• Title/Summary/Keyword: 복부수술

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Solitary Fibrous Tumor of the Diaphragmatic Pleura (횡격흉막에서 발생한 고립성 섬유성 종양)

  • Lee, Chul-Burm;Lim, Hyoun-Soo;Jee, Heng-Ok;Park, Choong-Ki;Park, Yong-Wook;Kim, Hyuck;Jung, Won-Sang;Kim, Young-Hak;Kang, Jung-Ho
    • Journal of Chest Surgery
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    • v.35 no.7
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    • pp.568-572
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    • 2002
  • We present a case of a 47-year-old woman with benign solitary fibrous tumor of the pleura originated in the diaphragm which was discovered incidentally on a chest radiograph. Chest radiograph, sonograph, computed tomographic scan and magnetic resonance image studies proved a well circumscribed and lobulated fibrous tumor of the pleura. During the subsequent right thoracotomy, the tumor was found to be encapsulated and consisted of firm mass. It was connected to the diaphragm with $5{\times}4$cm area by pedicle. Most of the tumor was free of adhesion. It was excised completely together with attached diaphragm. The tumor measured $23.5{\times}13.5{\times}8.0$cm and the pathologic diagnosis was benign solitary fibrous tumor and the attached diaphragm was free of disease.

Surgical Resection of a Posterior Mediastinal Tumor That Was Previously Treated with Aortic Stent-graft under the Misdiagnosis of Aortic Aneurysm -A case report- (대동맥류로 오인되어 스텐트 그라프트가 삽입되었던 후종격동 육종의 수술 치험 -1예 보고-)

  • Kim, Mi-Jung;Park, Kay-Hyun;Lim, Cheong;Chung, Eui-Suk;Lee, Hae-Young;Choi, Jin-Ho
    • Journal of Chest Surgery
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    • v.43 no.5
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    • pp.546-549
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    • 2010
  • A 70-year-old man was transferred to our center due to severe epigastric and back pain with the impression of a ruptured thoracic aortic aneurysm. Six months previously, he had undergone insertion of stent graft into the descending thoracic aorta at another hospital. The findings of the computed tomographic scan suggested a rapidly growing malignant mediastinal tumor rather than a ruptured aneurysm. Exploratory thoracotomy confirmed the diagnosis and the tumor was resected along with the portion of the aorta contained in it. This exemplary case should raise the concern against overzealous application of endovascular aortic repair.

Wilms' tumor, aniridia, genitourinary anomalies, and mental retardation (WAGR) syndrome: Successful treatment of the first case with bilateral Wilms' tumors in Korea (윌름즈 종양, 무홍체증, 비뇨생식기계 기형, 정신지체 (WAGR) 증후군 : 양측성 윌름즈 종양을 성공적으로 치료한 국내 첫 증례 보고)

  • Min, Kyung Sun;Baek, Hee Jo;Han, Dong Kyun;You, Ju Hee;Hwang, Tai Ju;Kwon, Dong Deuk;Kook, Hoon
    • Clinical and Experimental Pediatrics
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    • v.51 no.12
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    • pp.1355-1358
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    • 2008
  • Wilms' tumor, aniridia, genitourinary anomalies, and mental retardation (WAGR) syndrome is caused by deletion of chromosome 11p13, including the Wilms' tumor (WT1) and aniridia gene (PAX6) loci. Here, we report the first case of WAGR syndrome in Korea; the patient was a 2-year-old girl with bilateral aniridia from birth who presented with abdominal distention and mental retardation. Cytogenetically, she had deletion of chromosome 11p11.2-13. Bilateral Wilms' tumors were successfully treated by chemotherapy and surgery. She has been tumor-free for 19 months off chemotherapy with preserved renal function.

