• 제목/요약/키워드: Abdominal wall

검색결과 364건 처리시간 0.028초

복벽에 발생한 데스모이드 종양의 급속 조영 CT 소견 : 2례 보고 (CT Findings of Desmoid Tumor arising at Abdominal Wall: Two Cases Report)

  • 조대현;조재호;장재천
    • Journal of Yeungnam Medical Science
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    • 제12권2호
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    • pp.386-392
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    • 1995
  • 데스모이드 종양은 섬유아세포양 증식을 특징으로 하는 심부 섬유종증으로 조직학적으로 양성이지만 침습적인 성장 양상과 높은 재발율을 보인다. 방사선학적으로 초음파상 경계가 비교적 뚜렷한 고형종괴로 보이며 내부의 에코는 비특이적이며 CT 소견상 근섬유의 주행방향을 따라 길쭉한 모양을 보이고 조영제 주입전에는 주변 근육과 비슷한 등음영 또는 약간 저음영을 보이고 조영후에는 시간이 감에 따라 점차 조영증강되는 소견을 보인다. 저자들은 급속조영 CT를 시행하여 시간에 따른 조영 양상을 관찰함으로써 종괴의 조직학적 구성을 짐작할 수 있었고 병리조직학적으로 확진된 데스모이드 종양 2례를 경험하였기에 보고하는 바이다.

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소의 십이지장 캐뉼라 시술법 (The Method of Inserting Operation of T-type Cannula into the Proximal Duodenum of Cattle)

  • 노환국;이장형
    • 현장농수산연구지
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    • 제6권1호
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    • pp.136-142
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    • 2004
  • 소의 하부장기 소화율 시험을 위하여 체중 300kg 전후의 거세 수소 5두의 십이지장내에 T 형태의 캐뉼라 설치 시술을 실시하였다. 럼푼을 주사하여 안정시킨 후 리도카인으로 국소 침윤마취를 실시하였고 피부 절개부위는 하복부 정중선에서 등쪽으로 약 20cm 정도에서부터 오른쪽 마지막 늑골에서 미부쪽으로 약 3cm 정도 간격을 두면서 늑골과 평행하게 15~20cm 정도 절개하였다. 4위 유문부에서 약 5~8cm 떨어진 곳에 T형 캐뉼라를 삽입한 후 봉합하였고 제 10-11 늑골간에 캐뉼라 누관을 인출하여 피부 밖으로 고정하였다. 시술한 소들은 모두 20개월 이상 건강하게 사육되었다.

복부전방피부신경 영역의 자침으로 유발한 자율신경 및 위장관기능 변화에 대한 연구 (Responses of Autonomic Nervous System and Gastrointestinal Function to Acupuncture at Abdominal Anterior Cutaneous Nerve : A Pilot Study)

  • 박서현;김호준;금동호
    • 대한한의학회지
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    • 제40권1호
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    • pp.99-113
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    • 2019
  • Objectives: This study is designed to identify the responses of autonomic nervous system and gastrointestinal function which are induced by acupuncture at abdominal anterior cutaneous nerve. Methods: This study is one group before and after pilot study. Subjects were treated once, after having been fasting six hours. They had before tests, labeling points for acupuncture, acupuncture, and after tests in order. The points of acupuncture were motor points of rectus abdominis where the abdominal anterior cutaneous nerve came to the skin from abdominal wall. Before and after tests were consisted of three things: Digital Infrared Thermographic Imaging(D.I.T.I.), Heart Rate Variability(HRV), and Recording of bowel sounds. Results: There were significant differences on the skin temperature of upper body and the frequency of bowel sounds(p<0.001, p<0.001). The HRV parameters and volume of bowel sounds had no significant differences(p>0.05, p>0.05). Conclusion: Even though no significant differences in HRV parameters, the significant differences of skin temperature of upper body and frequency of bowel sounds could mean acupuncture at abdominal anterior cutaneous nerve could affect the autonomic nervous system and gastrointestinal function. However, this study had no group to compare with. Future randomized project should address this issue.

