• Title/Summary/Keyword: Abdominal examination

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Ultrasound Guided Transversus Abdominis Plane Block for Anterior Cutaneous Nerve Entrapment Syndrome

  • Sahoo, Rajendra Kumar;Nair, Abhijit S.
    • The Korean Journal of Pain
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    • v.28 no.4
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    • pp.284-286
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    • 2015
  • Anterior cutaneous nerve entrapment syndrome (ACNES) is one the most common cause of chronic abdominal wall pain. The syndrome is mostly misdiagnosed, treated wrongly and inadequately. If diagnosed correctly by history, examination and a positive carnett test, the suffering of the patient can be relieved by addressing the cause i.e. local anaesthetic with steroid injection at the entrapment site. Conventionally, the injection is done by landmark technique. In this report, we have described 2 patients who were diagnosed with ACNES who were offered ultrasound guided transverses abdominis plane (TAP) injection who got significant pain relief for a long duration of time.

Diphyllobothrium latum infection in a child with recurrent abdominal pain

  • Lee, Seung Hyun;Park, Hyun;Yu, Seung Taek
    • Clinical and Experimental Pediatrics
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    • v.58 no.11
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    • pp.451-453
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    • 2015
  • Diphyllobothrium latum infection in humans is not common in Republic of Korea. We report a case of fish tapeworm infection in a 10-year-old boy after ingestion of raw perch about 8 months ago. The patient complained of recurrent abdominal pain and watery diarrhea. A tapeworm, 85 cm in length, without scolex and neck, was spontaneously discharged in the feces of the patient. The patient was treated with 15-mg/kg single dose praziquantel, and follow-up stool examination was negative after one month. There was no evidence of relapse during the next six months.

Splenic Infarction due to Torsion of Wandering Spleen - A Case Report - (유주 비장의 염전에 의한 비장 경색 - 1예 보고 -)

  • Kim, Hye-Jin;Choe, Byung-Ho;Park, Jin-Young
    • Advances in pediatric surgery
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    • v.14 no.2
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    • pp.183-188
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    • 2008
  • Wandering spleen is very rare condition in children characterized by migration of the spleen from its normal position due to laxity or absence of the supporting splenic ligaments. We experienced a case of splenic infarction due to torsion of a wandering spleen in a 6-year-old boy who presented with fever, vomiting, and abdominal pain of 2 day's duration. On physical examination, there was severe tenderness in the left upper quadrant of the abdomen. The plain abdominal radiograph showed marked colonic gaseous distension. Contrast-enhanced abdominal computed tomography scan showed decreased density of spleen in the normal position, consistent with infarction. At emergency laparotomy, a wandering spleen twisted $360^{\circ}$ on its pedicle was found. Despite splenic detorsion, blood flow could not be restored. Splenectomy was therefore performed. The child was discharged 7 days after surgery without any complications.

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A case of incisional falciform ligament hernia in a bitch (개에서 절개성 겸상인대 허니아 발생례)

  • 정순욱;박인철;정월순;강병규
    • Journal of Veterinary Clinics
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    • v.14 no.2
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    • pp.352-356
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    • 1997
  • 5 years Poodle was referred to the Veterinary Teaching Hospital, Chonnam National University in January 1997, with progressive swelling on the rear xiphoid process after cesarean section last year in local-vet clinic. Physical, radiographic, ultrasonographic and intraoperative findings that were obtained from this case were as follow; Physical findings were known as no pain, no fever in the hernia] sal at palpation. Radiographic findings revealed the decreased density of swelling contents more than peritoneum and did not identify the abdominal wall defect line. Ultrasonographic findings showed abdominal wall defect line of 3mm and intra-abdominal originated fat contents with mixed echo(hypoechoic). During the operation, falciform ligament into the hernial sac was observed and not excised, manipulated back into the cavity. The dog was given an herniorraphy with no recurrence and infection.

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Laparoscopic Removal of a Gastric Trichobezoar in an 8-Year-Old Girl - a Case Report -

  • Choi, Gyu-Seog;Choe, Byung-Ho;Park, Jin-Young
    • Advances in pediatric surgery
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    • v.16 no.1
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    • pp.43-48
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    • 2010
  • Gastric trichobezoars are commonly observed in young women with trichotillomania and trichophagia. We encountered an 8-year-old girl who had trichotillomania and trichophagia with abdominal pain and a mass, which was diagnosed as a large gastric trichobezoar. On physical examination, a huge, firm nontender mobile mass was palpated in her epigastrium. An upper gastrointestinal series and abdominal computed tomography (CT) scan showed a large mass in the stomach. Endoscopic removal was tried but failed. Laparoscopic removal was therefore performed. The trichobezoar was successfully retrieved through a gastrotomy and removed through an extended umbilical trocar incision. This case demonstrates that laparoscopic removal of large gastric trichobezoars is feasible and safe without a large abdominal incision.

