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Spontaneous Chronic Subdural Hematoma in an Adolescent Girl

  • Wang, Hui Sun;Kim, Seok Won;Kim, Sung Hoon
    • Journal of Korean Neurosurgical Society
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    • v.53 no.3
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    • pp.201-203
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    • 2013
  • In most cases, subdural hematoma (SDH) is regarded as a complication of head injury and nontraumatic causes are rare. Moreover, spontaneous chronic SDH in child or adolescent is very unusual. Here, we present the case of a healthy 14-year-old girl who was diagnosed as a spontaneous chronic SDH. The patient presented with severe headache following blurring of vision two weeks ago without any history of trivial head injury. Computed tomography and magnetic resonance imaging depicted a chronic SDH. The cause of the hematoma was not established. After performing burr hole drainage of the hematoma, the patient made an uneventful recovery. We explore the potential risk factors and pathophysiology implicated in this condition. Possible pathogenic mechanisms of this unique case are discussed and a review of the pertinent literature is included.

Gastric Ulcer Due to Three Magnets Ingestion in a 37-month-old Girl (팔찌자석 3개를 삼킨 후 동반된 위궤양 1례)

  • Kim, Mi-Jung;Kwak, Ae-Jung;Choi, Kwang-Hae
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.5 no.1
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    • pp.68-72
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    • 2002
  • The accidental swallowing of foreign body is a common problem in the children. We describe the case of 37-month-old girl in whom a gastric ulcer was caused by the ingestion of three magnets. This case report demonstrates that if more than one magnet were swallowed, they should be removed even if there are no sharp edges and small size. Because the magnets will attract each other and hold the intestinal walls between them, causing necrosis and resulting in intestinal perforation or a fistula.

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Serial Reconstruction Considerating the Aesthetic Unit on Congenital Giant Nevus in Periorbital Area (미용단위를 고려한 안와 주변부의 선천성 거대모반의 단계적 치료)

  • Jo, Sung-Hyun;Kim, Jin-Woo;Jung, Jae-Hak;Kim, Young-Hwan;Sun, Hook
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.465-468
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    • 2010
  • Purpose: Soft tissue deformity and skin defect after tumor resection in the periorbital area can cause trouble in the function of eyelid as well as in the aspect of external appearance. Therefore, as cosidering reconstruction in periorbital area, detailed assessment of both functional and aesthetic property are required. thus, the purpose of this study is to examine an appropriate reconstruction through clinical cases. Methods: A 14-year-old girl with congenital giant hairy nevus on right periorbital area was selected. Her first visit to our plastic surgery outpatient clinic was on July 2006. Since then, she has undergone staged removal of lesions and reconstruction by various flap technique such as pedicled island flap, forehead galeal flap, paramedian forehead flap, cheek rotation & advancement flap. Results: In the case of this girl, most lesions were removed and replaced by normal skins. Although there was the difference of skin color after skin graft, such difference was not noticeable and section scar by skin flaps was slight. There was no obvious dysfunction in the eyelids and the girl and her parents were satisfied with results after the surgery. Conclusions: In the reconstruction of soft tissue defect or soft tissue deformity and contracture, it is required to choose appropriate reconstruction method, considering aesthetic and functional aspects depending on aesthetic unit sufficiently.

Thymolipoma in a 13-year-old Korean girl (국내에 보고된 13세 여아의 흉선 지방종 1예)

  • Park, Su-Jin;Baek, Ji Young;Choi, Junjeong;Kim, Kyung Won;Kim, Myung Joon;Sohn, Myung Hyun;Kim, Kyu-Earn
    • Clinical and Experimental Pediatrics
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    • v.53 no.1
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    • pp.103-105
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    • 2010
  • Thymolipoma is a rare benign tumor of anterior mediastinum. Most patients are asymptomatic with incidental finding of the tumor during a diagnostic workup of other medical problems. We present a case of 13-year-old girl with anterior mediastinal thymolipoma, surgically removed after an incidental diagnosis.

A Case of Cerebral Infarction Associated with Mycoplasma pneumoniae Infection (Mycolasma pneumoniae 감염에 의한 뇌경색증 1례)

  • Ahn, Young Joon;Choi, Ki Cheol;Yang, Eun Seok;Park, Yeong-Bong;Park, Sang-Gi;Moon, Kyung Rye;Kim, Young Sook
    • Pediatric Infection and Vaccine
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    • v.5 no.2
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    • pp.308-312
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    • 1998
  • Mycoplasma pneumoniae infection is usually confined to the respiratory tract but it can cause a variety of extrapulmonary manifestations such as rashes, myalgia, hemolytic anemia, cerebral infarction, transverse myelitis, cerebellar ataxia, Guillain-Barre syndrome and meningoencephalitis. Neurologic complications of Mycoplasma pneumonia have been rarely reported until now. Cerebral infarction as a complication of mycoplasma infection in children has been very rarely reported. In our case, in a young girl with M. pneumoniae infection, a cerebral infarct resulted in persistent and significant neurological dysfunction. We report a 11-year-old girl with cerebral infarction associated with clinical and serologic evidence of Mycoplasma infection.

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A Case of Cholangiocarcinoma Arising from Type I Choledochal Cyst in a 13-year-old Girl (13세 여아에서 발생한 총담관낭 I형에서 기원한 담관암 1례)

  • Ahn, Sung-Ryon;Nam, Sang-Ook;Park, Jae-Hong;Lim, Young-Tak;Lee, Jun-Woo;Lee, Chang-Hun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.5 no.1
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    • pp.113-117
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    • 2002
  • Choledochal cyst is a rare developmental malformation of the biliary tree and has serious problem of transformation to malignancy. The development of cholangiocarcinoma related to choledochal cyst increases as the age of patient increases and is more common in Orientals with female predominance of 2.5 times. Prevalence rate of cholangiocarcinoma is various from 2.5 to 15.6% in adult with choledochal cyst, but very low in children. We experienced a case of cholangiocarcinoma with multiple liver metastases arising from type I choledochal cyst in a 13-year-old girl who complained of sudden onset of right upper quadrant abdominal pain.

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A Case of Pulmonary Paragonimiasis with Involvement of the Abdominal Muscle in a 9-Year-Old Girl

  • Cho, Ah-Rum;Lee, Hae-Ran;Lee, Kwan-Sub;Lee, Sang-Eun;Lee, So-Yeon
    • Parasites, Hosts and Diseases
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    • v.49 no.4
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    • pp.409-412
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    • 2011
  • In Korea. many people enjoy eating raw or underkooked freshwater crayfish and crabs which unfortunately may cause paragonimiasis. Here, we describe a case of pulmonary and abdominal paragonimiasis in a 9-year-old girl, who presented with a 1-month history of abdominal pain, especially in the right flank and the right inguinal area, with anorexia. A chest radiograph revealed pleural effusion in both lungs, and her abdominal sonography indicated an inflammatory lesion in the right psoas muscle. Peripheral blood analysis of the patient showed hypereosinophilia (66.0%) and an elevated total serum lgE level (>2,500 IU/ml). The pleural effusion tested by ELISA were also positive for antibodies against paragonimiasis. Her dietary history stated that she had ingested raw freshwater crab, 4 months previously. The diagnosis was pulmonary paragonimiasis accompanied by abdominal muscle involvement. She was improved after 5 cycles of praziquantel treatment and 2 times of pleural effusion drainage. In conclusion, herein, we report a case of pulmonary and abdominal paragonimiasis in a girl who presented with abdominal pain and tenderness in the inguinal area.