Long-term Survival after Repeated Local Therapy and Salvage Chemotherapy for Recurrent Metastases from Gastric Cancer: a Case Report and Literature Review

  • Kwon, Jihyun;Han, Hye Sook;Kim, Hee Kyung;Baek, Seung-Woo;Yang, Yaewon;Lee, Ki Hyeong;Son, Seung-Myoung;Kim, Won-Dong;Kim, Dae Hoon;Yun, Hyo Yung
    • Journal of Gastric Cancer
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    • 제18권3호
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    • pp.305-312
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    • 2018
  • We report a rare case of long-term survival in a patient who received local therapy and salvage chemotherapy for recurrent metastases, along with a literature review. A 65-year-old male patient underwent subtotal gastrectomy for advanced gastric adenocarcinoma. Six months after gastrectomy, 2 metastatic intra-abdominal lymph node enlargements were detected, which were treated with radiotherapy. At 55 months after gastrectomy, an abdominal wall mass was detected, which was treated by surgical resection. The patient received 5-fluorouracil/leucovorin/irinotecan chemotherapy for 27 months before and after radiotherapy and docetaxel chemotherapy for 6 months after surgical resection of the abdominal wall metastasis. At the last visit, 7.8 years since the initial resection of the primary gastric cancer and 6.2 years since detection of the first metastases, the patient was disease-free and required no further chemotherapy. This case suggests that repeated local therapy offers potential for long-term survival in a carefully selected subset of patients with recurrent metastases.

Mesenteric Pseudocyst of the Small Bowel in Gastric Cancer Patient: A Case Report

  • Lee, Sang-Eok;Choi, In-Seok;Choi, Won-Jun;Yoon, Dae-Sung;Moon, Ju-Ik;Ra, Yu-Mi;Min, Hyun-Sik;Kim, Yong-Seok;Kim, Sun-Moon;Sohn, Jang-Sihn;Lee, Bong-Soo
    • Journal of Gastric Cancer
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    • 제12권1호
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    • pp.43-45
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    • 2012
  • Mesenteric pseudocyst is rare. This term is used to describe the abdominal cystic mass, without the origin of abdominal organ. We presented a case of mesenteric pseudocyst of the small bowel in a 70-year-old man. Esophago-gastro-duodenoscopy showed a 3.5 cm sized excavated lesion on the posterior wall of angle. Endocopic biopsy confirmed a histologic diagnosis of the poorly differentiated adenocarcinoma, which includes the signet ring cell component. Abdominal computed tomography scan showed a focal mucosal enhancement in the posterior wall of angle of the stomach, a 2.4 cm sized enhancing mass on the distal small bowel loop, without distant metastases or ascites in rectal shelf, and multiple gallbladder stones. The patient underwent subtotal gastrectomy with gastroduodenostomy, segmental resection of the small bowel, and cholecystectomy. The final pathological diagnosis was mesenteric pseudocyst. This is the first case report describing incidentally detected mesenteric pseudocyst of the small bowel in gastric cancer patients.

진행성 유방암에 있어 유방절제술 후 발생한 광범위 피부결손 부위의 가슴배피판을 이용한 흉벽재건술 (Chest Wall Reconstruction with Thoracoabdominal Flap for Large Skin Defects after Mastectomy of Advanced Breast Cancer)

  • 김학태;양정덕;정호윤;조병채;김귀락;최강영;이정훈;박호용
    • Archives of Plastic Surgery
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    • 제37권6호
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    • pp.736-741
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    • 2010
  • Purpose: Radical surgical extirpation in advanced breast cancer patients produces extensive loss of skin with large defects requiring plastic surgical procedures for the closure. Many reconstructive methods exist, the choice of which depends upon the characteristic of the wound, extent of resection and patient comorbidities. For adequate coverage of the large skin defects following resection of advanced breast cancer, current authors have performed a thoracoabdominal flap. Methods: From August 2008 to June 2009, 4 cases of thoraco-abdominal flap were performed for chest wall reconstruction after mastectomy of advanced breast cancer. Flap dissection was entirely performed in a subfascial plane and the flap involving the external oblique abdominal muscle. The flap was rotated clockwise in left chest wall defects and counterclockwise in right chest defects and the donor site was closed directly. Results: Their mean age, 55.7 years and the average follow-up interval was 9 months. Patients' oncologic status ranged from stage IIIc to stage IV, it was classified according to the TNM staging system. Flap dimensions ranged between $15{\times}15$ and $25{\times}25\;cm$. One flap sustained a partial loss at the distal margin and revision with pectoralis major musculocutaneous island flap. Conclusion: Large chest wall reconstructions are usually required after radical excision of advanced cancer stages patients with poor general conditions. Thoracoabdominal flap is a simple, quick single-stage procedure, and offer to patient fast recovery, low complication rate, enabling further concomitant adjuvant therapy.

