• Title/Summary/Keyword: Case history

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A rare case of implant displacement to the contralateral side after gluteal augmentation

  • Rueda, Juan Dario Alviar;Miranda-Diaz, Audrey Jose;Cely, Adriana Gonzalez;Leon, Diana Carolina Navarro
    • Archives of Plastic Surgery
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    • v.47 no.4
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    • pp.360-364
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    • 2020
  • In this report, we present a rare case of solid silicone implant displacement to the contralateral side after aesthetic gluteal augmentation, a phenomenon that has never been reported before in the literature. A 29-year-old woman with a history of gluteal augmentation 9 months previously and soft tissue infection presented for a consultation due to 3 days of sudden progressive pain in the right gluteus with erythema and edema, without a history of trauma. Displacement of the left gluteal implant to the right gluteal pocket was shown by magnetic resonance imaging. Because the patient refused implant removal, the decision was made to perform capsulotomy, to reconstruct the gluteal pockets, and to preserve the implants. The patient showed a satisfactory early and late postoperative course. Possible causes of this complication include poor surgical technique, with insufficient tissue preservation to keep the pockets apart, and the presence of seroma or hematoma that favored an infectious process, thereby leading to deterioration of the dissected soft tissues with dehiscence of the wound favoring the displacement of the implant.

Successful Treatment of a Traumatic Hepatic Arterioportal Fistula: A Case Report (간열상에 발생한 외상성 간동맥문맥 단락의 치료 1예)

  • Mun, Yun Su;Kwon, Oh Sang;Lee, Jang Young;Park, Gyeong Nam;Han, Hyun Young;Lee, Min Koo
    • Journal of Trauma and Injury
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    • v.26 no.1
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    • pp.22-25
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    • 2013
  • Severe blunt abdominal trauma frequently involves the liver. The development of nonsurgical treatment of liver trauma has led to more frequent appearance of unusual complications. A hepatic arterioportal fistula (APF) is a rare complication of liver trauma. We present a case of traumatic APF in a patient with liver trauma. A 31-year-old male visited our emergency department with pain in the right upper abdomen following a traffic accident. Initial physical exam and abdominal computed tomography (CT) revealed liver laceration with hemoperitoneum. An abdominal CT obtained on day 11 revealed early opacification of the right portal vein on the arterial phase. After we had come to suspect an APF of the liver, its presence was confirmed on angiography. It was subsequently managed by using transcatheter coil embolization. In patients with portal hypertension and no evidence or history of cirrhosis, one should consider an APF as a potential etiology if history of liver biopsy or penetrating trauma exists. In a patient with liver trauma, serial abdominal CT is important for early detection and treatment of an APF.

A Case of Multiple Paraganglioma Presenting as Recurrent Tumor Nermerous Times (수차례 재발한 다발성 부신경절종 1예)

  • Lee, Seok-Hee;Sun, Min-Jin;Choi, Mi-Suk;Lee, Dong-Wook
    • Korean Journal of Head & Neck Oncology
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    • v.27 no.1
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    • pp.80-83
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    • 2011
  • Paraganglioma is a relatively rare, generally benign and slow growing tumor arising from widely distributed paraganglionic tissue thought to originate from the neural crest. In the head and neck region, paraganglionic tissue is distributed in the superior and inferior paraganglia such as the carotid body, the vagal body, and the jugulotympanic region. Approximately 10% of patients with paraganglioma have a family history of such tumors. Multiple lesions can be found in 26% of patients with family history. It is important to distinguish between paraganglioma and atypical carcinoid tumor and medullary thyroid cancer. This can be done with histopathologic evaluation and immunohistochemical markers. Complete excision is recommended for the treatment of this tumor. Paraganglioma is particularly aggressive and rapid recurrence of paraganglioma is common after local resection. We present a case of malignant paraganglioma in the neck which recurred 2 months after local resection. We suppose that radiation therpay could be the last option for the treatment in this clinical setting.

