• Title/Summary/Keyword: Distal segment

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A Case of Long Segment Myomectomy for the Treatment of Esophageal Hemangioma (식도 근육 절제로 치료한 식도 혈관종 치험 1예)

  • 이현주;김영태;성숙환;김주현
    • Journal of Chest Surgery
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    • v.36 no.3
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    • pp.206-210
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    • 2003
  • Hemangiomas in the esophagus comprise less than 3% of all benign esophageal neoplasms. They are frequently small and easily treated with resection via either endoscopy or thoracotomy. We report a cavernous hemangioma occurred in the distal esophagus successfully treated with circumferential myomectomy.

Surgical Correction of Pulmonary Atresia with VSD -Report of a Case- (심실 중격 결손증을 동반한 폐동맥 폐쇄증의 외과적 교정)

  • 김대영
    • Journal of Chest Surgery
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    • v.28 no.11
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    • pp.1045-1048
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    • 1995
  • Pulmonary atresia with VSD is uncommon congenital anomaly with high mortality in neonatal period.Recently we experienced surgical correction of pulmonary atresia with VSD. The case was 2 month old male patient diagnosed as pulmonary atresia with VSD and PDA. Atretic pulmonary artery segment from Rt ventricular infundibulum to pulmonary artery was lcm in length. The pulmonary trunk tapered toward Right ventricular infundibulum and resulted in blind pouch with diameter of lmm. The left pulmonary artery was stenosed at just proximal and distal part to which PDA was connected. Total correction was undertaken which consisted of PDA ligation, dacron patch closure of VSD, establishment of continuity between right ventricle and pulmonary artery with autogenous pericardium. Postoperative systolic fight ventricular pressure and left ventricular pressure ratio was 0.7. In patient with pulmonary atresia with VSD it is advisable to perform a corrective operation, whenever the size and anatomy of pulmonary artery are acceptable for it.

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Aneurysm at the Origin of the Accessory Middle Cerebral Artery - A Case Report - (부중대뇌동맥 기시부의 동맥류 - 증례보고 -)

  • Ahn, Jung Yong;Joo, Jin Yang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.6
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    • pp.832-835
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    • 2000
  • A case of unruptured cerebral aneurysm at the junction of accessory middle cerebral artery and the distal portion of the $A_1$ segment of the anterior cerebral artery is reported. To the authors' knowledge, this is the first reported case of cerebral aneurysm developed at the junction of accessory middle cerebral artery, demonstrated on magnetic resonance angiography(MRA). The accessory middle cerebral artery is a rare vascular variant of middle cerebral artery. Furthermore, it is extremely rare for an aneurysm to be developed at the origin of the accessory middle cerebral artery. The development of the accessory middle cerebral artery is very important in surgery of cerebral aneurysm and collateral circulation of cerebral infarction. Review of the literature regarding the genesis and anatomical variation of the accessory middle cerebral artery is also presented.

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Congenital Esophageal Stenosis due to Tracheobronchial Remnants - 3 Case Reports - (기관기관지 잔유조직에 의한 선천성 식도협착증 수술 치험 -3예 보고-)

  • Kim, Dong-Won
    • Korean Journal of Bronchoesophagology
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    • v.16 no.1
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    • pp.64-67
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    • 2010
  • Congenital esophageal stenosis due to tracheobronchial remnants is a rare anomaly, resulting in dysphagia and recurrent pneumonia, We have experienced three cases of csophageal stenosis due to ectopic tracheobronchial remnants and performed operative correction. Two patients were 20 months and five year old male with a chief complaints of swallowing difficulty from birth and the other was a twenty three year old female with a slowly increasing symptom of dysphagia for twenty years. Esophagogram of the patient with tracheobronchial remnants shows abrupt narrow segment at distal esophagus with marked proximal dilatation, and linear barium collections perpendicularly projecting from the stenotic esophagus. All of them were performed surgical correction by esophagectomy of the stenotic portion and esopahgo-gastrostomy with anti-reflux procedures, The resected specimens of these patients showed ectopic tracheobronchial chondroepithelial tissue within the esophageal wall histopathologically. Postoperative course was uneventful and have been in good condition without any problems.

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A new species of the genus Apseudomorpha Miller (Crustacea, Peracarida, Tanaidacea) from Korea

  • Hwang, Hosung;Kim, Il-Hoi
    • Journal of Species Research
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    • v.5 no.3
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    • pp.385-392
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    • 2016
  • A new species of Tanaidacea is described from the eastern coast of Korea, under the name of Apseudomorpha magna in the family Metapseudidae. The new species can be distinguished from its congeners by the following combination of characters: pleonites 2 and 5 and pleotelson have a large lateral seta; pleopods are biramous, in five pairs, each bearing a two-segmented exopod and a single-segmented endopod; the maxillular palp is two-segmented, with five setae on its distal segment; the pleotelson has a large seta on each anterolateral process; and the mandibular palp has 2, 7, and 13 setae on the first to third segments, respectively.