A case of paraneoplastic limbic encephalitis due to ovarian mature teratoma (성숙 난소기형종에 동반된 부신생물 변연계뇌염 1례)

  • Kim, Seong-Heon;Kim, Hye-Young;Im, Young-Tak;Nam, Sang-Ook;Kim, Young-Mi
    • Clinical and Experimental Pediatrics
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    • v.53 no.4
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    • pp.603-606
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    • 2010
  • Paraneoplastic limbic encephalitis, a remote effect of cancer without nervous system metastasis, is rare, especially in childhood. Here, we report a case of paraneoplastic limbic encephalitis associated with an ovarian mature teratoma in an adolescent girl. The 15-year-old girl developed neuropsychiatric symptoms, memory loss, seizures, and unconsciousness. Cerebrospinal fluid analysis and brain magnetic resonance imaging (MRI) findings were normal, while single photon emission computed tomography imaging showed hypoperfusion in both temporal lobes. Ultrasound and MRI of the abdomen revealed a left ovarian cystic mass. The patient experienced a significant recovery of cognitive function after surgical resection of the tumor, which was pathologically identified as a mature ovarian teratoma, and treatment with intravenous immunoglobulin.

Delayed Contrast-enhanced Computed Tomography for Adrenal Masses in 3 Dogs (개 부신종양의 지연형 조영증강 전산화단층촬영 적용 3증례)

  • Lee, Jeo-soon;Yoon, Junghee;Oh, Hyun-jung;Kim, Bo-eun;Kim, Wan-hee;Youn, Hwa-young;Choi, Min-cheol
    • Journal of Veterinary Clinics
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    • v.32 no.3
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    • pp.263-267
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    • 2015
  • Three dogs having adrenal masses detected on ultrasonographic examination were underwent computed tomography (CT) for surgery. After adrenalectomy, each mass was diagnosed pheochromocytoma with myelolipoma, adrenocortical carcinoma and adrenal adenoma through histopathology. Five minutes were used to get delayed enhanced CT images. Attenuation value was measured in each mass and the absolute and relative percentage of enhancement washout were calculated.

Anterior Uveal Melanocytoma in a Dog (개의 전포도막 흑색세포종 증례)

  • Kwak, Ji-Yoon;Kang, Seon-Mi;Lee, Eui-Ri;Kim, Soo-Hyun;Park, Sang-Wan;Noh, Hyun-Woo;Seo, Kangmoon
    • Journal of Veterinary Clinics
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    • v.32 no.2
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    • pp.205-208
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    • 2015
  • A 6-year old, neutered male, Maltese dog was presented in Veterinary Medical Teaching Hospital, Seoul National University. As hyphema and aqueous flare in the right eye were found, medical treatment for uveitis was started. Four months later, anterior displacement of dorsotemporal iris was observed. A mass originating from ciliary body of the right eye was revealed by ocular sonography. There was no evidence of metastasis on thoracic and abdominal radiographic imaging. Enucleation was performed on the right eye due to the enlargement of the mass and deteriorating uveitis. On histopathological evaluation, anterior uveal melanocytoma with chronic hemorrhage was confirmed. This case suggests adequate removal of intraocular neoplasm by enucleation can be curative in case of continuous hemorrhage or inflammation in the eye that cannot be controlled by non-surgical medications.

A case of extragastrointestinal anisakiasis involving a mesocolic Iymph node (횡행결장간막의 림프절을 침범한 고래회충유충증의 장외감염 1례)

  • Kim, Hui-Jeong;Park, Chan-Il;Jo, Seung-Yeol
    • Parasites, Hosts and Diseases
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    • v.35 no.1
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    • pp.63-66
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    • 1997
  • In a 43-year-old Korean man who underwent radical gastrectomy due to a malignant stromal tumor, was found to have an enlarged Iymph node at transverse mesocolon. The Iymph node exhibited histologically necrotizing eosinophilic granuloma formed around a track containing sections of a nematode larva. The well preserved nematode sections revealed polymyarian muscle cells, Y-shaped lateral cord, a large excretory gland cell, intestine and eosinophilic cuticle. The nematode sections were identified as a larva of Anisnkis species In Korea, thIns is the first case of elrtragas trio into stinal anisakiasis.