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A Study of Applying Abdominal Examination Devices through Abdominal Compartment and Extracting Effective Physical Quantities for Abdominal Signs (복부 구획 기반의 복부 측정기기 적용 및 증상 유효 물리량 추출 연구)

  • Kim, Keun Ho
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.11a
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    • pp.270-272
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    • 2022
  • 한의 복진은 복부를 검사하기 위해 수행되지만 정량화되지는 않았다. 이 연구의 목표는 소화불량의 주요 증상인 흉협고만이 있는 그룹과 아닌 그룹 사이에 유의하게 차이나는 복부 측정기기의 변수를 식별하는 것이다. 정량적인 진단을 위해 규칙에 따라 구획한 복부를 적외선 열화상 카메라, 디지털 압통기, 3D 카메라 및 디지털 청진기를 포함한 기기로 측정하였다. 연구방법으로 임상연구를 수행하여 한의사들이 진단한 복부 증상인 흉협고만과의 일치도를 조사하였다. 기기 측정 중 깊이, 압력, 깊이에 대한 압력의 비율은 흉협고만 그룹이 비 흉협고만 그룹보다 유의하게 작았다. 따라서 물리적 압통 특성이 감소하고, 복부 경직도가 감소하며, 민감도가 증가했다. 좌측과 우측 늑골 사이의 거리, 흉늑골 각도는 흉협고만 환자에서 유의하게 더 컸다. 또한, 깊이 차이, 표면 법선 벡터 및 깊이 값 사이의 각도 차이는 흉협고만 그룹에서 대부분 작았다. 복부 측정기기는 다양한 질환 및 증상에 사용될 것으로 기대한다.

A Case of Complicated Congenital Cardiac Anormaly Occurred in Shepherd Mongrel Dog (세퍼드 잡종견에 발생한 복합적 선천성 심장기형의 일예)

  • Kim Duck-Hwan;Kim Kyo-Joon;Kwon Oh-Deog;Jun Moo-Hyung;Park Chung-Hee;Lee Byung-Chul;Choi Hi-In;Park Kyung-Soo
    • Journal of Veterinary Clinics
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    • v.5 no.2
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    • pp.111-118
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    • 1988
  • One four-month-old female shepherd mongrel dog with chief complaints of abdominal distension and dysponea was referred. The authors performed physical examination, hematological examination, X-ray examination, exploratory laparotomy, electrocardiography and angiography as antemortem investigation in addition to postmortem examination. This patient revealed complicated congenital cardiac anormaly including patent ductus arteriosus, both atrial and ventricular hypertrophy, distension in the base of the pulmonary artery, pulmonary stenosis, aortic insufficiency, patent foramen ovate and coronary arteriovenous fistula.

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Application of Low-Budget Protocol with Lomustine and Prednisolone for Multicentric Lymphoma in a Dog (개 다발성 림프종에 대한 Lomustine 및 Prednisolone을 이용한 Low-budget protocol 적용 증례)

  • Lee, Do-Hyung;Lim, Soo-Jung;Son, Sun-Ho;Lee, Sun-Hee;Jun, Hyung-Kyou;Choi, Ho-Jung;Lee, Young-Won;Cho, Sung-Whan;Song, Kun-Ho
    • Journal of Veterinary Clinics
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    • v.26 no.3
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    • pp.263-267
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    • 2009
  • A 9-year-old, female, Maltese Dog(2.15 kg of body weight) was referred to the Veterinary Medical Teaching Hospital, Chungnam National University with cervical masses, abdominal masses and petechia. Physical examination showed masses in mandibular, prescapular, inguinal, popliteal lymph node and abdominal subcutaneous hemorrhage. This case was diagnosed as the multicentric lymphoma by physical examination, laboratory examination, radiography, ultrasonography, CT, fine needle aspiration and histopathologic examination. This dog was treated by low-budget protocol with lomustine and prednisolone. The dog show that response duration and survival time is 143days and 263 days, respectively.

Ovarian Remnant Syndrome in a 5-Year-old Pekingese Bitch (5년령 패키니즈 암컷의 난소잔존증후군 1예)

  • eum Kyoung-Hwan;Kang Hyun-Gu;Kim Ill-Hwa;Lee Jong Hwan;Lee Kee-Chang;Lee Chung-San;Lee Dong-Yub
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.424-427
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    • 2005
  • A 5-year-old Pekingese bitch was presented with a history of vaginal bleeding and copulation before 4-week. Ovarian remnant syndrome was diagnosed on the clinical changes, vaginal cytology and exploratory laparotomy. An abdominal mass was diagnosed on radiography, ultrasonography and Computed Tomography. The remnant of ovarian tissue and an abdominal mass were removed surgically under general anesthesia. Ultrasonographic examination of the removed ovarian tissue (water bath scanning) revealed three corpora lutea. The condition resolved following surgical excision of the remaining ovarian tissue and an abdominal purulent mass.

Takayasu`s Disease Associated with Abdominal Coarctation and Renovascular Hypertension - Report of one case - (Takayasu 질환에서 신성 고혈압을 동반한 복부 대동맥 협착 수술 치험 - 1례 보고 -)

  • 이종락
    • Journal of Chest Surgery
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    • v.23 no.4
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    • pp.791-798
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    • 1990
  • Takayasu’s disease produces the occlusive and aneurysmal lesions of major branches of the aorta. Angiography is the most important diagnostic procedure in Takayasu’s disease. Surgical treatment is often justified to avoid the possible lethal consequences of hypertension on the heart, kidney, and brain, as well as in the case of aneurysm because of its risk of rupture. We experienced one case of the Takayasu’s disease associated with abdominal coarctation and renovascular hypertension. The patient was 17 years old female and had suffered from hypertension for 14 months. On physical examination, BP was 150/100 mmHg in the right arm and 120/80 mmHg in the left arm. The pulses of the left brachial and femoral arteries were weakly palpable. Aortogram showed the stenosis of the left common and subclavian arteries, coarctation of the abdominal aorta, and stenosis of the right renal artery and complete occlusion of the left renal artery. The stenosis of the right renal artery and the occlusion of the left renal artery produced the renovascular hypertension. She underwent aorta-aortic bypass for the coarctation of the abdominal aorta and aorta-renal bypass for treatment of renovascular hypertension Postoperatively, both femoral pulses were equally palpable. On discharge, antihypertensive drugs were discontinued. She has remained normotensive for last one year.

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