Perforation of an Idiopathic Small Bowel Ulceration after Blunt Abdominal Trauma in a Child (소아에서 복부둔상 후 발견된 특발성 소장 궤양의 천공 1예)

  • Jeong, Yeon-Jun;Yu, Hee-Chul;Kim, Jae-Chun
    • Advances in pediatric surgery
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    • v.5 no.2
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    • pp.141-145
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    • 1999
  • Idiopathic small bowel ulceration distal to the duodenum is rare. Less than 5 % of the reported cases were in children. In the majority of the patients, a single ulcer of unknown cause is found in the jejunum or ileum. The diagnosis is difficult and usually made at the time of surgical exploration for complications, such as perforation, hemorrhage or obstruction. We treated a pediatric patient with perforation of an idiopathic ileal ulceration. The child was an 11-year-old boy who sustained blunt abdominal trauma. The involved ileal segment was resected. Pathologic findings were compatible with idiopathic small bowel ulceration. The clinical and pathological aspects of idiopathic ulcerations are discussed, and the literature reviewed.

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Studies on the Fine Structure of Caeca in Domestic Geese

  • Chen, Yieng How;Hsu, Hoang Kao;Hsu, Jenn Chung
    • Asian-Australasian Journal of Animal Sciences
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    • v.15 no.7
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    • pp.1018-1021
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    • 2002
  • The objective of this study was to investigate the villus distribution in the caeca of domestic geese based on the fine structure. The caeca of White Roman geese, 14-week old, were sampled and specimens were detected under photomicroscope and scanning electron microscope (SEM). The results indicated that the villi existed at the proximal caecum. The morphologies of these villi showed finger-like, peak-like or tongue-like shapes. The heights of the villi decreased far from the proximal caecum. No villi were found in the middle and distal caecum. It was obvious that the proximal segment was the main portion for absorbing food nutrients in the caeca. The caecal content particles were small and possessed a viscid character. The large particles filtered out at the proximal caecum just like a mesh. The surface of the middle caecum exhibited parallel ridges with no villi. There were band plicae circular shapes found in the middle caecum under scanning electron microsopy.

Redescription of Canthocamptus morimotoi Miura, a Stygobiontic Harpacticoid Species from Korea, with a Brief Review on C. mirabilis Group

  • Cheon Young Chang
    • Animal cells and systems
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    • v.2 no.4
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    • pp.427-434
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    • 1998
  • Canthocamptus morimotoi Miura, a cave-dwelling harpacticoid species belonging to C. mirabilis species group, is fully redescribed and illustrated on the basis of the material newly collected from the type locality, Simpigul Cave, South Korea. C. morimotoi is the only genuine subterranean species in the C, mirabilis group, and claimed to be a relict species restricted to its type locality. The sexually isomorphic ornamentation of the outer terminal seta on the distal exopodal segment of male leg 4 and the well-developed spines on the disteromedial corner of anal somite are the most significant features differentiating this species from ther members of the mirabilis-group.

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Tracheal Reconstruction Using Femoro-Femoral Bypass -A Case Report- (우측 소매 전폐 적출술 후 발생한 기관 협착증의 체외 순환을 이용한 수술치험 1례)

  • 최필조
    • Journal of Chest Surgery
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    • v.27 no.4
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    • pp.324-327
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    • 1994
  • Resection and reconstruction of distal trachea or carina have posed tremendous technical challenges for surgeons. Successful outcome depends on thorough preoperative evaluation, careful anesthetic management,strict attention of surgical technique and postoperative care. We report a successful case of revision of tracheal stenosis using femoro-femoral bypass on a 13~year-old boy. The patient complained severe dyspnea about I month following right sleeve pneumonectomy. Preoperative CT scan and intraoperative bronchoscopy showed pin-point tracheal stenosis at a tracheo-bronchial anastomosis site about 1.2cm in length.At operation the lesion was severely adhesed and the lumen was nearly obstructed. The stenotic segment was resected and direct end-to-end anastomosis was done under femoro-femoral bypass for adequate oxygenation. The patient was discharged at postop. 16 days without specific complications and has continued to do well.

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Synchronous ileal inflammatory fibroid polyp and Meckel's diverticulum found during laparoscopic surgery for adult intussusception

  • Kang, Sung Il;Gu, Mi Jin
    • Journal of Yeungnam Medical Science
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    • v.37 no.3
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    • pp.226-229
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    • 2020
  • We present a rare case of synchronous ileal inflammatory fibroid polyp and Meckel's diverticulum detected during laparoscopic surgery for adult intussusception. A 48-year-old woman presented with sudden onset of severe abdominal pain. Abdominal computed tomography revealed a segment of ileocecal intussusception. Thus, laparoscopic exploration was performed, which revealed an ileal mass with an outpouching closed luminal structure in the distal ileum. Two abnormal structures were resected via mini-laparotomy, and the patient was discharged without postoperative complications. Histopathological examination confirmed an ileal inflammatory fibroid polyp and Meckel's diverticulum with ectopic pancreatic tissue.