• Title/Summary/Keyword: Abdominal Ultrasonography

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A Case of Fetal Mummification and Lithopedion from a Bitch with Prolonged Gestation over about One Month (장기임신 개에서 발생한 태아미이라변성 및 석아의 1례)

  • 김용준;박영재;오홍근;한종현;이창민;강미선
    • Journal of Veterinary Clinics
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    • v.17 no.1
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    • pp.238-242
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    • 2000
  • A six-year old bitch pregnant with prolonged gestation over about one month was ovariohysterectomied. The bitch was proved to be normal by physical and biochemical examination and had not a purulent vaginal discharge. A large firm mass was palpated in left caudoventral abdomen. Radiography identified the mass as a fetus. The abdominal ultrasono-graphy identified the fetus was dead. Caesarian section through the median raphe over linea alba was attempted. Adhensions were found between the uterus, stomach, spleen, urinary bladder, and abdominal viscera. Two fragments of bone were found in the abdominal cavity because of rupture of left uterine horn. Radiography and ultrasonography were proved to be of use to diagnose prolonged fetal mummification. Ovario-hysterectomy was considered to be choice of treatment to remove the prolonged mummified fetus.

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The effect of co-contraction exercises of abdominal bracing combined with ankle dorsiflexion on abdominal muscle thickness and strength in patients with chronic low back pain

  • Chai, Wenlan;Lee, So Hee;Park, Yu Hyung
    • Physical Therapy Rehabilitation Science
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    • v.3 no.2
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    • pp.93-100
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    • 2014
  • Objective: The purpose of this study was to determine the effect of the abdominal bracing (AB) and abdominal bracing combined with ankle dorsiflexion (ABDF) on abdominal muscle thickness and strength in patients with chronic low back pain (LBP). Design: Two group pretest posttest design. Methods: Sixteen subjects were divided randomly into two group: ABDF group (n=8), and alone AB group (n=8). The ABDF group practiced AB exercise with additional ankle dorsiflexion. AB group practiced only AB exercises. Subjects in both groups received ABDF exercise and AB exercise for 40 min per day, three days per week during a period of three weeks, respectively. All the subjects were evaluated for abdominal muscle thickness and strength before and after intervention using ultrasonography and MedX machine. Results: The external oblique (EO), internal oblique, transverse abdominis (TrA) muscle thickness and the strength produced at $48^{\circ}$, $60^{\circ}$, $72^{\circ}$ showed a significant increase in the ABDF group after intervention, with a more significant improvement in EO and TrA muscle thickness in the ABDF group compared with the AB group (p<0.05). Also, the strength at $48^{\circ}$ strength showed a significant improvement in the ABDF group than the AB group (p<0.05). Conclusions: The study results showed that abdominal muscle contraction exercises with AD in patients with LBP had an influence on abdominal muscle thickness and strength. Therefore, these findings suggest that ABDF may be useful approach for enhancement of abdominal muscle thickness and strength in patients with chronic low back pain.

Successful Treatment of Abdominal Cutaneous Entrapment Syndrome Using Ultrasound Guided Injection

  • Hong, Myong Joo;Kim, Yeon Dong;Seo, Dong Hyuk
    • The Korean Journal of Pain
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    • v.26 no.3
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    • pp.291-294
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    • 2013
  • There are various origins for chronic abdominal pain. About 10-30% of patients with chronic abdominal pain have abdominal wall pain. Unfortunately, abdominal wall pain is not thought to be the first origin of chronic abdominal pain; therefore, patients usually undergo extensive examinations, including diagnostic laparoscopic surgery. Entrapment of abdominal cutaneous nerves at the muscular foramen of the rectus abdominis is a rare cause of abdominal wall pain. If abdominal wall pain is considered in earlier stage of chronic abdominal pain, unnecessary invasive procedures are not required and patients will reach symptom free condition as soon as the diagnosis is made. Here, we report a case of successful treatment of a patient with abdominal cutaneous nerve entrapment syndrome by ultrasound guided injection therapy.

