• 제목/요약/키워드: Abdominal distension

검색결과 247건 처리시간 0.033초

신경아세포종의 전산화단층촬영 소견 (Neuroblastoma : Computed Tomographic Finding)

  • 김재운;최종오;조재호;황미수;박복환
    • Journal of Yeungnam Medical Science
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    • 제13권1호
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    • pp.134-140
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    • 1996
  • 1986년부터 1995년까지의 10년간 영남대학교 의과대학 부속병원에서 절제술이나 세침 생검을 시행하여 조직 병리학적으로 확진된 신경아세포종 23례 중 전산화단층촬영을 시행한 16례를 대상으로 후향적으로 분석한 결과 신경아세포종은 소아에서 많이 발생하며, 부신에서 호발하고, 임상적인 주 증상은 만져지는 종괴였다. 전산화단층촬영소견은 과반수 이상에서 작고 고밀도이거나 곡선 모양의 석회화를 보이며, 중앙선을 침범하며, 분엽상의 모양과 분명한 경계를 보이고, 내부에 낭성 변화를 보이며, 불균등한 조영 양상을 보이고, 주위 중요 혈관과 림프절을 침범한 소견을 보였다. 이와 같은 전산화 단층촬영소견들은 소아 복부 종양에서 신경아세포종의 진단과 감별에 도움을 줄것으로 생각된다.

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개에서 초음파를 이용한 간 종괴의 세침흡인술 증례 (Diagnostic Approach of Hepatic Mass using Ultrasound Guided Fine Needle Aspiration in a Dog)

  • 최호정;이기창;최민철;윤정희
    • 한국임상수의학회지
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    • 제21권2호
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    • pp.181-183
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    • 2004
  • Hepatic mass was aspirated under the guidance with ultrasound in 9-year old female maltese with signs of anorexia, hematochezia, vomiting, depression, and abdominal distension. Radiographic and abdominal ultrasonographic examinations were performed, which revealed enlarged tubular shaped uterine mass and solitary, small round hyperechoic hepatic mass dorsal to gall bladder as an incidental finding. Ultrasound-guided fine needle aspiration was completed, but histologic confirmation should be made for definitive diagnosis by tissue core or wedge biopsy.

복강 잠복고환에서 발생한 정상피종의 수술적 제거 (Surgical Removal of Seminoma Occurred in a Dog with Abdominal Cryptorchidism)

  • 박현정;정종태
    • 한국임상수의학회지
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    • 제33권4호
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    • pp.243-245
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    • 2016
  • A 7-year-old male poodle dog with abdominal distension and dysuria was referred to the Veterinary Teaching Hospital at Jeju National University. Intraabdominal mass was detected by radiography and ultrasonography. Surgical excision was performed by laparotomy. After the operation, this intraabdominal mass was diagnosed as seminoma based on histopathologic examination.

소아에서 발생한 S상 결장 염전증 1예 (A Case of Sigmoid Volvulus in a Child)

  • 이동한;위주희;박현석;김해영;박재홍
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제13권2호
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    • pp.199-203
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    • 2010
  • 본 증례는 1년 전부터 갑작스럽게 복부팽만과 복통이 반복하다 내원 10일 전부터 심한 복통과 복부팽만, 구토가 발생하여 내원한 9세 남자 환자이다. 복부 X-선 촬영과 바륨 관장 등의 검사로 S상 결장 염전증을 진단하고 내시경적 염전 정복과 감압술 시도하였으나 실패하였다. 수술 시야에서 심하게 확장되고 비정상적으로 긴 S상 결장과 굵은 혈관이 포함된 결장간막이 관찰되었고 S상 결장의 원위부 및 근위부에서 좁아진 부위를 확인하여 이 부분을 포함한 S상 결장 절제술을 시행하였다. 이후 환자는 5년 동안의 추적관찰에서 증상의 재발이 없었다.

A case of Sotos syndrome presented with end-stage renal disease due to the posterior urethral valve

