A case of bear's gall induced rhabdomyolysis / 대한내과학회지

We report a case of rhabdomyolysis in a 29-year-old man, presenting pain on neck and shoulder and dark urine, which developed after taking Bear's gall and swimming. Laboratory studies revealed serum creatinine 0.9 mg/dL, creatinine kinase 83,045 IU/L, serum myoglobin 794.6 ng/mL, urine myoglobin 220.2 ng/mL. Tc-99m MDP whole bone scan showed diffuse increased uptake confined to the soft tissue of upper chest. The condition resolved spontaneously when consumption of the product ceased, he was recovered with normal creatine kinase. Generally, the Bear's gall is termed gall bladder of bear dried under the air-flow, which has been applied as versatile treatment in oriental medcine. Rhabdomyolysis is a well known complication of HMG-CoA inhibitor therapy, the Bear's gall has not yet been reported as a cause of rhabdomyolysis. We postulate that the Bear's gall may result in muscle injury.

Comparison of Various Endoscopic Injection Therapy and Hemoclipping for Bleeding Peptic Ulcers / 대한소화기내시경학회지

BACKGROUND/AIMS: Widely practiced endoscopic methods for hemastasis of bleeding peptic ulcer include thermal application (laser, heater probe) and local injection (epi- nephrine, fibrine-glue or various sclerosing agents). Studies evaluating these modalities have presented high success rates for achieving initial hemostasis. Recently, endoscopic hemoclipping is considered to be a safe and effective hemostatic method for upper gas- trointestinal bleeding. The aim of this study was to compare various hemostatic modalities for bleeding peptic ulcer. METHODS: Over a three year period between June 1994 and October 1997, a total of 133 patients with bleeding peptic ulcer were included in this study, We have conducted clinical trials and a retrospective analysis. All of the patients we selected had either active bleeding or a nonbleeding visible vessel on endoscopy. Endoscopy was performed on an emergency basis within 12 hours of hospital arrival.