• 제목/요약/키워드: Diagnosis of abscess

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Thberculosis Abscess of the Brachio-Radialis Muscle without Osseous Involvement - A Case Report - (골 침범없이 상완요골근에 발생한 결핵 농양(증례 보고))

  • Han Chang-Whan;Kim Weon-Yoo;Ko Lak-Hyun;Cheon Jin-Sung;Kim Jin-Young
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.204-208
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    • 1999
  • The diagnosis of isolated tuberculosis of the brachioradialis muscle without osseous involvement was made by excision of the lesion and histologic examination in a 72-year-old woman who was in a poor general state. The patient was free of other systemic symptoms or other foci of infection. The wound healed without complication with the aid of antituberculous chemotherapy. Two years later, the patient remains symptom-free with no signs of recurrence.

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Ectopic Pancreas with Hemorrhagic Cystic Change in the Anterior Mediastinum

  • Byun, Chun-Sung;Park, In-Kyu;Kim, Hyun-Ki;Yu, Woo-Sik
    • Journal of Chest Surgery
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    • v.45 no.2
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    • pp.131-133
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    • 2012
  • A 31-year-old female was referred from other hospital due to migrating chest pain, mild cough, and blood-tinged sputum for three days before admission. Laboratory tests were unremarkable. Chest computed tomography revealed an elliptical necrotic mass at the left anterior mediastinum, measuring $7{\times}3{\times}4cm$. With the impression of mediastinal abscess or loculated empyema, thoracoscopic resection was performed. There was severe pleural adhesion around the mass. The mass could be resected by the wedge resection of the adhesed upper lobe tissue of left lung around the mass. Final pathologic diagnosis was ectopic pancreas.

Levoatrial Cardinal Vein: Occluder Embolization and Complication Management

  • Mercan, Ilker;Akyuz, Muhammet;Guven, Baris;Isik, Onur
    • Journal of Chest Surgery
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    • v.54 no.3
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    • pp.214-217
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    • 2021
  • In rare cases, levoatrial cardinal vein may occur as an isolated condition without additional congenital anomalies. Depending on the direction and flow of the shunt, this pathology may produce symptoms; alternatively, it may be asymptomatic, as in the case presented in this study. In asymptomatic cases, complications, such as paradoxical embolism and brain abscess, can arise later. In the 11-year-old patient whose case is presented here, the levoatrial cardinal vein was asymptomatic and incidentally detected. The percutaneous closure method was applied first. However, by 16 hours after the procedure, the occluder device had embolized to the iliac artery. Emergency surgery was performed; first, the occluder device was removed, and levoatrial cardinal vein ligation was then performed via a mini-thoracotomy. The symptoms, diagnosis, and treatment modalities of isolated levoatrial cardinal vein are discussed in the context of this case described herein.

Unroofed Coronary Sinus Syndrome with Valvular Disease - Report of A Case - (판막질환을 동반한 관상정맥동 천정결손 증후군 - 수술 치험 1례 -)

  • 박성달
    • Journal of Chest Surgery
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    • v.23 no.1
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    • pp.162-168
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    • 1990
  • Unroofed coronary sinus syndrome is an uncommon anomaly which is caused by incomplete formation of the left atriovenous fold and it is usually associated with persistent left superior vena cava. It may be diagnosed by cardiac catheterization and cineangiography but, if it is not diagnosed, it can bring out significant complications due to right to left shunt, such as brain abscess, cerebral embolism, transient ischemic attack, arterial desaturation and there will reduced patient`s life expectancy. Therefore corrective operation was needed. A case of unroofed coronary sinus syndrome which combines with valvular heart disease was experienced at the department of thoracic & cardiovascular surgery of Kosin medical college. The patient was 49 years old female and she complained dyspnea on exertion for 2 yrs. Cardiac catheterization with cineangiography and both superior venacavogram were performed for diagnosis and she was diagnosed as unroofed coronary sinus syndrome combined with mitral and tricuspid regurgitation. Surgical correction was accomplished by reroofing of coronary sinus with pericardial patch, closure of atrial septal defect and annuloplasty of both atrioventricular valves. Postoperative results were satisfactory and course of recovery was uneventful. We report a case of unroofed coronary sinus syndrome with review.

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Diagnosis and treatment for ectopic eruption of permanent first molar (임상가를 위한 특집 3 - 제1대구치 이소맹출의 진단과 처치)

  • Kim, Ji-Yeon
    • The Journal of the Korean dental association
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    • v.50 no.6
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    • pp.322-328
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    • 2012
  • Ectopic eruption of the permanent first molar is defined as the eruption of the tooth in an abnormal position or orientation. It may causes distal root resorption and premature exfoliation of the adjacent primary second molar and uncontrolled space loss is followed. Prolonged partial impaction of the permanent molar may also cause undetected caries or abscess formation of the neighbor teeth. The purpose of this paper is to provide a brief review regarding the etiology, classification, and different management techniques for correcting ectopic eruption of permanent first molar.