  • Cho, Won Im;Ko, Jung Min;Kang, Hee Gyung;Ha, Il-Soo;Cheong, Hae Il
    • Journal of Genetic Medicine
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    • 제11권2호
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    • pp.74-78
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    • 2014
  • Sotos syndrome (SS, OMIM 117550) is characterized by prenatal and postnatal overgrowth with multiple congenital anomalies. However, there have been few cases of growth retardation caused by renal failure from infancy. We report a case of dysplasia of the bilateral kidneys with renal failure and poor postnatal growth. A 2-month-old boy visited the emergency room owing to poor oral intake and abdominal distension. He was born at the gestational age of 38 weeks with a birth weight of 4,180 g. After birth, he had feeding difficulty and abdominal distension. Upon physical examination, his height and weight were in less than the 3rd percentile, while his head circumference was in the 50th percentile on the growth curve. He also showed a broad and protruding forehead and high hairline. Blood laboratory tests showed severe azotemia; emergent hemodialysis was needed. Abdominal ultrasonography revealed bilateral renal dysplasia with multiple cysts and diffuse bladder wall thickening. A posterior urethral valve was suggested based on vesicoureterography and abdominal magnetic resonance findings. Results of a colon study to rule out congenital megacolon did not reveal any specific findings. The conventional karyotype of the patient was 46, XY. Array comparative genomic hybridization study revealed a chromosome 5q35 microdeletion including the NSD1 gene, based on which SS was diagnosed. We describe a case of SS presenting with end stage renal disease due to posterior urethral valve. The typical somatic overgrowth of SS in the postnatal period was not observed due to chronic renal failure that started in the neonatal period.

한방병원에 입원한 요추관협착증을 동반한 만성 위염 환자에 대한 한방 치료 1례 (A Case Report of Chronic Gastritis in a Patient with Spinal Stenosis Hospitalized at a Korean Medicine Hospital and Treated with Korean Medicine)

  • 김소원;박진훈;왕연민;김상윤;백길근;윤상훈;이형철;강만호;박성환;이지영
    • 대한한방내과학회지
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    • 제43권5호
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    • pp.854-863
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    • 2022
  • Objectives: The purpose of this study is to report the efficacy of applying Korean medical treatment to chronic gastritis. Methods: We treated a chronic gastritis patient with Korean medical treatments (herbal medicines, acupuncture, and herbal acupuncture therapy). To evaluate the results of this treatment, we took measurements using the Gastrointestinal Symptom Rating Scale and Visual Analogue Scale for abdominal pain, heartburn, nausea, and abdominal distension. The patient's generic health status was evaluated using the European Quality of Life 5 Dimensions Scale. Results: Improvements in gastrointestinal symptom ratings and the European Quality of Life 5 Dimensions Scale were observed after the treatments. Relief of symptoms was observed in abdominal pain, heartburn, nausea, vomiting, and abdominal distension using the Visual Analogue Scale. Conclusions: This study suggests that Korean medicine may be effective in the treatment of chronic gastritis.

개에서 신암종 발생례 (Renal Carcinoma in a Dog)

  • 장인호;장광호;장환수;송창현;강원모;박기대;이재현
    • 한국임상수의학회지
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    • 제17권1호
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    • pp.270-274
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    • 2000
  • A seven-year-old female Jindo-dog was presented with a history of progressive abdominal distension. Except for severe bilateral abdominal swelling, other abnormal signs were not detected. The patient showed normal appetite and defecation. In the radiographic examination, the abdomen was filled with large masses. Suspected a certain neoplastic disease, laparotomy was taken through the cranial abdominal midline. Large pale-yellow masses were proliferated to fill the abdomen. In the masses, grey-brown or black portion presumed hemorrhagic or necrotic spots were found. Even though neoplastic tissues were not detected in the right kidney, they were infiltrated in the left kidney except for a part of the cortex. Obtaining the owner's consent, the patient was euthanized and samples were collecte for further study. In microscopic examination, the parenchyma of the medulla was substituted with tumor cells and the cortex was impressed by the expansive proliferation of the neoplastic tissues. This neoplasm was estimated as renal carcinoma originated from tubular epithelium, being based upon that tumor cells were largely cuboidal cells and they had obscure tubular forms.

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분변 감입을 동반한 무증상의 심한 소아변비 치험례 (A Case Report of Fecal Impaction in a Child without Abdominal Symptoms)

  • 정지은;장인수;정민정
    • 대한한방소아과학회지
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    • 제34권4호
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    • pp.101-107
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    • 2020
  • Objectives The purpose of this study is to report the case of fecal impaction in a child without any abdominal symptoms treated by taking herbal medicine. Methods We examined a 7-year-old girl who had normal bowel movement and defecation per day, and had no particular abdominal symptoms. Abdominal radiography was taken, and unexpected severe fecal impaction was observed throughout the abdominal cavity, filled with intestinal gas and feces. According to the subject's parents, she had no generalized symptoms, such as abdominal pain or distension, and had on a regular diet and normal bowel movement daily. She was treated with herbal medicine (Daeseunggi-tang) for 23 days. While she was on the therapy, numbers, doses, bowel movements, and radiography were checked and recorded. Results During the treatment, her stool was softened, and fecal impaction was relieved as showed by abdominal radiography. Conclusions We have identified that there are cases where subjects have no symptoms of abdominal pain, despite presence of severe fecal impaction. In addition, it was found that Daeseunggi-tang is effective in fecal impaction in childhood.