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Laparoscopic Operation for Superior Mesenteric Artery Syndrome and Follow-up with 3-Dimensional Reconstructive CT - 1 Case Report - (상장간막동맥 증후군의 복강경 수술 및 3차원재건 복부 전산화단층촬영 영상을 이용한 추적관찰 -1예보고-)

  • Kim, Seong-Min;Kim, Sung-Hoon;Kwon, In-Kyou;Kim, Myoung-Joon;Hyoung, Woo-Jin;Choi, Seung-Hoon
    • Advances in pediatric surgery
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    • v.11 no.2
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    • pp.180-185
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    • 2005
  • Superior mesenteric artery (SMA) syndrome is a rare disorder caused by extrinsic compression of the third portion of the duodenum by the SMA. The operative treatment of choice is bypassing the obstructed duodenal segment by duodenojejunostomy. We report one case of SMA syndrome treated by laparoscopic duodenojejunostomy and followed up by 3D-reconstructive CT scan. A fifteen-year-old boy with intermittent vomiting and weight loss was admitted. Ultrasonography showed narrowing of the distance between the SMA and aorta. Hypotonic duodenography showed dilatation of duodenal third portion and barium stasis. On 3Dreconstructive CT scan, the angle between SMA and aorta was $37^{\circ}$. The postoperative course was uneventful. Three months later, he had gained 3 kg of weight and the angle between SMA and aorta increased to $38-39^{\circ}$ on 3D reconstructive CT scan. Laparoscopic duodenojejunostomy for bypassing the obstructive duodenum in SMA syndrome is a feasible and safe method.

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A Case of Pulmonary Carcinosarcoma which Metastasize to Pelvic Cavity After Left Pneumonectomy (골반강내로 전이되어 발견된 수술적 치료후 재발한 폐암육종 1예)

  • Jung, In-Su;Kim, Young-Jee;Kim, Chung-Hyeon;Kim, Si-Min;Lee, Sang-Moo;Ahn, Young-Soo
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.5
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    • pp.453-461
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    • 2001
  • Pulmonary carcinosarcoma(Sarcomatoid carcinoma of the lung) is a rare pulmonary malignancy, which is defined as having an admixture of both carcinomatous and sarcomatous components. Pulmonary carcinosarcoma occurs most frequently in males between 50 and 80 years of age. It predominantly affects the upper lobe and/or the principal bronchi, and is associated with a history of smoking. Here, we report a case of pulmonary carcinosarcoma with a left lobe atelectasis due to an endobronchial mass in a 56-year-old male. After a left pneumonectomy, the pathologic stage was IIb ($T_3N_0M_0$). Four months later, an abdominal mass was observed and exploratory laparotomy revealed metastases of the pulmonary carcinosarcoma to the pelvic cavity.

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A Case of Ruptured Ovarian Cyst in a Newborn (신생아에서 발생한 파열된 난소 낭종 1례)

  • Oh, Ki-Won;Kim, Joon-Sung;Bae, Hwa-Young;Kim, Ja-Hyeong;Jeong, Jin-Young;Nam, Chang-Woo;Choi, Seong-Hoon;Park, Sang-Kyu
    • Neonatal Medicine
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    • v.15 no.1
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    • pp.100-104
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    • 2008
  • Ovarian cysts are the most common cystic abdominal masses in female newborns. It is believed to be derived from an overstimulation of the ovarian follicles by maternal, placental, and fetal hormones. Although most ovarian cysts resolve spontaneously, surgical management is mandatory for life-threatening, complicated cases, including torsion, intracystic hemorrhage, and rupture of the cyst. Rupture of ovarian cysts is thought to be exceedingly rare, but can lead to severe hemorrhagic ascites or peritonitis. We managed a case of a ruptured ovarian cyst in a female newborn who presented with mild abdominal distension and two episodes of gross hematuria. Exploratory laparotomy revealed a right ovarian cyst with torsion and rupture. She was successfully treated with a right salpingo- oophorectomy with no sequelae.