• Title/Summary/Keyword: 동반경

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Successful Interventional Treatment of a Huge Pseudoaneurysm of the Popliteal Artery Caused by a Percutaneous Balloon Angioplasty Complication: A Case Report (경피적 풍선성형술의 합병증으로 발생한 슬와동맥 거대 가성동맥류의 성공적인 인터벤션 치료: 증례 보고)

  • Hyunmin Kim;Seung Yeon Noh;Se Hwan Kwon;Hyun-Min Ko;Hyung Joon Ahn;Joo Hyeong Oh
    • Journal of the Korean Society of Radiology
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    • v.84 no.5
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    • pp.1185-1190
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    • 2023
  • Pseudoaneurysms are among the most serious complications of percutaneous balloon angioplasty. Although pseudoaneurysm rupture rarely happens, when it does, the result can be fatal; thus, early detection and management are crucial. In this report, we disclose the case of a 34-year-old male with end-stage renal disease who presented with a huge symptomatic pseudoaneurysm of the left popliteal artery, following percutaneous balloon angioplasty three months prior. The pseudoaneurysm was successfully excluded using interventional treatment. The patient recovered well, and the follow-up was uneventful, with excellent patency of the covered stent.

Tophaceous Gout in the Rotator Cuff with Impingement Syndrome - A Case Report - (충돌증후군을 동반한 회전근개에 발생한 결절성 통풍 - 증례 보고 -)

  • Lee, Wooseung;Yoon, Jung Ro;Kim, Young-Bae;Kang, Kyu Bok;Yun, Ho Hyun;Lee, Jiwun
    • Journal of the Korean Arthroscopy Society
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    • v.17 no.1
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    • pp.61-65
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    • 2013
  • Tophaceous gout, which is usually presented in the synovial fluid, bursal lining, cartilage or other soft tissues, may cause a nonoutlet impingement in the rotator cuff and bursa. In chronic tophaceous gout patient with the shoulder pain, a surgeon should consider the possibility of the tophaceous gout of the rotator cuff. We report a surgical experience of a 50-year-old man with tophaceous gout of the rotator cuff causing impingement syndrome. The patient was treated successfully with arthroscopic debridement and subacromial decompression.

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Review in Remplissage on Anterior Shoulder Instability with Huge Hill-Sachs Lesion (전방 견관절 불안정성의 Hill-Sachs 병변의 치료에서 Remplissage의 Review)

  • Ko, Sang-Hun;Lee, Chae-Chil;Park, Han-Chang
    • Clinics in Shoulder and Elbow
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    • v.14 no.1
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    • pp.134-139
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    • 2011
  • Purpose: We wanted to review the arthroscopic Remplissage technique and introduce our experiences with it for treating recurrent shoulder instability with a large Hill-Sachs lesion. Materials and Methods: The arthroscopic Remplissage technique with Bankart repair is performed in patients with no osteoarthritis, no fracture around the shoulder, a history of recurrence more than 10 times, a large Hill-Sachs lesion more than 30 to 40% of the humeral articular surface and glenoid bone loss less than 20%. Results and Conclusion: For recurrent shoulder instability with a large Hill-Sachs lesion, the Remplissage technique resulted in a good outcome for the shoulder stability, and good clinical and functional results.

Tracheoesophageal Fistula with Subglottic Stenosis in Tracheostomy Patient -Report of 1 Case (기관절개 후 발생한 성문하 협착이 동반된 기관식도루 -수술 치험 1례-)

  • Son, Ho-Seong;Kim, Yeon-Su
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.453-456
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    • 1997
  • Acquired tracheoesophageal fistula is a rare but serious condition which is usually a result of prolonged intubation or tracheostomy statc, and is difficult to treat. A fifty-seven year old woman who was in a state of prolonged intubation and tracheostomy following a traf%c accident, presented with recurrent aspirati n. A tracheoesophageal fistula was demonstrated ) cm above the carina by csophagogram. We confirmed a subglottic web and tracheoesophageal fistula by bronchoscopic examination. Fistulectomy was performed with collor incision and partial sternotomy. The esophagus was repaired by two-layer interrupted suture using 4-0 Vicr)1, and the trachea was repaired by single layer suture using a 4-0 PDS. The sternohyoid muscle was interposed between the trachea and the esophagus. A T-tube was inserted through the previous tracheostomy site for easy tracheal suction and maintenance of the tun:on. The T-tube was removed on the 14th postoperative day, and the patient recovered well without any complications.

