• Title/Summary/Keyword: Complication.

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Successful Treatment of Tracheoinnominate Artery Fistula Following Tracheostomy in a Patient with Cerebrovascular Disease

  • Seung, Won Bae;Lee, Hae Young;Park, Yong Seok
    • Journal of Korean Neurosurgical Society
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    • v.52 no.6
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    • pp.547-550
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    • 2012
  • Tracheoinnominate artery fistula is a critical complication of tracheostomy. The most important factors influencing patient outcome are prompt diagnosis, immediate control of bleeding with a patent airway, and emergency operation with or without interruption of the innominate artery. Here, we report a case of tracheoinnominate artery fistula in a 40-year-old woman with cerebrovascular accident who was successfully managed with an aorta-axillary artery bypass.

Spinal Subarachnoid Hematoma as a Complication of an Intramuscular Stimulation : Case Report and a Review of Literatures

  • Lee, Myeong Jong;Chung, Young Sun
    • Journal of Korean Neurosurgical Society
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    • v.54 no.1
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    • pp.58-60
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    • 2013
  • Intramuscular stimulation (IMS) is widely used to treat myofascial pain syndrome. IMS is a safe procedure but several complications have been described. To our knowledge, spinal subarachnoid hematoma has never been reported as a complication of an IMS. The authors have experienced a case of spinal subarachnoid hematoma occurring after an IMS, which was tentatively diagnosed as intracranial subarachnoid hemorrhage because of severe headache. Patient was successfully treated with surgery. Here, we report our case with a review of literature.

Delayed Progressive Extradural Pneumatocele due to Incomplete Sealing of Opened Mastoid Air Cell after Micro-Vascular Decompression

  • Hong, Ki-Sun;Park, Kwan
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.477-479
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    • 2010
  • A case of delayed progressive extradural pneumatocele after microvascular decompression (MVD) is presented. A 60-year-old male underwent MVD for hemifacial spasm; the mastoid air cell was opened and sealed with bone wax during surgery. One month after surgery, the patient complained of tinnitus, and progressive extradural pneumatoceles without cerebrospinal fluid (CSF) leakage was observed. Revision surgery was performed and the opened mastoid air cell was completely sealed with muscle patch and glue. The patient's symptoms were resolved, with no recurrence of pneumatoceles at 6 month follow up. Progressive extradural pneumatocele without CSF leakage after posterior fossa surgery is a very rare complication. Previous reports and surgical management of this rare complication are discussed.

Spinal Epidural and Subdural Abscess following Epidural Catheterization -A case report- (경막외 카테터 거치후 발생한 척추 경막외.경막하 농양 -증례 보고-)

  • Lim, Gyung-Joon;Kim, Hun-Jeong
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.275-278
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    • 1996
  • The placement of epidural catheter may cause complications such as epidural hematoma, epidural abscess and neural damage. Among the above complications, epidural abscess is a rare but serious complication. This report pertains to a diabetic metlitus patient who developed spinal epidural and subdural abscess after continuous epidural catheterization for management of pain caused by reflex sympathetic dystrophy. The patient experienced urinary incontinence, as a neurologic sign, 8 days after epidural catherization. In was considered that the poor prognosis was due to a combination effects of a delayed visit to the hospital for treatment, rapid progression of abscess and uncontrolled blood sugar level. We therefore recommend aseptic technique and proper control of blood sugar level to prevent infection during and after epidural catheterization for diabetic patients. Early diagnosis of epidural abscess following surgical procedure must be required to avoid sequelae.

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Coil Embolization of a Pseudoaneurysm of the Anterior Tibial Artery: A Case Report (전경골 동맥에서 기시한 가성 동맥류의 코일 색전술: 증례 보고)

  • Wang, Tae-Hyun;Cho, Hyung-Lae;Park, Ki-Bong;Kim, Duc-Hee
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.1
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    • pp.43-45
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    • 2016
  • Development of a pseudoaneurysm around the ankle is an uncommon complication after surgery. We experienced a case of a pseudoaneurysm, which developed from the anterior tibial artery. A 44-year-old woman had sustained painful swelling of her right ankle after the removal of implants for a distal fibular fracture. The pseudoaneurysm was confirmed by ultrasonography and angiography. The patient was treated with an intervention using a coil and recovered without further complaints. This case report aims to increase the awareness of this complication with review of literature.

