• Parasites, Hosts and Diseases
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• 제22권2호
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• pp.229-237
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• 1984

마우스를 실험동물로 하여 스파르가눔(sparganum)을 경구감염시킨 후 충체의 이행과정 및 충체분포를 관찰함으로써 스파르가눔의 병원성을 이해하고 실험적 스파르가눔토에 대한 기초자료를 마련하고자 이 연구를 실시 하였다. 스파르가눔은 강원도 횡성군에서 포획한 유혈목이(Matrix tigrina lateralis)의 피하조직 및 내장에서 회득한 것을 사용하였고 ICR계 마우스 21∼259정도의 수컷 28마리에 대하여 각각 5마리의 스파르가눔 두절(scolex) 및 경부(neck)를 경구감염시킨 후 10분후부터 14일까지 도살하고 전신부검을 실시하여 충체 이행 과정 및 분포를 관찰한 바 결과는 다음과 같다. 1. 스파르가눔은 감염 10분후 이미 마우스 십이지사의 장벽을 관통하고 있는 것이 관찰되었고 30분 이내에 관통을 끝낸 다음 복륙내에 주로 분포하였다. 특히 장벽을 관통할 때에는 계관에서 복륙쪽으로 직접 뚫고 나오는 것이 관찰되었다. 2. 감염 1시간부터 1일까지는 대부분의 충체가 복륙내에서 발견되었고 1일에 근육이나 피하조직으로 이행한 것도 관찰되었다. 3. 충체가 대부분 피하조직으로 이행한 것은 감염 7일이내인 것으로 나타났는데 감염 14일까지 관찰한 바 피하 또는 근금조직에서 고수된 28마리의 충체는 마우스 경부(neck) 주위조직에 13마리, 체간부(trunk)에 12마리, 두부(head)에 3마리가 분포하였고 이들중 하악골하부 및 견갑하부의 피하조직에서 가장 많은 충체가 발견되었다. 이들 피하조직 또는 장관벽의 조직반응은 거의 관찰되지 않았다. 4. 마우스에 감염된 스파르가눔은 처음에 평균 4mm이던 것이 7일후 평균 12mm, 14일후 평균 35mm로 성장하였다. 이상의 결과로 미루어볼 때 마우스에 경구감염된 스파르가눔은 10∼30분후에 위 또는 십이지사벽을 관통하여 복륙으로 나온 후 롱격막 또는 복막을 뚫고 7R이내에 주로 경부 및 그 주위조직으로 이행하는 것으로 생각되었다.

• 대한디지털의료영상학회논문지
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• 제14권1호
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• pp.31-35
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• 2012

To test the real image quality of a spectral attenuated inversion-recovery (SPAIR) fat-suppression (FS) techniquein clinical abdominal MRI by comparison to turbo spin echo inversion-recovery (TSEIR) fat-suppression (FS) technique. 3.0T MRI studies of the abdomen were performed in 30 patients with liver lesions (hemangiomas n: 15; HCC n: 15). T2W sequences were acquired using SPAIR TSEIR. Measurements included retroperitoneal and mesenteric fat signal-to-noise (SNR) to evaluate FS; liver lesion contrast-to-noise (CNR) to evaluate bulk water signal recovery effects; and bowel wall delineation to evaluate susceptibility and physiological motion effects. SPAIR-TSEIR images produce significantly improved FS and liver lesion CNR. The mean SNR of the retroperitoneal and mesenteric fat for SPAIR were 20.5, 10.2 and TSEIR were 43.2, 24.1 (P<0.05). SPAIR-TSEIR images produced higher CNR for both hemangiomas CNR 164.88 vs 126.83 (P<0.05) and metastasis CNR 75.27 vs 53.19 (P<0.05). Bowel wall visualization was significantly improved using in both SPAIR-TSEIR (P< 0.05). The real image quality of SPAIR was better than over conventional TSEIR FS on clinical abdominal MRI scans.

• 한국임상수의학회지
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• 제24권3호
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• pp.467-472
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• 2007

Alimentary lymphoma accounts for approximately 5% of neoplasm and diffuse lesion is more common than solitary nodular form in dogs. An eleven year-old male Yorkshire terrier was examined because of nonspecific gastrointestinal symptoms such as anorexia and vomiting for 10 days. An abdominal mass was palpated, which was originated from small intestinal wall in abdominal ultrasonography. Small intestine was obstructed by hypoechoic mass and lost normal layering and measured 24.5m. After fine-needle aspiration, septic peritonitis due to intestinal rupture occurred and emergency surgery was performed. Solitary mass was found in small intestine and diagnosed as alimentary lymphoma through histopathologic examination. Conclusively, abdominal ultrasonouaphy could verify the thickened bowel, loss of wall layering and decrease of motility and percutaneous ultrasound-guided fine-needle aspiration is considered as useful diagnostic technique, especially in nodular form of alimentary lymphoma.

