• Title/Summary/Keyword: Complication

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Sternal Fracture occurred after Thai Massage : A Case Report (마사지 시술 후 발생한 흉골골절 환자 증례보고)

  • Song, Young-Il;Kim, Dong-Eun
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.10 no.2
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    • pp.51-60
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    • 2015
  • Objectives: The purpose of this study is to investigate the safety, injury mechanism, complication and adverse reactions associated with Chuna manual theraphy(CMT), to report one case of adverse reaction with Thai Massage(TM). Methods: A 76-year-old woman presented with chest pain and dorsalgia. The patient undertook a TM. The patient's chest pain didn't improve by Korean medecine. In MRI study, sternal fracture was diagnosed. Results and Conclusions : It is supposed that this patient suffered chest pain and dorsalgia due to a TM. From this case, we can understand the etiology of sternal fracture to some extent and consider the complication of Chuna manual theraphy through TM. In addition, This study raises the awareness of the possibility of a sternal fracture caused by a low-energy CMT technique.

Deleyed Cardiac Tamponade After Open Heart Surgery (Two Cases Report) (개심술후에 발생한 지연성 심장압진증)

  • 김병열
    • Journal of Chest Surgery
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    • v.15 no.2
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    • pp.218-221
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    • 1982
  • Delayed cardiac tamponade in an uncommon and frequently fatal complication after open-heart surgery. We had been experienced two cases of delayed cardiac tamponade as a complication of open-heart surgery and treated successfully by reinsertion of pericardial drain through subxiphoid route. First case was 60 years old female patient and underwent MVR under impression of MSi + Ti Second case was 19 years old male patient and underwent total correction of T.O.F.with Blalock shunt [Lt]. Both cases had Initial symptoms, which were epigastric pain, chest tightness, dropped blood pressure, and increased pulse rate and respiratory rate, mimic as low cardiac output syndrome after open-heart surgery. Roentgenogram of the chest showed a rapid increased cardiothoracic ratio. It is important to realize the presence of late cardiac tamponade for proper diagnosis of complication after open-heart surgery.

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Migration and Coiling of Peritoneal Catheter into the Subgaleal Space : A Very Rare Complication of Subgaleoperitoneal Shunt

  • Yee, Gi-Taek;Han, Seong-Rok;Choi, Chan-Young
    • Journal of Korean Neurosurgical Society
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    • v.54 no.6
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    • pp.525-527
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    • 2013
  • Upward migration of the peritoneal catheter of a subgaleo-peritoneal (SP) shunt and coiling into the subgaleal space is an extremely rare complication of a SP shunt. A 32-year-old male patient visited our hospital presenting with a large skull defect due to a prior craniectomy performed elsewhere. The patient underwent a cranioplasty with methylmetacrylate, but subsequently developed progressive pseudomeningocele and subgaleal cerebrospinal fluid (CSF) collection. The patient underwent CSF diversion via a SP shunt. After SP shunting, the pseudomeningocele disappeared completely. Six months later, the patient presented with progressive scalp swelling. Skull X-ray showed migration and coiling of the distal catheter of the SP shunt. The patient was treated by removing the entire shunt catheter and the dura was covered with a subgaleal flap. We would like to report our experience with a very rare complication of subgaleo-peritoneal shunting.

Fracture of Distal Catheter after Ventriculoperitoneal Shunt - Case Report - (뇌실복강간 측로술후 원위부 측로관의 골절 - 증례보고 -)

  • Heo, Seung Ho;Gill, Seung Bae;Lee, Sang Youl
    • Journal of Korean Neurosurgical Society
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    • v.29 no.5
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    • pp.693-695
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    • 2000
  • The authors report a rare complication after ventriculoperitoneal shunt(V-P shunt) in 63-year-old man with a hydrocephalus. The patient has had a V-P shunt for eight years. A acute hydrocephalus was detected by brain computed tomography and distal shunt catheter was shown to be fractured in the neck portion by plain radiography. A shunt replacement was performed and the patient improved with regain of consciousness. This was complication of shunt device fracture is reviewed with a review of literature.

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Opioid-induced Muscle Rigidity with a Delayed Manifestation Misunderstood as a Tension Pneumothorax -A case report- (긴장성 기흉으로 오인된 지연 발현된 아편양 제제 유발 근경축 -증례보고-)

  • Kang, Bong Jin;Kim, Sung Hoon
    • The Korean Journal of Pain
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    • v.21 no.1
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    • pp.66-70
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    • 2008
  • Opioid-induced rigidity is a potentially life-threatening complication that can occur after treatment with large doses of opioids, but with early recognition it can be treated effectively with naloxone or with muscle relaxants. Regarding its onset time, there have been few case reports that have described delayed manifestations of opioid-induced rigidity. The mechanism of this complication is not well understood. In this report we describe a case of incidental overdose injection of sufentanil and subsequently review the confusing clinical features that require immediate diffenrentiation and the possible mechanim of this complication.