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A Case of Posttraumatic Pleural Effusion with Peripheral Eosinophilia (호산구증가증이 동반된 외상 후 호산구성 흉수 1예)

  • Kim, Jong-Hun;Kim, Young-Saeng;Ku, Bon-Ho;Choi, Yu-Kyung;Kim, Do-Hoon;Chin, Jae-Yong;Oh, Mi-Jung
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.5
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    • pp.379-382
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    • 2008
  • Eosinophilic pleural effusions (EPE) are defined as those effusions that contain at least 10% eosinophils, and EPE can be associated with peripheral blood eosinophilia in a variety of systemic diseases. There have been a few cases that have addressed the association of peripheral blood eosinophilia and posttraumatic EPE, and this condition can be misdiagnosed as being the result of other causes due to the delayed presentation. We report here on a case of 47-year-old male who presented with eosinophilic pleural effusion associated with peripheral blood eosinophilia at 2 months after minor chest trauma. We excluded the other possible causes such as consumption of drugs, parasite infection, malignancy, diseases of pulmonary eosinophilic infiltration, autoimmune diseases and pulmonary thromboembolism. We observed his clinical course without specific treatment. Three months later, the pleural effusion completely disappeared and the number of peripheral eosinophils returned to normal.

Simultaneous Off-pump Coronary Artery Bypass Surgery and Total Gastrectomy (동시에 시행한 체외순환 없이 시행하는 관상동맥우회수술과 위전절제술)

  • Park, Jeong-Ok;Ryu, Jae-Wook;Seo, Pil-Won
    • Journal of Chest Surgery
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    • v.40 no.1 s.270
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    • pp.56-59
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    • 2007
  • A 65 year-old male had chest pain which was diagnosed as unstable angina needing urgent coronary artery bypass surgery. Physical examination demonstrated signs of severe anemia and hemoglobin level was 5.7 g/dL. Gastrofiberscopy showed a 4 cm sized fungating mass at the lesser curvature with active bleeding. The mass was adenocarcinoma by pathologic examination. Simultaneous coronary artery bypass surgery and total gastrectomy were planned due to bleeding of the mass. Off-pump coronary bypass grafting was done first, followed by total gastrectomy. The postoperative course was smooth. He was discharged from the hospital after 12 days and was on surveillance for 9 months. We report a rare case of simultaneous surgery for angina and gastric cancer.

The Arthroscopic Treatment of Chronic Gouty Arthritis -The case unresponsive to conservative treatment that associated with acute inflammation- -Report of one case- (만성 통풍성 관절염 환자의 관절경적 치험 - 급성 염증이 병발되어 보존적 치료에 반응하지 않는 경우 - - 증례 보고 -)

  • Kang, Jae Do;Kim, Hyung Chun;Kim, Jin Hyung
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.2
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    • pp.155-158
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    • 1999
  • Recently arthroscopic procedure was introduced into an effective method when chronic gouty arthritis associated with acute inflammation is unresponsive to conservative treatment. The purpose of this study is to cvaluate the efficacy of tophi excision during this procedure. We tried to excise tophi which were known as one of causative materials of acute inflammation as much as possible. We report one case of chronic tophaceous gouty arthritis of the right knee which was satisfactorily treated without recurrence during more than one year after this arthroscopic procedure.