• 한국수정란이식학회지
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• 제29권4호
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• pp.393-395
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• 2014

A 6-year old, Greyhound bitch was presented with vaginal hemorrhage and dystocia. Physical examination revealed severe vaginal hemorrhage, abdominal pain, pale mucous membranes and the presence of solid structures to abdominal palpation. A hematological test revealed a marked hemorrhagic anemia, and abdominal radiography and ultrasonographic examination showed two dead fetuses in the uterus. Median laparotomy revealed a rupture of the left uterine horn adjacent to the bifurcation, region of weakened uterine wall in the right uterine horn, blood clots and uterine fluids in abdominal cavity without septic peritonitis. The bitch underwent ovariohysterectomy and recovered without complication.

• Journal of Trauma and Injury
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• 제34권3호
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• pp.208-211
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• 2021

Gallbladder injuries are rare in cases of blunt abdominal trauma and are usually associated with damage to other internal organs. If the physician does not suspect gallbladder injury and check imaging studies carefully, it may be difficult to distinguish a gallbladder injury from gallbladder stone, hematoma, or bleeding. Therefore, in order not to miss the diagnosis, the clinical findings and correlation should be confirmed. In the present case, a 60-year-old male presented to a local trauma center complaining of pain in the upper right quadrant and chest wall following a motor vehicle collision. Abdominal computed tomography (CT) showed a hepatic laceration and hematoma in the parenchyma in segments 4, 5, and 6 and active bleeding in the lumen of the gallbladder. Traumatic gallbladder injuries generally require surgery, but in this case, non-operative management was possible with cautious follow-up consisting of abdominal CT and angiography with repeated physical examinations and hemodynamic monitoring in the intensive care unit.

• Journal of Medicine and Life Science
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• 제18권3호
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• pp.56-60
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• 2021

In recent decades, tissue engineering advances have led to more skin substitutes becoming available. Acellular dermal matrix, initially developed for use in the treatment of full-thickness burns, is made by removing the cellular components from the dermis collected from donated bodies or animals. This class of scaffold is used to replace skin and soft tissue deficiencies in a variety of fields, including breast reconstruction, abdominal wall reconstruction, and burn treatment. Herein, we provide a detailed review of the clinical applications of acellular dermal matrix.

• Journal of Trauma and Injury
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• 제34권3호
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• pp.187-190
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• 2021

A 91-year-old female presented to Chonnam National University Hospital Regional Trauma Center with a lateral compression type III fracture of the pelvis. She was managed non-operatively for a week in the intensive care unit under close observation and had an emergency operation due to delayed onset of an acute obstructed direct inguinal hernia. Traumatic abdominal wall hernias are rare. However, trauma surgeons should always be aware of the possibility of such injuries because of their critical consequences.

• Journal of Chest Surgery
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• 제11권4호
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• pp.456-460
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• 1978

Desmoid tumor is found most often in the anterior abdominal wall of parous women. Although it may originate in virtually any musculotendinous structure, those of the chest wall are rare. We experienced a case of large dumb bell shaped desmoid tumor originated in intercostal muscle and invaded anterior chest wall, pericardium, pleura and the lung. The patient was healthy in appearance except a painful swelling on the anterior chest wall. Roentgenographic studies demonstrated a huge homogenous mass in the right anterior chest cavity. He was treated with resection of the tumor including .anterior chest wall, a portion of the pericardium, middle lobe, and part of upper & lower lobes of the right lung because of tumor invasion. The tumor composed with two parts, one [$5{\times}4{\times}3$cm in size] is over the rib cage and another [$10{\times}15{\times}10$cm in size] is in the right chest cavity. Postoperative course was uneventful and there was no evidence of recurrence until last visit, 5 months after surgery.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제12권1호
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• pp.57-63
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• 2009

평소 복부 팽만을 보인 2세 남아가 내원 3일 전부터 간헐적인 구토를 동반하여 시행한 복부 방사선 사진에서 좌상복부에서 석회화 소견을 관찰하여 상부 위장관내시경과 복부 전산화 단층 사진을 시행하였다. 술 후 병리 검사에서 상당히 빈도가 드문 석회화 섬유 종양을 발견하였기에 보고하는 바이다.

• Advances in pediatric surgery
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• 제7권1호
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• pp.59-63
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• 2001

소아 ALL 환자 2례에서 천공성 맹장염을 경험하였다. 주요 증상으로 고열, 복통, 복부팽만 설사가 있었으며, 혈액 검사에서 백혈구 감소증 및 혈소판 감소증이 있었다. 진단은 초음파검사와 콤푸터 단층촬영으로 비정상적인 장벽 비후를 봄으로 가능하였다. 1예는 수술적 치료를 함으로 1예는 내과적 치료로 좋은 결과를 얻었다. 백혈병환자에서 항암 치료 중 고열, 하복부 동통이 있고 백혈구 감소증이 있을 경우는 맹장염의 기능성을 생각하고 조기에 초음파 검사 또는 컴퓨터 단층촬영을 하여 적절히 대처하여야 할 것으로 생각된다. 그리고 비록 천공성 맹장염이라도 증상이 국소적 일 때는 내과적 치료를 시도해 볼 필요가 있다고 생각된다.