• Title/Summary/Keyword: Effusion

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Pleural Effusion Followed by Multiple Intercostal Nerve Blocks in the Patient with Postherpetic Neuralgia (대상포진후 신경통 치료중에 발생한 흉막 삼출액)

  • Song, Jung-Ja;Han, Young-Jin;Choe, Huhn
    • The Korean Journal of Pain
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    • v.5 no.2
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    • pp.269-272
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    • 1992
  • We experienced a case of pleural effusion while treating postherpetic neuralgia in a 70 year old male patient. The patient had scar and color change on the skin along the course of the right Th4-5 intercostal nerve, characteristics of healed herpes zoster. The patient also complained of severe pain along the lesion site which made sleeping difficult. He had been treated with; epidural blocks with or without catheterization; epidural or regional corticosteroids; multiple intraspinal and intercostal blocks with local anesthetic; or neurolytic, alcohol, transcutaneous electrical nerve stimulation, etc., for about six months by the time of pleural effusion development. We came to the conclusion that the effusion was due to pleural irritation by multiple intercostal nerve blocks, because it was bloody and developed on the affected right side, although the patient had a history of a certain hepatic pathology and pulmonary tuberculosis which may be a predisposing factor to the effusion.

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Case Study of Patient with Pleural Effusion Due to Congestive Heart Failure (울혈성 심부전으로 인한 흉막삼출에 대한 한방치험 1례)

  • Park, Jong Joo;Ko, Seung Woo;Kong, Kyung Kwan;Go, Ho Yeon;Moon, Ju Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.4
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    • pp.460-464
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    • 2013
  • The purpose of this case was to report the effect of Korean medical treatment for patient with pleural effusion due to congestive heart failure. The patient was treated with herbal medicine(Cheongsingeonbi-tang) and acupuncture. The effect of treatment was evaluated by chest X-ray, New York Heart Association(NYHA) functional classification, and Hugh-Jones classification. After 3 weeks of treatment, the amount of pleural effusion was decreased and NYHA class, Hugh-Jones grade were improved. NYHA functional classification improved class III to II and Hugh-Jones classification changed grade IV to II. This result suggests that herbal medicine(Cheongsingeonbi-tang) and acupuncture treatment might have an effect on patient with pleural effusion due to congestive heart failure.

A Case of Giant, Benign Schwannoma Associated with Total Lung Collapse by Bloody Effusion

  • Jang, Ju Young;Kim, Jin Se;Choe, Ju Won;Kim, Mi Kyung;Jung, Jae Woo;Choi, Jae Chol;Shin, Jong Wook;Park, In Won;Choi, Byoung Whui;Kim, Jae Yeol
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.2
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    • pp.71-74
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    • 2013
  • Benign schwannoma is the most common neurogenic tumor in the mediastinum. Mediastinal benign schwannomas are most often asymptomatic and rarely accompanied by bloody pleural effusion. In the clinical analysis of 7 cases of pulmonary schwannomas, pleural effusion, and blood invasion were evident in 3 patients with malignant schwannoma. Herein, we report a rare case of giant, benign schwannoma presented with total collapse of right lung by massive, bloody pleural effusion.

Heat/Mass Transfer Characteristics for Variation of Injection Hole in Rotating Impingement/Effusion Cooling System (회전하는 충돌제트/유출냉각기법에서 분사홀 변화에 따른 열/물질전달 특성)

  • Hong, Sung-Kook;Cho, Hyung-Hee
    • The KSFM Journal of Fluid Machinery
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    • v.10 no.3 s.42
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    • pp.25-32
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    • 2007
  • The present paper deals with the heat/mass transfer characteristics for the rotating impingement/effusion cooling system. By changing the size and number of injection hole, its effects on heat/mass transfer are investigated and three different injection hole cases are considered such as LH, DH and SH, respectively. Reynolds number based on the effusion hole diameter is fixed to 3,330 and two jet orientations are considered. A naphthalene sublimation method is used to obtain the heat/mass transfer coefficients on the effusion plate. The LH case shows that the local heat/mass transfer is significantly varied by the rotation. Moreover, the low and non-uniform Sh distributions occur because the impinging jet is deflected by Coriolis force. Meanwhile, for DH and SH cases, the local heat/mass transfer coefficients are enhanced significantly compared to LH case and the rotation effect decreases with increasing the jet velocity. The averaged Sh value of DH and SH case rises up to 45%, 85% than that of LH case. However, the uniformity of heat/mass transfer deteriorates due to the steep variation of heat/mass transfer.

Massive Pleural Effusion as the First Manifestation of Malignant Melanoma Metastasis (흉수로 발현한 전이성 악성 흑색종 1예)

  • Kim, Hee Gu;Ryu, Jeong Seon;Kwak, Seung Min;Lee, Hong Lyeol;Kim, Lucia;Cho, Jae Hwa
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.3
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    • pp.289-291
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    • 2004
  • Malignant melanoma develops from melanocytes and frequently metastases to other organs. Common metastatic sites are other skin, lymph nodes, lung, liver, brain and bone in decreasing order of frequency. Malignant pleural effusion is less frequent manifestation of thoracic metastasis. We experienced a 57-year-old man with pleural effusion who received radical resection with local flap on left foot due to acral lentiginous melanoma 3 years ago. He had progressive chest pain and left massive pleural effusion. The pleural cytology and biopsy showed malignant melanoma. After closed thoracostomy and talc pleurodesis, he refused further immunotherapy and chemotherapy and discharged.

