• 제목/요약/키워드: Case-report

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하행 괴사성 종격동염 -1례 보고- (Descending Necroting Mediastinitis -1 case report-)

  • 강형석;이섭;권오춘;안욱수;배지훈
    • Journal of Chest Surgery
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    • 제33권8호
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    • pp.693-696
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    • 2000
  • Descending necrotizing mediastinitis(DNM) is one of the most lethal form of mediastinitis originating from an oropharyngeal infection. It requires an early and aggressive sugical treatment, but the operative approach and optimal form of mediastinal drainage remains controversial. We report a case of DNM in a 45-year-old male who underwent right cervicomediastinotomy to drain the deep neck space, upper mediastinum and anterior mediastinal drainage was accomplished through a subxiphoid approach. After this procedure, he steadily improved and was dischrged on hospital day 36. We report this case with a brief review of the literature.

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편측 장골이 후방 회전된 여성의 보행분석 : 임상 사례보고 (A Gait Analysis of the Women with Unilateral Posterior Rotated Ilium : A Clinical Case Report)

  • 양경혜
    • 대한정형도수물리치료학회지
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    • 제20권1호
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    • pp.27-34
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    • 2014
  • Background: The purpose of this clinical case report is to confirm sacroiliac joint misalignment effects on the gait. Methods: A healthy women volunteered to participate in this case report. Measurement of the subject was performed two categories. One is physical examination of the pelvic by inspection, palpation, movement based tests and pain provocation tests. The other one is gait performance measurement by 3 dimentional motion analysis. Results: Diagnosis by physical examination of the subject was Lt. ilium posterior rotation. Pelvic, hip, knee and ankle in the 3 dimensional kinematic data, the most notable result was the ankle. Conclusion: To confirm the effect of the misalignment of the sacroiliac joint on the gait function, it must be evaluated by integrating the movement to the ankle from the lumbar.

Life-threating outcomes after dental implantation in patient with idiopathic thrombocytopenic purpura: a case report and review of literature

  • Lee, Sung-Tak;Kim, Jin-Wook;Kwon, Tae-Geon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제40권
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    • pp.39.1-39.7
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    • 2018
  • Background: Patients with chronic ITP (idiopathic thrombocytopenia) frequently do not require comprehensive medication for daily life. Usually, it had been regarded that postoperative bleeding after a simple or surgical extraction is easily controlled by simple local measures even in patients with ITP. This lack of regular medication usage can sometimes lead practitioners or patients to underestimate the potential life-threatening risk of ITP. There had been no report on postoperative hemorrhage in a patient with ITP related to dental implant surgery. Case presentation: This report presented a life-threatening postoperative hemorrhage after dental implant surgery in an adult with chronic ITP and subsequent emergency management after severe bleeding and airway compromise. Conclusion: The presented case emphasizes the thorough hematological evaluation of the patients even for patients who do not take any specific medications for asymptomatic, chronic ITP.

하악골 과두부에 발생한 외상성 골낭종의 문헌고찰 및 치험례 (A CASE REPORT OF TRAUMATIC BONE CYST OCCURED IN THE CONDYLAR HEAD OF MANDIBLE)

  • 윤옥근;백승래;최재훈;이규득
    • 대한치과의사협회지
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    • 제22권4호통권179호
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    • pp.333-338
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    • 1984
  • This is to report a case of traumatic bone cyst which occurred in the left condylar head of the mandible. It is a very rare case and the prognosis after operation seems to be fair, therefore we report as follows. 1. The pt, a 49 year-old female, has been suffering from difficulties of mastication with disfiguration of face due to deviation of mandible to the right side for 20 years. 2. Histopathologic findings showed the figure of multilocular bony cysts contained with fibrous tissue, osteoid tissue and many hematopoietic cells 3. Roentgenographic features showed well circumscribed radiolucent lesion with some radiopaque area. 4. After clinical evaluation, condylectomy was done to remove the lesion. 5. After the operation, the esthetic problem and masticatory functions were improved.

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도침 치료를 통한 손가락 관절염 치료: 증례 보고 (Effect of Miniscalpel-Acupuncture for Hand Osteoarthritis: Case Report)

  • 정지철;윤상훈;김신애
    • 한방재활의학과학회지
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    • 제28권4호
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    • pp.125-130
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    • 2018
  • This case report was conducted to introduce the use of miniscalpel-acupuncture for the treatment of hand osteoarthritis. A-76-year old female patient who had pain on both hands due to osteoarthritis was treated with miniscalpel-acupuncture for 7 weeks. The main outcome were the Numeral Rating Scale (NRS) and the grip strength by dynamometer. After miniscalpel-acupuncture treatment, NRS was decreased and the strength of grasp was increased. The result of this study suggests that the treatment of miniscalpel-acupuncture may be effectively used to decrease pain and increase grip strength of patients who suffer from hand osteoarthritis. Further research is necessary by the reason of the limited sample size of this study.

