• Title/Summary/Keyword: Gallbladder

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Epstein-Barr Virus Infection with Acute Acalculous Cholecystitis

  • Kim, Ahlee;Yang, Hye Ran;Moon, Jin Soo;Chang, Ju Young;Ko, Jae Sung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.1
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    • pp.57-60
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    • 2014
  • Acute acalculous cholecystitis (AAC) is an inflammation of the gallbladder in the absence of demonstrated stones. AAC is frequently associated with severe systemic inflammation. However, the exact etiology and pathogenesis of AAC still remain unclear. Acute infection with Epstein Barr virus (EBV) in childhood is usually aymptomatic, whereas it often presents as typical infectious mononucleosis symptoms such as fever, cervical lymphadenopathy, and hepatosplenomegaly. AAC may occur during the course of acute EBV infection, which is rarely encountered in the pediatric population. AAC complicating the course of a primary EBV infection is usually associated with a favorable outcome. Most of the patients recover without any surgical treatment. Therefore, the detection of EBV in AAC would be important for prediction of better prognosis. We describe the case of a 10-year-old child who presented with AAC during the course of primary EBV infection, the first in Korea, and review the relevant literature.

Oriental Medical Treatment of chronic Acalculous Cholecystitis (무결석성(無結石性) 만성담낭염(慢性膽囊炎)(Chronic Acalculous Cholecystitis) 환자 치험례)

  • Park, Jung-Han;Cho, Hyun-Seok;Kim, Jung-Chul;Wi, Jong-Seong;Baik, Tae-Hyun;Lee, Hae-Yeon
    • Journal of Pharmacopuncture
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    • v.7 no.3
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    • pp.131-136
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    • 2004
  • Chronic acalculous cholecystitis gets possession of about 12 to 13 percent of patients with chronic cholecystitis. Pathologically it is characterised by chronic inflammation and thickening of the gallbladder wall but doesn't come across stones. Clinical symptoms are vague and include abdominal discomfort and distension, nausea, flatulence and intolerance of fatty foods. A patient on chronic acalculous cholecystitis diagnosed from his clinical symtoms and abdominal ultrasonogram was treated by Geonbihwan, acupuncture and herbal acupuncture. Satisfactory symptomatic improvement was achieved and findings of abdominal ultrasonogram came also normal.

Two adolescent cases of Fitz-Hugh-Curtis syndrome (청소년에서의 Fitz-Hugh-Curtis Syndrome 2례)

  • Kim, Ji Hye;Oh, Sung Hee
    • Clinical and Experimental Pediatrics
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    • v.52 no.9
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    • pp.1038-1043
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    • 2009
  • Two adolescent cases of Fitz-Hugh-Curtis syndrome, which has not been previously reported in Korean girls, presenting with right upper-quadrant abdominal pain, nausea, vomiting, and fever are reported here. A careful and thorough inquiry into the sexual history of the first patient, which was not done upon admission, led to a careful reassessment of the dynamic abdominal computed tomography scan revealing hepatic capsular enhancement without evidence of gallbladder or liver disease. Both cases were diagnosed noninvasively and were treated successfully by medical intervention. A high index of suspicion of Fitz-Hugh-Curtis syndrome should be implemented in the differential diagnosis of right upper quadrant pain, particularly in sexually active girls, for a prompt diagnosis and rapid cure.

Adult Dirofilaria immitis in the Aorta of a Dog (개에서 심장사상충증의 대동맥 이소기생)

  • Wang, Ji-Hwan;Choi, Ho-Jung;Lee, Young-Won;Park, Ki-Tae;Yeon, Seong-Chan;Lee, Hyo-Jong;Lee, Hee-Chun
    • Journal of Veterinary Clinics
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    • v.25 no.4
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    • pp.303-306
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    • 2008
  • Unknown age, spayed female mixed dog was presented with a severe lethargy. Radiography, ultrasonography, and blood screen test were performed to make a diagnosis. There were no specific radiographic findings. On the ultrasonography, small amount of ascites was found around gallbladder and hepatic vein was dilated approximately 6.1 mm. Blood screen test revealed a severe anemia. Result of heartworm ELISA kit was positive. At necropsy, parasites were in the left atrium, right ventricles, aorta, pulmonary artery, right renal artery.