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Endoscopic Assisted Treatment of Acute Osteomyelitis with Extensive Subperiosteal Abscess in a Child - A Case Report - (광범위 골막하 농양을 동반한 소아 급성 골수염의 내시경적 치료 - 1예 보고 -)

  • Song, Kyeong-Seop;Jeon, Ho-Seung;Jeon, Seung-Joo;Kim, Hyung-Gyu;Cho, In-Kee
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.199-202
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    • 2006
  • The effects of acute hematogenous osteomyelitis vary with a patient's age because of the differences in the blood supply and structure of the bone. In children older than 2 years of age, this process results in extensive abscess formation when both the endosteal and periosteal blood supply are destroyed. Thorough drainage of abscess cavity and removal of all dead or necrotic material are not always possible although large skin incision is made along the abscess. Authors successfully managed acute osteomyelitis of the tibia with extensive large abscess in a 11 year-old female, using minimal incisions and 4-mm endoscope.

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Parasitic Leiomyoma with Lymphatic Dilatation in Trocar Port-Site of Abdominal Wall: A Case Report (트로카 삽입 부위에 생긴 림프관 확장을 동반한 기생 평활근종: 증례 보고)

  • Gayoung Jeon;Seo Young Park
    • Journal of the Korean Society of Radiology
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    • v.84 no.1
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    • pp.280-285
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    • 2023
  • Uterine leiomyoma is the most common benign pelvic tumor in female and being symptomatic is an indication for surgical removal. As laparoscopic surgery has been developed, some cases related to parasitic leiomyomas in the port site have been reported. A 40-year-old female who a history of previous laparoscopic surgery to remove uterine myoma 2 years ago visited in outpatient clinic of general surgery with palpable mass in left lower abdomen. Contrast enhanced abdomen CT and pelvis MRI were done to evaluate the mass. It was diagnosed parasitic leiomyoma in pathologic study after surgical removal and parasitic leiomyoma should be considered when patient visited presenting abdominal mass with the history of laparoscopic myomectomy.

Management of Displaced Bucket-Handle tear - Differences Between Medial & Lateral Menisci - (전위된 양동이 손잡이형 파열의 치료 - 내측과 외측 반월상 연골의 비교 -)

  • Chung Shun Wook;Hahn Sung Ho;Yang Bo Kyu;Yi Seung Rim;Ha Jeong Hyun;Kim Min Seok;Yeo Yong Beom
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.2
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    • pp.153-159
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    • 2003
  • Purpose : The purpose of this study was to compare the pattern of displaced bucket-handle tear of lateral and medial menisci and the treatment modality and results from accompanying injury. Materials and Methods : Patients who were diagnosed for displaced bucket-handle tear of medial meniscus (group I: 52patients, 52cases) and lateral meniscus (group II: 31patients, 32cases) from September 1998 to December 2002. The mean ages were 25years $(16\~66)$ for Group I and 29years $(18\~63)$ for Group II, and the average follow-up period were 18months $(12\~44)$ and 13months $(6\~46)$, respectively. The zone of meniscus tear and the existence of accompanying injury were verified through intraoperative arthroscopy and discoid type meniscus was additionally examined for group II. The assessment was made according to the physical examination and clinical pattern at the postoperative last follow-up, and the 2nd look arthroscopy was performed in 19cases $(23\%)$ for the cases accompanying anterior cruciate ligament (ACL) injury in both groups. Results : There were 38cases $(73\%)$ in group I, 5cases $(16\%)$ in group II for associating ACL injury. We observed discoid type meniscus (19cases, $59\%$) in group II. At last follow-up clinical success in repair cases of group I and II are 22cases $(85\%)$, 2cases $(67\%)$, in resection cases are 26cases $(100\%)$, 26cases $(93\%)$ respectively. Reoperation is performed 2cases in repair cases of group I. One case is re-rupture, the other case is newly developed tear in white-white zone. Reoperation is performed 2cases due to remnant meniscal tear in resection cases of group II. All of 2cases are discoid type menisci. Conclusion : Displaced bucket-handle tear of medial & lateral menisci would be substantially different an aspect, considering on difference would help to select proper treatment modality.

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