees , Bites and Stings , Ischemia , Knee , Lower Extremity , Pallor , Thrombolytic Therapy , Tibial Arteries , Toes , Urokinase-Type Plasminogen Activator , Urticaria
3.
Yeungnam University Journal of Medicine ; : 25-28, 2016.
Article in Korean | WPRIM | ID: wpr-83190

ABSTRACT

Nephrotic syndrome is associated with a hypercoagulable state, which results in thromboembolism as one of its main complications. Various pathogenetic factors that cause the hypercoagulable state in nephrotic syndrome have been recognized. We report on a 19-year-old female with a minimal-change disease who developed pulmonary thromboembolism combined with intracardiac thrombus while on tapering steroid. Our patient showed hypoalbuminemia with an episode of shock, and was successfully treated with thrombolysis and anticoagulation therapy.


Subject(s)
Female , Humans , Young Adult , Hypoalbuminemia , Nephrotic Syndrome , Pulmonary Embolism , Shock , Thromboembolism , Thrombosis
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