Ultrasonographic evaluation of skin thickness in small breed dogs with hyperadrenocorticism

  • Heo, Seonghun;Hwang, Taesung;Lee, Hee Chun
    • Journal of Veterinary Science
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    • v.19 no.6
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    • pp.840-845
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    • 2018
  • The purpose of this study was to propose a standard for differentiation between normal dogs and patients with hyperadrenocorticism (HAC) by measuring skin thickness via ultrasonography in small breed dogs. Significant changes in skin thickness of patients treated with prednisolone (PDS) or patients with HAC treated with trilostane were evaluated. Skin thickness was retrospectively measured on three abdominal digital images obtained from small breed dogs weighing < 15 kg that underwent abdominal ultrasonography. Mean skin thickness of normal dogs was $1.03{\pm}0.25mm$ (mean ${\pm}$ SD). Both the HAC and PDS groups showed significantly thinner skin than that in the normal group. Seven of the 10 HAC patients treated with trilostane had increased skin thickness. The area under the curve value of 0.807 was based on the receiver operating characteristics (ROC) curve for differentiating normal dogs from HAC patients. Sensitivity was 76% and specificity was 73% when skin thickness was less than the 0.83 mm cutoff value. In conclusion, measurement of skin thickness in small breed dogs by using ultrasonography is likely to provide clinical information useful in differentiating HAC patients from normal dogs. However, exposure to PDS, trilostane, and other conditions may have a significant effect on skin thickness.

Bowel Obstruction Due to Less-Digestible Pet Food with No Shadowing on Ultrasonography in a Small-Breed Puppy

  • Junyoung Kim;Jihye Choi;Junghee Yoon
    • Journal of Veterinary Clinics
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    • v.41 no.2
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    • pp.127-132
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    • 2024
  • A 6-month-old intact female Bichon Frise dog weighing 0.9 kg presented with vomiting, anorexia, and lethargy persisting for 3 days. No remarkable abnormalities were detected on the history or physical examination. Laboratory findings were mostly normal, except for elevated levels of alkaline phosphatase (ALP) and blood urea nitrogen (BUN). Abdominal radiography revealed a fluid-dilated stomach and gas-dilated intestinal loops in the regional areas. Abdominal ultrasonography was performed to investigate the cause of gastrointestinal dilation, which revealed a rectangular, homogeneous, echogenic foreign material with no shadowing in the small intestine, causing mechanical obstruction. Upon further inquiry involving detailed re-take of history with the owner, a history of ingesting dog gum 4 days prior was identified. On surgical enterotomy, the hard pet food was identified and removed from the distal duodenum. Postoperatively, the patient's clinical signs showed complete improvement, with a return to normal appetite. The present case demonstrates that less-digestible, hard pet food, despite showing no shadowing on ultrasonography, can act as a foreign material, causing mechanical intestinal obstruction in a small-breed puppy. Furthermore, surgical removal of these materials is necessary in cases of intestinal obstruction.

Analysis of the Accuracy about Abdominal Ultrasonography and Clinical Chemical Test with Fatty Liver Patients on the Medical Examination (종합검진 후 지방간 환자의 복부 초음파 검사와 임상화학적 검사결과의 정확성 분석)

  • Kim, Young-Jae;Song, Jong-Nam;Kim, Min-Eui
    • Journal of the Korean Society of Radiology
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    • v.6 no.3
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    • pp.183-189
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    • 2012
  • Ultrasonography is one of the fields on the imaging studies within intra-abdominal organs. A blood test is a typical method of clinical chemical examination on the in vivo test of clinical symptoms. Fatty liver is performed simultaneously two kinds of diagnostics methods, intra-abdominal ultrasound and blood tests. At an implementing this, the standard of blood tests value was the TBIL, TC, AST, ALT, ALP, GGT, TG, HDL-C, GLU. In this study analyzing the accuracy of the two kinds of test, ultrasonography and blood test, on patients with fatty liver. From January to March 2012, patients 459 determined fatty liver within 1350, who received health examination simultaneously on the intra-abdominal ultrasonography and blood tests. Same result of ultrasonography and blood test's patients were 459 ie, 60.8%. and different result of those examinations was 280 ie, 39.2%. Consequently diagnostic accuracy was 60.8%. It presumably caused by differences in the diagnostic performance of ultrasound professionals(Radiologist or Radiological Technologist). In order to overcome this, ongoing educational and study will be needed.

The Study for the Relation between Fatty Liver Diagnosed by Abdominal Ultrasonography and Hyperlipidemia (복부 초음파 검사로 진단된 지방간과 고지혈증 지표와의 관련성 연구)

  • Lee, Ga-Hul;Seok, Jong-Min;Jeon, Woo-Jin;KO, Eun-Ju;Lee, Jin
    • Journal of the Korean Society of Radiology
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    • v.13 no.4
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    • pp.531-537
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    • 2019
  • The purpose of this study was to analyze the relationship between hematologic hyperlipemia index and severity of fatty liver abdominal ultrasonography. A total of 412 adults from January 1, 2017 to December 31, 2017 who underwent abdominal ultrasonography and hematologic data within 3 months of the ultrasound examination, were the target of the investigation. As a result of the study, the hematological values according to the degree of fatty liver were statistically significant in triglyceride, AST and ALT (p<.05), fatty liver was associated with gender, triglyceride, AST and ALT (p<.05). In conclusion, the degree of fatty liver was not directly related to the hematologic value of hyperlipidemia, but we confirmed the necessity of co-management with fatty liver and hyperlipidemia by confirming its relevance.