다발성 피하조직 전이를 일으킨 기관지폐암 1례 보고 (Bronchogenic Carcinoma with Multiple Subcutaneous Metastasis: one case report)

  • 김경우;이홍균
    • Journal of Chest Surgery
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    • 제12권4호
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    • pp.307-311
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    • 1979
  • Bronchogenic carcinoma with subcutaneous metastasis is rare, and the incidence ranged from 1.0 to 3.0 %. Therefore metastatic nodules are incidental findings in some instances. The distribution in order of frequency Is as follows: chest wall, scapular region, abdominal wall, course of spine, upper extremities and scalp etc, and mos. of nodules are between 0.5-2.0 cm in diameter. In this report, we present one case of a 54 year old male having bronchogenic carcinoma (squamous cell type) with multiple subcutaneous metastases. The metastatic nodules were located in subcutaneous tissue of right posterior chest wall ($4{\times}5$ cm), frontal scalp area (two; $2{\times}3$ cm, $0.5{\times}0.5$ cm), left scapular region ($1{\times}1$ cm) and left iliac crest ara ($1{\times}11$ cm).

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불안정한 지지면에서의 벽 스쿼트 운동과 안정된 지지면에서의 브릿지 운동이 정상 성인의 자세에 미치는 영향 (The Influence of Unstable Wall Squat Exercise and Stable Bridge Exercise on Posture in Normal Adults)

  • 공원태
    • 대한정형도수물리치료학회지
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    • 제28권1호
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    • pp.1-7
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    • 2022
  • Purpose: The purpose of this study is to examine the unstable wall squat exercise and stable bridge exercise on posture in normal adults. Methods: The subjects of this study were 34 university students who were normal health adults, equally and randomly allocated to a unstable wall squat exercise group (male 7, female 10), an experimental group, and a stable bridge exercise group, a control group. Both did so for 30 minutes three times per week over a six-weeks period. Using Back Mapper, their trunk inclination (TIN), trunk imbalance (TIM), pelvic position (PPO), pelvic torsion (PTO), pelvic rotation (PRO) and the position of their scapula (PSA) were evaluated. Results: When the pre-test and post-test results of experimental group and control group were compared, statistically significant differences in TIN, PTO and PSA of experimental group were seen. Conclusion: Unstable wall squat exercise accompanied by abdominal drawing-in may be applied as a method to correct the posture in normal adults.

복부와 경부 관통상 환자에 대한 임상적 고찰 (Clinical Analysis of Patients with Abdomen or Neck-penetrating Trauma)