Study on ${\ulcorner}$Zhujieshanghanlun${\lrcorner}$ (("주해상한론(註解傷寒論)" 에 대한 연구)

  • Kim, Jin-Ho;Bang, Jung-Kyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.2
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    • pp.370-378
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    • 2007
  • ${\ulcorner}$Zhujieshanghanlun(註解傷寒論)${\lrcorner}$ are som particular points as below ; first, set up the concepts of chuanjing(傅經), zaichuanjing(再傅經), and guojing(過經). Second, suggested the half exterior and half interior syndrome(半表半裏證) firstly. The third, understood origin literature by the distinguished way for syndrome in accordance with the Yin and Yang(陰陽). Forth, wangyang(亡陽) is described by two different syndromes. One is with perspiration. The other is yangxuzheng(양허증(陽虛證)) from injured yangqi(陽氣). Fifth, xialibiannongxue(下利便膿血) was distinguished by the generic characters of The Cold and Hot(熱${\cdot}$寒). The last, ${\ulcorner}$Shanghanlun${\lrcorner}$ (傷寒論) was described at the view of viscera & bowels's physiology and their pathology. And shaoyin(少陰) disease was aware of kidney case and Taiyin(太陰) disease was aware of spleen case. There are two different cases of bowel diseases. One is that xieqi(邪氣) goes in stomach of Yangming(陽明). The other is that xieqi(邪氣) follows channel and goes into bowel.

A case of rape poisoning in a Hanwoo (한우 유채중독 증례)

  • Do, Jae-Cheul;Kim, Eun-Young;Kim, In-Kyoung;Cho, Min-Hee;Kim, Joong-Kew;Park, No-Chan
    • Korean Journal of Veterinary Service
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    • v.35 no.1
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    • pp.53-57
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    • 2012
  • This is a case report about rape poisoning in a Hanwoo. Non-protein nitrogen (NPN) compound in rape may cause poisoning in domestic animals. Rape poisoned cattle may show big and rapid breath with opening its mouth, edema and erosion of skin with itching, drooling, dyspnea and indigestion. Besides there can be shown neurological (blindness) and urological (red water) symptoms in some cases. There is no effective therapy for rape poisoning, therefore stopping the rape supplying is basically important. Clinical symptoms and history taking are very important factors in diagnosis of rape poisoning, due to the absence of diagnostic standard of judgment for rape poisoning. A Hanwoo 38 months old cow, in a farm located in Gyeoungbuk province showed typical rape poisoning symptoms such as breath with opening its mouth, drooling, dyspnea and hyperphotosensitivity, and dramatical recovery were occurred after stopping supplying of rape. The cow were diagnosed as the rape poisoning based on observation of clinical symptoms and history taking.

One case report of mid-thoracic esophageal diverticulum (식도중간부 식도게실: 1 수술 치험례)

  • Sun, Kyung;Choi, Young-Ho;Chae, Sung-Soo;Kim, Hark-Jei;Kim, Hyong-Mook
    • Journal of Chest Surgery
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    • v.15 no.4
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    • pp.447-450
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    • 1982
  • A 45 year old male officer was admitted due to upper substernal pain for 1 month, which was aggravated by swallowing. On past and family history, there was no specific history except heavy drinking. Simple chest x-ray revealed no specific abnormal findings. Preoperative esophagofiberscopy and Barium study showed midesophageal diverticulum, pulsion type, at about 2 cm below the left main bronchus. The opening of the diverticulum was located at the left posterolateral aspect of esophagus. Midesophageal false diverticulum, measuring 2 x 2 x 1 .S cm in size, was noted at about 5 cm under the aortic arch protruding through a slit-like muscular defect. After inversion of diverticular sac, interrupted sutures with 3-0 silks were done on muscular defect site, and mediastinal pleura was reinforced on the lesion with interrupted sutures. On 4th postoperative day, esophagography revealed no diverticulum or stenosis. Also esophagofiberscopy showed smooth mucosal tag without disturbance of passage. On 14th postoperative day, the patient was discharged uneventfully, and follow-up for 3 months after discharge revealed nothing abnormal symptoms. The authors report one case of midesophageal, pulsion type, false diverticulum.