Acute Rupture of Extensor Pollicis Longus Tendon after Distal Radius Fracture: A Case Report (요골 원위부 골절 후 발생한 급성 장무지 신전건 파열 -1예 보고-)

  • Hwang, Jung Chul;Chung, Duke Whan
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.1
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    • pp.24-27
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    • 2011
  • Late rupture of the extensor pollicis longus (EPL) tendon is an occasional complication following a distal radius fracture. Early rupture of the EPL tendon as a complication of distal radius fracture is rare. We report one case of early rupture of the EPL tendon after distal radius fracture.

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Valve Thromboses after Mechanical Valve Replacements -3 Caseds- (기계판막 치환후 발생한 혈전증 3례 보고)

  • 문준호
    • Journal of Chest Surgery
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    • v.27 no.12
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    • pp.1031-1035
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    • 1994
  • Mechanical valve thrombosis is a serious and potential lethal complication unless early diagnosis & prompt therapy are made. We have been experienced 3 cases of valve thrombosis. From Aug. 1988 to July 1994, reoperations of mitral valve replacement [MVR] with mechanical prostheses [all mitral] were performed in three patients[2 men, 1 woman] due to valve thromboses. All three patients were diagnosed by means of cineradiography. Preoperative status of was shock status and he was applied intra-aortic balloon pump [IABP]. All three cases of prosthetic valve failure [PVF] were treated by Redo-MVR. Time intervals of reoperations were 5months, 40months, and 35months, respectively. In all cases, valve thromboses were excised successfully. Cineradiography provided an accurate diagnosis in all cases, which was utilized as safe, reliable & noninvasive imaging modalities. There were no operative death & complication. All three patients were fully recovered and returned to their employements, and active lives.

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A Case of Acute Pancreatitis Complicated with Allergic Purpura (Allergic Purpura에 합병된 Acute Pancreatitis 1례)

  • Lee, Sung-Chul;Kim, Hwa-Ja;Tchah, Hann;Park, Ho-Jin
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.1
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    • pp.116-122
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    • 1999
  • Allergic (Henoch-Schonlein) purpura is a nonthrombocytopenic purpura that affects small nonmuscular vessels with involvement of skin, gastrointestinal tract, joint, and kidney. Pancreatitis has rarely been reported as a complication of H-S purpura. In 1965, hemorrhagic pancreatitis as a complication of H-S purpura was reported by Toskin. We experienced one case of pancreatitis complicated with H-S purpura: pancreatic head enlargement was noted in small bowel series and abdominal sonogram with increased serum amylase level (160 U/dL) in a 6-year-old female child who complained of abdominal pain, vomiting, bloody stool, and petechiae on lower extremities.

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Late Hematoma after Breast Augmentation (유방 증대술 후 후기 혈종 발생례)

  • Kim, Ki Kap;Minn, Kyung Won;Jang, Sung Soo;Heo, Chan Yeong
    • Archives of Plastic Surgery
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    • v.32 no.6
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    • pp.767-769
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    • 2005
  • Late capsular hematoma is one of the rare complication of augmentation mammoplasty. Although the cause has not unfolded yet, the possible damage of capsular vessels chafed against the textured prostheses is questioned. Reviewing the literatures, we present a 23-year-old female subjects to incidental swelling of the right breast a year later after augmentation mammaplasty with saline-filled textured prostheses. An MRI study confirmed intracapsular fluid collection sparing the prostheses. The exploration was followed and serosanguinous fluids was drained out of the intracapsular space, and then the existing prostheses were replaced with the smooth surface ones. In the 9 months since the last surgery the patient remained well without any further problem. Intensive massage of the breasts might be accounted to the probable cause of late hematoma in this case.

Vocal Fold Paralysis Following General Anesthesia with Endotracheal Intubation (기관내 삽관에 의한 전신 마취 후 발생된 성대 마비)

  • 정성민;이재연;장주애;구태완
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.2
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    • pp.130-134
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    • 1999
  • Background and Objectives : Vocal fold paralysis is an unusual complication following endotracheal intubation. We experienced five cases and analyzed their causes and preventions. Materials and Methods : We reviewed 5 cases of vocal fold paralysis following general anesthesia with endotracheal intubation at Ewha Womans University Hospital from September 1997 to May 1999 retrospectively. Results : Four cases were unilateral vocal fold paralysis(3 cases were left side, 1 case was right side) and a case was bilateral vocal fold paralysis. Conclusion : Vocal fold paralysis following endotracheal intubation is the result of recurrent laryngeal nerve damage. This damage can occur as the result of compressing the anterior branch of recurrent laryngeal nerve between an inflated endotracheal tube cuff and thyroid cartilage. Prevention of this complication lies in eliminating the use of endotracheal tubes with cuff inflated unevenly, desisting from the practice of deliberately placing the cuff within the larynx, and filling the cuff with a sample of the inspired mixture of gases.

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