  • 노하니;김광민;박준범;류훈;배금석;강성준
    • Journal of Trauma and Injury
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    • 제23권2호
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    • pp.107-112
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    • 2010
  • Purpose: Recently, the change to a more complex social structure has led to an increased frequency of traumas due to violence, accident and so on. In addition, the severity of the traumas and the frequency of penetrating injuries have also increased. Traumas to cervical and abdominal areas, what are commonly seen by general surgeons, can have mild to fatal consequences because in these areas, various organs that are vital to sustaining life are located. The exact location and characteristics of the injury are vital to treating patients with the trauma to these areas. Thus, with this background in mind, we studied, compared, and analyzed clinical manifestations of patients who were admitted to Wonju Christian hospital for penetrating injuries inflicted by themselves or others. Methods: We selected and performed a retrospective study of 64 patients who had been admitted to Wonju Christian Hospital from January 2005 to December 2009 and who had cervical or abdominal penetrating injuries clearly inflicted by themselves or others. Results: There were 51 male (79.7%) and 13 female (20.3%) patients, and the number of male patients was more dominant in this study, having a sex ratio of 3.9 to 1. The range of ages was between 20 and 86 years, and mean age was 43.2 years. There were 5 self-inflicted cervical injuries, and 19 self-inflicted abdominal injuries, making the total number of self-inflicted injury 24. Cervical and abdominal injuries caused by others were found in 11 and 29 patients, respectively. The most common area involved in self-inflicted injuries to the abdomen was the epigastric area, nine cases, and the right-side zone II was the most commonly involved area. On the other hand, in injuries inflicted by others, the left upper quadrant of the abdomen was the most common site of the injury, 14 cases. In the neck, the left-side zone II was the most injured site. In cases of self-inflicted neck injury, jugular vein damage and cervical muscle damage without deep organ injury were observed in two cases each, making them the most common. In cases with abdominal injuries, seven cases had limited abdominal wall injury, making it the most common injury. The most common deep organ injury was small bowel wounds, five cases. In patients with injuries caused by others, six had cervical muscle damage, making it the most common injury found in that area. In the abdomen, small bowel injury was found to be the most common injury, being evidenced in 13 cases. In self-inflicted injuries, a statistical analysis discovered that the total duration of admission and the number of patients admitted to the intensive care unit were significantly shorter and smaller, retrospectively, than in the patient group that had injuries caused by others. No statistically significant difference was found when the injury sequels were compared between the self-inflicted-injury and the injury-inflicted-by-others groups. Conclusion: This study revealed that, in self-inflicted abdominal injuries, injuries limited to the abdominal wall were found to be the most common, and in injuries to the cervical area inflicted by others, injuries restricted to the cervical muscle were found to be the most common. As a whole, the total duration of admission and the ICU admission time were significantly shorter in cases of self-inflicted injury. Especially, in cases of self inflicted injuries, abdominal injuries generally had a limited degree of injury. Thus, in our consideration, accurate injury assessment and an ideal treatment plan are necessary to treat these patients, and minimally invasive equipment, such as laparoscope, should be used. Also, further studies that persistently utilize aggressive surgical observations, such as abdominal ultrasound and computed tomography, for patients with penetrating injuries are needed.

Acalculous Diffuse Gallbladder Wall Thickening in Children

  • Lee, Ji Haeng;No, Young Eun;Lee, Yeoun Joo;Hwang, Jae Yeon;Lee, Joon Woo;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제17권2호
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    • pp.98-103
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    • 2014
  • Purpose: Gallbladder (GB) wall thickening can be found in various conditions unrelated to intrinsic GB disease. We investigated the predisposing etiologies and the outcome of acalculous GB wall thickening in children. Methods: We retrospectively analyzed 67 children with acalculous GB wall thickening who had visited our institute from June 2010 to June 2013. GB wall thickening was defined as a GB wall diameter > 3.5 mm on abdominal ultrasound examination or computed tomography. Underlying diseases associated with GB wall thickening, treatment, and outcomes were studied. Results: There were 36 boys and 31 girls (mean age, $8.5{\pm}4.8years$ [range, 7 months-16 years]). Systemic infection in 24 patients (35.8%), acute hepatitis in 18 (26.9%), systemic disease in 11 (16.4%), hemophagocytic lymphohistiocytosis in 4 (6.0%), acute pancreatitis in 3 (4.5%), and specific liver disease in 3 (4.5%) predisposed patients to GB wall thickening. Systemic infections were caused by bacteria in 10 patients (41.7%), viruses in 5 patients (20.8%), and fungi in 2 patients (8.3%). Systemic diseases observed were systemic lupus erythematosus in 2, drug-induced hypersensitivity in 2, congestive heart failure in 2, renal disorder in 2. Sixty-one patients (91.0%) received symptomatic treatments or treatment for underlying diseases. Five patients (7.5%) died from underlying diseases. Cholecystectomy was performed in 3 patients during treatment of the underlying disease. Conclusion: A wide range of extracholecystic conditions cause diffuse GB wall thickening that resolves spontaneously or with treatment of underlying diseases. Surgical treatments should be avoided if there are no definite clinical manifestations of cholecystitis.