소화관에서 주로 발생하는 반지세포암은 대부분은 위에서 발생하며, 담낭에서 원발성으로 발생하는 경우는 극히 드물어 지금까지 국내에서는 1예만 보고되고 있다. 본 증례는 58세의 남자가 5일 전부터 발생한 상복부 통증을 주소로 내원하여 복부 전산화단층촬영과 복부 자기공명 담췌관 촬영술에서 담낭 결석을 동반한 담낭염 및 담관 결석으로 진단되었다. 내시경 역행 췌담관 시술을 시행하여 담관석을 제거한 후 복강경하 담낭절제술을 시행하였다. 절제된 담낭의 조직검사에서 반지 세포암으로 진단되어, 항암 치료 및 방사선 치료를 시행받았으나, 1년 후 전이성 병변 및 복수가 진행되어 현재 보존적 치료 중이다. 이에 저자들은 담낭염으로 오인된 담낭의 원발성 반지세포암 1예를 경험하여 문헌고찰과 함께 보고한다.

총담관의 자발적 천공은 흔하지 않으며, 이에 대해 충분한 연구와 경험이 부족한 상태이다. 본 저자들은 원인을 알 수 없는 복통과 난치성 복수를 호소하는 환자에서 총담관의 자발적 천공을 진단하고, 내시경역행담췌관조영술을 통한 완전피막형 자가팽창형 금속스텐트의 삽입술과 보존적 치료를 통하여 치료에 성공했던 증례를 경험하였기에 보고한다.

Combined oral contraceptives (OCs) are a common method of contraception; however, they are associated with a twofold to sixfold increased risk of venous thrombosis (VT). The association between estrogen-containing OCs and VT is well established. After the first generation progestogens, new progestogens were developed. However, the risk of VT is higher for users of OCs with third generation progestogens than for those using second generation progestogens. We experienced a patient, a 25-year-old young woman with chest pain after taking third generation OCs. We performed chest computed tomography (CT) and lower extremity venogram CT. She was diagnosed with a pulmonary thromboembolism and deep vein thrombosis. She was treated with low molecular weight heparin and warfarin for six months. We report on this case with a review of the relevant literature.

Drug-eluting stents (DES) have reduced the rate of restenosis and the need for repeated revascularization of target lesions. However, in stent restenosis is still a major issue and very late stent thrombosis seems to occur more frequently with DES. Recently, incidence of stent thrombosis as a fatal complication has increased and dual antiplatelet therapy is recommended for at least 12 months after implantation. Here we report on a case of ST-segment elevation myocardial infarction due to total occlusion caused by very late stent thrombosis and in stent restenosis simultaneously at 42 months after DES implanta-tion.

We report on the case of a 59-year-old man who presented with continuous chest discomfort. The patient's initial electrocardiogram (ECG) showed normal sinus rhythm. Coronary angiography showed significant stenosis in the proximal left anterior descending coronary artery (LAD), the distal left circumflex coronary artery (LCX). Therefore, we deployed a stent in the proximal LAD and the distal LCX. Two days after percutaneous coronary intervention (PCI), he complained of atypical chest pain. His ECG showed ST segment elevation in leads V1 to V3. In emergent coronary angiography, there was no stent thrombosis. ECG findings showed that the ST segment has a "saddle back" ST-T wave configuration in which the elevated ST segment descends toward the baseline, then rises again to an upright T wave, like the Brugada ECG pattern. This case report shows how dynamic ST segment elevations may look similar in cases of stent thrombosis after PCI.