Automatic Implantable Cardioverter Defibrillator (AICD)를 삽입한 환자에서 프로포폴, 레미펜타닐을 이용한 진정요법 하 제3대구치 발치 -증례보고- (A Case Report of the Patient Implanted with Automatic Implantable Cardioverter Defibrillator (AICD) Subject to 3rd Molar Extraction using Target Controlled Infusion of Propofol and Remifentanil -A Case Report-)

  • 신터전;서광석;김현정
    • 대한치과마취과학회지
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    • 제9권2호
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    • pp.116-118
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    • 2009
  • The automatic implantable cardioverter defibrillator (AICD) has been widely used to treat recurrent malignant ventricular arrhythmia. Here, we case report 18 yr old patients implanted with Automatic implantable cardioverter defibrillator (AICD) who underwent surgical extraction under intravenous sedation and discuss the anesthetic implications for surgery.

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Transient facial paralysis after myringotomy and ventilation tube insertion under sedation with sevoflurane inhalation and four-quadrant blocks with lidocaine: a case report

  • Kim, Hyunjee;Lee, Joonhee;Jeon, Younghoon
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제20권3호
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    • pp.161-163
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    • 2020
  • Myringotomy and ventilation tube insertion are widely performed in pediatric patients with chronic otitis media. This procedure is performed under general anesthesia or sedation with local anesthesia infiltration in pediatric patients. In this case report, we report a case of transient facial paralysis in a pediatric patient who underwent myringotomy and ventilation tube insertion using sevoflurane inhalation and four-quadrant blocks with lidocaine.

Bilateral Mediastinal Lymphangiohemangiomas Containing Anomalous Venous Components - A case report -

  • Bae, Chi-Hoon;Jung, Kyung-Jae
    • Journal of Chest Surgery
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    • 제44권5호
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    • pp.373-376
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    • 2011
  • Lymphangiohemangiomas of the mediastinum are exceedingly rare and few cases have been published in the English literature. This report may be the only reported case in which lymphangiohemangiomas were found bilaterally. We report a case of a 7-year-old boy with an incidental finding of an abnormal mediastinal shadow on a chest X-ray. The chest CT showed a large mass in the left superior mediastinum and another in the right posterior mediastinum. The left mass had anomalous venous channels connected to the left innominate vein, and the right mass to the left atrium. We performed an excision of the mass in the left side first and then the right side one month later. Anomalous venous channels were dissected carefully and ligated. There were no complications and no signs of recurrence 30 months after the operation.

Cystic Echinococcosis of the Pelvic Bone with Recurrences: A Case Report

  • Jain, Sunila;Chopra, Prem
    • Parasites, Hosts and Diseases
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    • 제49권3호
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    • pp.277-279
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    • 2011
  • Hydatid cysts commonly affect the liver and the lung. However, they rarely involve bones with vertebral column. We hereby report a case of a female patient with cystic echinococcosis of the hip bone and ilium. She presented with a long history of frequent recurrences highlighting the dismal prognosis at this rare site. Resection of the hydatid cyst from the sacroiliac region was done with allograft and autograft (rib graft) with lumbosacroiliac fixation. Follow-up of the patient at 6 months showed no detectable abnormality on radiology and the patient was doing well.

해면정맥동 및 시신경을 침범한 접형동 기원의 비부비동 미분화암 1예 (Sinonasal Undifferentiated Carcinoma of Sphenoid Sinus Invading Cavernous Sinus and Optic Nerve: A Case Report and Review of Literature)

  • 박태정;정태영;노웅재
    • 대한두경부종양학회지
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    • 제32권2호
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    • pp.41-46
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    • 2016
  • Sinonasal undifferentiated carcinoma (SNUC) is an extremely rare, highly aggressive malignancy of the nasal cavity and paranasal sinuses. Patients with SNUC usually being asymptomatic until the tumor has extensively progressed therefore frequently present with invasion of the orbit or cranial vault. Most case series of SNUC report very poor prognosis despite aggressive multimodality therapy. We recently experienced a 78-year-old male patient diagnosed as SNUC occurred from the left sphenoid sinus with invasion to the cavernous sinus and orbital content, which was treated intranasal endoscopic debulking surgery combined with curative radiation therapy successfully, and report this case with a review of literature.