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Esophageal Hiatal Hernia in Infant -A Report of Case- (영아에서 발생한 식도열공탈장 수술치험 -1례 보고-)

  • Jin, Ung;Lee, Sun-Hee;Kim, Woo-Chan;Park, Jae-Kil;Kwack, Moon-Sub;Kim, Se-Wha
    • Journal of Chest Surgery
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    • v.27 no.1
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    • pp.72-75
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    • 1994
  • The esophageal hiatal hernia is a rare disease in Korea especially in children and infant. We experienced a case of type III esophageal hiatal hernia in 9 months female. She had no specific past history and familial history except recurrent URI and postprandial habitual vomiting. The chest X-ray and Barium swallowing showed herniated stomach in Rt. thoracic cavity and posterior mediastinum. We performed modified Belsey Mark IV procedure with using the 3-0 and 4-0 Pledgeted Ticrons. In operative field, the stomach cardia portion was herniated into the Rt.thoracic cavity and posterior mediastinum with elevation of the esophagogastric junction above the diaphragm. But there was no evidence of short esophagus and combined anomaly. The postoperative courses were uneventful and good without specific complication for about 5 months to this point.

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Recurrent Contralateral Thoracic Herpes Zoster after Left Thoracic Zoster Sine Herpete -A case report- (좌측 흉부 Zoster Sine Herpete 후 반대측 흉부에 재발한 대상포진 환자의 치험 1예 -증례 보고-)

  • Kim, Soo-Mi;Han, Kyung-Rim;Min, Kyung-Shin;Whang, Hyuck-Ee;Kim, Chan
    • The Korean Journal of Pain
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    • v.12 no.1
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    • pp.148-151
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    • 1999
  • This report is a case of 62-year-old man with anterior chest pain and pin pricking pain with allodynia affecting left T5 sensory dermatome for 3 months without history of vesicular skin eruption. He had a history of diabetes mellitus for 10 years and insulin therapy for recent 1 year. EKG, chest PA and rib series were normal. Serologic evaluation of IgG antibody to varicella-zoster virus was positive and was diagnosed as post herpetic neuralgia after zoster sine herpete. He was treated with left T5 nerve root block followed by thoracic epidural blockade and intercostal nerve block for 2 weeks. His VAS score decreased from 10 to 2 after 2 weeks of treatment. After 3 months, he revisited our clinic complaining right side chest pain followed by vesicular skin eruption 8 days after the onset of pain. He was treated as herpes zoster and tolerates well after 4 months.

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Case Report of Urinary Schistosomiasis in a Returned Traveler in Korea

  • Lee, Yangkyu;Song, Hyun Beom;Jung, Bong-Kwang;Choe, Gheeyoung;Choi, Min-Ho
    • Parasites, Hosts and Diseases
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    • v.58 no.1
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    • pp.51-55
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    • 2020
  • A 23-year-old Korean woman with a residence history in Kenya and Malawi for about 2 years presented with gross hematuria for 1 month. Blood tests were within normal range except eosinophilia. Asymmetrically diffuse wall thickening and calcification were observed at the urinary bladder on CT. Multiple erythematous nodular lesions were observed in the cystoscopy and transurethral resection was done. Numerous eggs of Schistosoma haematobium with granulomatous inflammation were observed in the submucosal layer of the bladder. The patient was diagnosed with schistosomiasis-related cystitis and treated with praziquantel (40 mg/kg/day) twice before and after transurethral resection. This case suggests that S. haematobium infection should be considered as a cause of hematuria in Korea when the patient had a history of traveling endemic areas of schistosomiasis.

Study on the Construction Method to Develop an Building Site After the Woongjin Period of Baekjae (백제 웅진기 이후 대지조성 공법의 연구)

  • Cho, Weon-Chang
    • Journal of architectural history
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    • v.18 no.5
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    • pp.25-39
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    • 2009
  • The examples of developing a building site after the Woongjin period are mainly found in temple sites, tile-roofed building sites of unidentified features, and palace remains including the pavilion site with the river in the front(임류각지) inside the Castle of Gongsan, Gongjoo. In case of the Hanseong period, a glimpase of the features has gained in Poongnab mud castle and Mongchon mud castle, but the excavated relics are not yet enough to make some date out of them. After the Woongjin period of Baejae, the earth-ramming development method was used mostly to construct a building site, which is divided into horizontal and slant raising of the ground level. Both are used simultaneously, but there are the significant differences in the way of raising the ground level between them. Particularly, in case of the Wanggoong-ri relics in Iksan, the ground level was raised in a narrow line slantly, which is differentiated from other slant raising of the ground level, and its time of construction also is after that of others. In addition, the board-building development method used for narrow space is usually found in the remains since the seventh century. However, there are not enough the relics of Baekjae to reveal the whole aspect of building site development. It should be studied later through the subsequent excavation and research.

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