A Sphaghetti Sign in the Abdominal Radiograph Consistent with Spleno-Systemic Shunts in a Cat

  • Oh, Donghyun;Hwang, Jaewoo;Yoon, Junghee;Choi, Mincheol
    • Journal of Veterinary Clinics
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    • v.37 no.4
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    • pp.227-230
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    • 2020
  • A 8-year-old spayed female Korean short-haired cat was presented with respiratory distress. CBC, serum chemistry analysis, plain radiography, and abdominal ultrasonography were performed. Besides hypertrophic cardiomyopathy (HCM) suspected by the thoracic radiograph, a tubular, tortuous soft tissue structure was detected at the region of the left retroperitoneal cavity on the abdominal radiograph. On the abdominal ultrasonography, a shunt vessel is identified caudo-lateral to the left kidney region. These findings are consistent with spleno-systemic shunts in cats. Furthermore, portal hypertension and diffuse hepatic lesion were also identified. Although the cause of a shunt vessel is not easy to diagnose, it is important to include spleno-systemic shunt into differential diagnosis list, when convoluted, tubular soft tissue opacity is seen on the digital radiography (DR). This report will allow clinicians to raise awareness of complications of portosystemic shunt (PSS) and better treat PSS suspected feline patients when the advanced modalities such as computed tomography and magnetic resonance imaging are not available.

Chronic Suppurative Steatitis Secondary to Pancreatitis in a Dog (개의 췌장염에 의한 만성 화농성 지방조직염증)

  • Choi, Ji-Hye;Kim, Hyun-Wook;Jang, Jae-Young;Seo, Ji-Min;Lee, Min-Jung;Choi, Ul-Soo;Kim, Mi-Eun;Yoon, Jung-Hee
    • Journal of Veterinary Clinics
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    • v.26 no.1
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    • pp.76-80
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    • 2009
  • A Maltese was presented with a subcutaneous mass at right flank, depression and hyperthermia. Ultrasonography revealed a hypoechoic mass with hyperechoic foci, a defect of abdominal wall and peritonitis. In cytology, fat necrosis was found. This dog was diagnosed as chronic suppurative steatitis secondary to pancreatitis and pancreatic herniation through surgery and histopathologic examination. Steatitis is recurrent inflammation and necrosis of adipose tissue. Also steatitis associated with pancreatic diseases such as pancreatitis and pancreatic tumor was reported and direct fat necrosis by pancreatic enzyme was supposed as the etiology. Steatitis secondary to pancreatitis was rarely reported in dogs and there was difficulty in diagnosis and treatment. This case has a limitation that pancreatitis was not diagnosed as underlying cause to steatitis before surgery. However, a defect of abdominal wall and peritonitis were observed on ultrasonography. Good prognosis could be achieved through prompt surgery and medical treatment.

Hemangiosarcoma in a German Shepherd Dog (German Shepherd견의 혈관육종례)

  • 윤정희;권오경;성재기
    • Journal of Veterinary Clinics
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    • v.13 no.1
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    • pp.87-92
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    • 1996
  • A hemangiosarcoma in a 30 kg, 6-year-old German Shepherd dog showing signs of abdominal distension, anorexia and depression was diagnosed with clinicopathologic examination, abdominal radiographs and ultrasonographic assessmint. In abdominal radiographs, overall abdominal distension was seen. Stomach and some parts of small intestines were deviated caudo-ventrally by enlarged liver. The splenomegaly was also identified and descending colon was dislocated laterally by splenic mass. In ultrasonographic findings, abdominal fluid was identified. Hepatomegaly was seen and it was consisted of multiple, anechoic cysts. The spleen was enlarged and a large round mass with mixed echo pattern at the mid to tail portion of spleen was identified. Grossly, at necropsy, multi-sized cysts in which contained blood and fibrpus materials and some blood were seen in the cross section and it showed hard consistency. Also, lots of small red tumor nodules were dispersed on the serosal surface of the bladder, omentum, mesentery, diaphragm and peritoneum. In abdominal paracentesis, fluid having almost the same properties as circulating blood was identified. The hemoperitoneum was thought to be resulted from the bleeding into peritoneum owing to the rupture of cystic lesions located on the superficial liver area.

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