Intrapleural Corticosteroid Injection in Eosinophilic Pleural Effusion Associated with Undifferentiated Connective Tissue Disease

  • Kim, Eunjung;Kim, Changhwan;Yang, Bokyung;Kim, Mihee;Kang, Jingu;Lee, Jiun
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.4
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    • pp.161-164
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    • 2013
  • Eosinophilic pleural effusion (EPE) is defined as a pleural effusion that contains at least 10% eosinophils. EPE occurs due to a variety of causes such as blood or air in the pleural space, infection, malignancy, or an autoimmune disease. Undifferentiated connective tissue disease (UCTD) associated with eosinophilic pleural effusion is a rare condition generally characterized by the presence of the signs and symptoms but not fulfilling the existing classification criteria. We report a case involving a 67-year-old man with UCTD and EPE, who has been successfully treated with a single intrapleural corticosteroid injection.

A Case of Pulmonary Sequestration with Pleural Effusion (산전 진찰에서 발견된 흉막액을 동반한 폐격리증 1례)

  • Ku, Hye Jin;Park, Ji Ae;Park, Su Eun;Kim, Young Dae
    • Clinical and Experimental Pediatrics
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    • v.48 no.2
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    • pp.221-223
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    • 2005
  • Congenital pleural effusions are uncommon. The majority of cases are due to chylothorax, hydrops fetalis, and infection. Effusions of this nature are, for the most part, self-limited. We experienced a rare case of a congenital unilateral pleural effusion due to an extralobar sequestraion with pulmonary lymphangiectasia. Pleural effusion was found by antenatal ultrasonography and confirmed by CT scans and CT angiography of the chest in the neonatal period. The patient underwent an open thoracotomy where extralobar sequestraion located between the diaphragm and the left lower lobe was removed. His postoperative course was uncomplicated and there was complete resolution of the pleural effusion.

A Case of Infectious Mononeucleosis Associated with Pleural Effusion (흉막 삼출액을 동반한 전염성 단핵구증 1례)

  • Lee, Yoon Hee;Noh, Jae Ho;Park, Il Sung;Jeoung, Kyung Sik;Kim, Chun Dong;Kim, Chang Hwi
    • Pediatric Infection and Vaccine
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    • v.13 no.2
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    • pp.191-195
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    • 2006
  • Infectious mononucleosis(IM) is a clinical syndrome characterized by fever, exudative tonsillitis, gerneralized lymphadenopathy(90% of cases), splenomegaly(50% of cases), and hepatomegaly(10% of cases). It is mainly caused by Epstein-Barr virus(EBV) and usually recovered completely in the majority of cases. The complications of IM are splenic rupture, pancreatitis, hematologic problems such as hemolytic anemia, aplastic anemia, and thrombocytopenia, neurologic problems such as meningitis, encephalitis, and Guillian-Barr$\acute{e}$ syndrome, myocarditis, parotitis, orchitis, and interstitial pneumonitis, etc. Pulmonary involvement with EBV infection is rare condition reported frequency of 3% to 5%, in addition pleural effusion has been very rarely reported, especially in the pediatric population. We herein report a case of IM with pleural effusion in 3 years old boy with fever, cervical lymphnodes enlargement, and hepato-splenomegaly. And the pleural effusion is spontaneously resolved for a hospitalization period. A brief review of literature is included.

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A Case of Chronic Pancreatitis with Massive Pleural Effusion (다량의 늑막 삼출을 동반한 만성 췌장염 1례)

  • Lee, Eun Young;Kang, Yo Han;Kim, Jae Young;Kim, Sung Won
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.1
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    • pp.81-86
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    • 2005
  • Massive pancreatic pleural effusion is a rare complication of chronic pancreatitis. It results from leakage of pancreatic secretion into the pleural space through the aortic or esophageal hiatus, either by a pancreatic duct disruption or communicating pseudocyst. The presentation of the pancreatic pleural effusion is often misleading as respiratory rather than abdominal symptoms because of predominance of pulmonary complaints. Markedly elevated amylase level of the pleural fluid is highly suggestive of the diagnosis. We experienced a case of chronic pancreatitis with massive pleural effusion in a 9-year-old female, who presented with a 6-months history of intermittent abdominal pain, and cough and chest pain for 3 days.

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Case Report of Generalized Edema with Hypoalbuminemia and Pleural Effusion Improved by Combined Traditional Korean and Western Medical Treatments in a Patient with Chronic Myeloid Leukemia Medicated with Dasatinib (Dasatinib 제제 복용 중이던 chronic myeloid leukemia 환자의 hypoalbuminemia를 동반한 전신부종 및 흉막삼출에 대한 한⋅양방 병행치료 1례 보고)

  • Kang, Mi-jung;Lee, Dong-keun;Son, Ah-hyun;Shin, Hyeon-su
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.202-211
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    • 2016
  • Objective: This clinical study reports on a case of generalized edema with hypoalbuminemia and pleural effusion improved by combined traditional Korean and Western medical treatments in a patient with chronic myeloid leukemia medicated with dasatinib.Method: Combined traditional Korean and Western medical treatment was carried out, including herbal medicine, acupuncture, moxibustion, and albumin injection. We examined the serum albumin, measured the circumference of both thighs and ankles to estimate the volume of the edema, and evaluated the pleural effusion symptoms.Results: The serum albumin increased, and generalized edema and pleural effusion improved significantly after the administration of Bojungchiseub-tang-gami.Conclusion: These results showed that complications of generalized edema and pleural effusion associated with dasatinib medication have the potential to be improved via combined traditional Korean and Western medical treatments.