Communicating Hydrocephalus Onset Following a Traumatic Tension Pneumocephalus

  • Lee, Jin-Sung;Ahn, Sora;Eom, Ki Seong
    • Archives of Craniofacial Surgery
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    • v.17 no.4
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    • pp.225-228
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    • 2016
  • The entrapment of intracranial air from the check valve system results in a tension pneumocephalus. It should be distinguished from simple pneumocephalus because they are intracranial space-occupying masses that can threaten life. Communicating hydrocephalus is a serious and frequent complication of post-traumatic head injury. Head injury is one of the most common causes in etiopathogenesis of communicating hydrocephalus. Here, we describe a case of a 65-year-old man who developed communicating hydrocephalus after a post-traumatic tension pneumocephalus. To the best of our knowledge, this is the first reported case of communicating hydrocephalus developed after a post-traumatic tension pneumocephalus. Although the exact pathogenic mechanisms underlying the cascade following trauma remain unclear, communicating hydrocephalus after a tension pneumocephalus could be considered a possible complication.

Surgical Treatment of Bronchoesophageal Fistula Caused by a Self-Expanding Esophageal Stent (부식성 식도협착 환자에서 식도스텐트 삽입 후 발생한 기관지 식도 누공의 수술적 치료)

  • 이재익;우종수;이길수;노미숙
    • Journal of Chest Surgery
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    • v.37 no.2
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    • pp.197-200
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    • 2004
  • Although the formation of fistula between esophagus and adjacent organ is a known complication of the self-expanding esophageal stent, only a few cases of surgically treated bronchoesophageal fistula have been reported. Increasing application of endoscopic stent for benign esophageal strictures increases the chance for this type of delayed complication. We experienced a case of bronchoesophageal fistula caused by esophageal stent for which we performed fistulectomy and Ivor Lewis operation simultaneously. To the best of our knowledge, this is the first report on the successful surgical treatment of this complication in Korea.

Dorsalgia occurred after Chuna Manual Theraphy : A Case Report (요추추나치료 후 발생한 등통증 환자 증례보고)

  • Song, Young-Il
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.2
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    • pp.115-124
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    • 2014
  • Objectives: The purpose of this study is to investigate the safety, injury mechanism, complication and adverse reactions associated with Chuna manual theraphy(CMT), to report one case of adverse reaction with CMT. Methods: A 39-year-old woman presented with low back pain and left leg pain. The patient undertook a lumbar Chuna manual theraphy. After this maneuver, the patient complained of dorsalgia. The patient's dorsalgia didn't improve. In CT study, T5-6 hard disc bulging was diagnosed. Results and Conclusions : It is supposed that this patient suffered dorsalgia secondarily due to a lumbar Chuna manual theraphy. From this case, we can understand the etiology of dorsalgia to some extent and consider the complication of Chuna manual theraphy. In the future, more study, research and prospective trial for complications of a lumbar Chuna manual theraphy is required.

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Unilateral Paralysis of Lower Extremity Following Thoracic Sympathetic Ganglion Block -A case report- (흉부 교감신경절 차단 후 발생한 편측 하지마비 -증례 보고-)

  • Kim, Sung-Mo;Yang, Seung-Kon;Lee, Hyo-Keun;Lee, Hee-Jeon;Kil, Shun-Hee;Kim, Chan
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.268-270
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    • 1996
  • We treated a patient who experienced motor weakness and sensory change on left lower extremity after thoracic sympathetic ganglion block with pure alcohol. The following factors were suspected of contributing to neurologic complication: (1) ischemia of spinal cord, (2) infection, (3) re-expression and aggravation of pre-existing neurologic disease, (4) improper position. Patient spontaneously recovered from neurologic complication with conservative therapy.

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Herniated Lumbar Disc in a Patient Undergoing Lumbar Chuna Manipulation Treatment: A Case Report (요추 추나치료 후 악화된 요추 추간판 탈출증 1례 보고)

  • Jang, Gun;Cho, Tae-Young;Lee, Byeong-Yee;Lee, Jong-Soo;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.2
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    • pp.137-141
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    • 2006
  • Cauda equina syndrome(CES) and disc hemiation have been implicated as a potential complication of Chuna Manipulation Treatment. We reported a man who developed sudden complication alter lumbar Chuna Manipulation Treatment. It is supposed that this patient suffered a disc herniation secondarily due to a lumbar Chuna Manipulation Treatment. Therefore, doctors should be aware that neurological complication may occur as a result of lumbar Chuna Manipulation Treatment.

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