Fistula-in-Ano in Children less than 2 Years of Age (2세 이하 소아 치루에 대한 임상적 분석)

  • Jun, Si-Youl
    • Advances in pediatric surgery
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    • v.16 no.2
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    • pp.170-176
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    • 2010
  • The clinical characteristics of fistula-in-ano in infants are different from those of older children, and its treatment remains controversial. We suggest that fistula-in-ano in infants has a congenital etiology. To verify this hypothesis and to settle the controversies regarding fistula-in ano in infants, a retrospective analysis of 29 patients less than 2 years of age with anal fistulae treated between 1994 and 2009 at Samsung Changwon Hospital were reviewed retrospectively. Twenty two patients were male and mean age at diagnosis was $7.2{\pm}5.2$ months. Eleven out of 22 cases had previous surgical drainage for perianal abscess. 18 patients had fistulotomy (81.8 %) and four had fistulectomy (18.2 %). Cryptotomies with fistulectomy were performed in 10 patients (45.5 %) who had involved crypt. There was one recurrence. These results suggest that fistula-in-ano in young children less than two years of age is different from those in older children or adults. Fistulotomy is suggested to be the recommended treatment of choice. A future study involving non-operative management would be required to explore all treatment options.

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Primary xanthoma inferior to the right mandibular third molar and intraoral vertical ramus osteotomy

  • Kim, Min-Ji;Kang, Min-Jun;Kang, Sang-Hoon
    • Imaging Science in Dentistry
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    • v.52 no.2
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    • pp.231-238
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    • 2022
  • Intraosseous xanthoma of the mandible is a rare benign disorder. A 17-year-old male patient presented with a suspected abscess in the right mandibular third molar, detected on a panoramic radiograph. The patient had no history of systemic or lipid-related metabolic diseases and complained of no specific symptoms or pain. A radiographic examination revealed a heterogeneous radiolucency extending from the apical to the distal aspect of the right mandibular third molar tooth germ. The lesion measured 9 × 16 × 24 mm (antero-posterior × mediolateral × supero-inferior) and showed a relatively well-defined, multilocular, foamy appearance with hyperostotic borders spreading to the inferior alveolar nerve canal. After excisional biopsy, a diagnosis of central xanthoma was made. The lesion recurred, and intraoral vertical ramus osteotomy was done near the lesion. For the treatment of xanthoma of the mandible, extensive and delicate surgical treatment under general anesthesia should be considered.

Surgical Treatment of Post-pneumonectomy Empyema Thoracis (전폐절제 수술후 발생한 농흉치험)

  • 이두연
    • Journal of Chest Surgery
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    • v.24 no.6
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    • pp.555-559
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    • 1991
  • Post-pneumonectomy empyema thoracis is an uncommon, but very serious problem. Early diagnosis & adequate drainage followed by thoracoplasty and or myoplasty are very important principles for the management of the empyema thoracis & will enable patient to recover from the toxic effects. During the period of January, 1985 to December, 1990, 13 patients with post-pneumonectomy empyema thoracis were treated in the department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine. There were 10 males % 3 females ranging from 31 years to 79 years of age. The occurrence ratio of left to right side was 8: 5. The underlying pathologic lesions of empyema thoracis were pulmonary tuberculosis[7], lung ca. [2] pneumothorax[2], lung abscess[1] pneumonia[1]. We treatment procedure for post-pneumonectomy empyema thoracis were open window thoracostomy in 10 cases, Clagett procedures in 2 cases, one thoracoplasty, and two cases of Clagett procedures followed by open window thoracostomy in one cases.

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A Case of Fourth Branchial Cleft Cyst (제 4 새성 기형 1예)

  • Park Il-Seok;Chang Jai-Hyuk
    • Korean Journal of Head & Neck Oncology
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    • v.21 no.1
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    • pp.53-56
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    • 2005
  • The branchial anomaly is a lateral neck mass commonly seen by otolaryngologists. Depending on its anatomic location, branchial anomaly can be classified into first, second, third and fourth. The fourth branchial cleft anomaly is very rare entity and until now, only 35cases have been reported worldwide. It may present as neck cyst, recurrent neck abscess, thyroiditis. Combined with barium swallow esophagogram and computed tomography scan can aid in diagnosis of this rare disease entity. Complete excision of the entire epithelial tract combined with ipsilateral thyroid lobectomy remains the mainstay of treatment. Authors experienced a case of lateral neck mass which was anatomically presumed to be the fourth branchial cleft cyst. We report this case with the related literature.

Pulmonary Aspergillosis Combined with Pulmonary Tuberculosis (폐결핵에 병발한 폐 Aspergillosis의 1치험례)

  • Jo, Kuen Hyon;Lee, Hong Kyun
    • Journal of Chest Surgery
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    • v.9 no.2
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    • pp.193-197
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    • 1976
  • Pulmonary aspergillosis is a rather uncommon disease as a saprophytic infection, mostly producing significant repeated hemoptysis and frequently combined with chronic debilitating disease or cavitary lung disease such as pulmonary tuberculosis, lung abscess and bronchiectasis. Evaluation of the characteristic symptom, X-ray finding composing intracavitary fungus ball with crescent air patch and immunologic test constitute essential part of diagnosis. Surgical resection is a successful treatment combined with administration of anti-fungal agent to eradicate completely. We present one case of surgically removed pulmonary aspergillosis showing fungus ball, superimposed on underlying pulmonary tuberculosis, with review of the related literatures.

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