The Treatise research about Acupuncture Point for Symptoms of Headache (두통(頭痛)의 원인(原因)과 침구치료혈(鍼灸治療穴)에 관(關)한 문헌적(文獻的) 고찰(考察))

  • Park Sung-Ho;Lee Byung-Ryul
    • Journal of Acupuncture Research
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    • v.15 no.2
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    • pp.455-478
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    • 1998
  • The result as following one was founded that investigate cause and acupuncture point for symptoms of headache; 1. Headache in distinction from doo-pung(頭風.) was defined that it' period is short and treatment is easy. 2. The cause of headache was classified according to the interior and exterior cause of the body. 3. Total number of used acupuncture point was one hundred and six, and in order of using time acupuncture point was appeared as LI4(15), LU7(12), GB20(12), BL2(11), GV20(9), TE23(9), SI3(7), GV24(7), GV23(7) 4. The meridian distribution of acupuncture point is appeared as Bladder Meridian(21points), Gallbladder Meridian(18points), Governer vesseI(14points), Triple Energizer meridian(12points), Large Intestine Meridian(9points), Small Intestine Meridian(7points), Stomach Meridian(7points) 5. According to headache position, the distribution of acupuncture point $Yangmy\check{o}ng\;Ky\check{o}ng$ and Governer vessel was used to frontal headache, Soyang $Ky\check{o}ng$ to migraine, Taeyang $Ky\check{o}ng$ and Governer vessel to occipital headache. 6. LI4(合谷) and LU7(列缺) was used to general headache as basic acupuncture point.

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Gadolinium Complex of 1,4,7,10-Tetraazacyclododecane-1,4,7-trisacetic acid (DO3A) Conjugate of [(p-aniline benzothiazole)methyl]pyridine as a Tumor-Targeting MRI Contrast Agent

  • Nam, Ki Soo;Jung, Ki-Hye;Chang, Yongmin;Kim, Tae-Jeong
    • Bulletin of the Korean Chemical Society
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    • v.34 no.12
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    • pp.3654-3658
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    • 2013
  • The synthesis of a DO3A conjugate of [(p-aniline benzothiazole)methyl]pyridine ($L^2H_3$) and its gadolinium complex of the type [$Gd(L^2)(H_2O)$] ($GdL^2$) is described. The $R_1$ relaxivity ($=4.50mM^{-1}sec^{-1}$) and kinetic inertness of $GdL^2$ compares well with those of structurally analogous Dotarem$^{(R)}$ ($R_1=3.70mM^{-1}sec^{-1}$), a typical extracellular (ECF) MRI contrast agent (CA). Yet, by comparison with Dotarem$^{(R)}$, $GdL^2$ exhibits non-covalent interactions with human serum albumin (HSA) as evidenced by the ${\varepsilon}^*$ titration curve along with in vivo MR signal enhancement in both aorta and heart. Liver-specific nature of $GdL^2$ is also observed as excretion is made through gallbladder. Most notably, $GdL^2$ further demonstrates specificity toward the MDA-MB-231 breast cancer.

Peutz-Jeghers Syndrome: A Case Report and Review of Literature (Peutz-Jeghers 증후군: 증례보고와 문헌고찰)

  • Kim, Hyun Soo;Kim, Soung Min;Choi, Jin Young;Myoung, Hoon;Lee, Suk Keun;Lee, Jong Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.5
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    • pp.363-366
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    • 2012
  • Peutz-Jeghers syndrome is a rare syndrome with characteristic features of multiple hamartomatous polyps and mucocutaneous pigmentation. This syndrome is an autosomal dominant disease, and has complications related with polyps of the gastrointestinal tract, such as small bowel obstruction, iron deficiency anemia associated with bleeding, and intussusceptions. Many studies have reported about higher cancer risk of patients with this syndrome than those with no syndrome in the gastrointestinal tract, including gastric, duodenal, jejunal and the extragastrointestinal organs, such as gallbladder, breast and reproductive system. There are guidelines for periodic test for early detection and treatment for higher risk organs. We report a case of Peutz-Jeghers syndrome patient in the emphasis of Oral and Maxillofacial surgeon's role with review of the literature.

Analysis of Death Causes of In-patients with Malignant Tumors in Sichuan Cancer Hospital of China from 2002 to 2012

  • Wang, Xiao;Song, Zheng-Fang;Xie, Rui-Meng;Pei, Jiao;Xiang, Ming-Fei;Wang, Huan
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.7
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    • pp.4399-4402
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    • 2013
  • Objectives: To analyze underlying disease, fatality rate and the major causes of death of in-patients with malignant tumors in Sichuan Cancer Hospital. Methods: Clinical data of in-patients from 2002 to 2012 were retrospectively analyzed. Results: The top 10 tumors (82.0%of the total) of the malignant tumors of the in-patients were lung, cervical, esophagus, breast, colorectal, nasopharynx, liver and gastric cancers, lymphomas and ovarian cancers. The overall fatality rate was 2.7% during these eleven years, 3.4% and 2.0% for male and females, respectively with statistical significance for the difference (${\chi}^2$=164.737, P<0.001). The top 10 death causes were lung cancer, liver cancer, colorectal cancer, esophagus cancer, gastric cancer, lymphoma, breast cancer, pancreatic cancer, ovarian cancer and nasopharynx cancer. In-patients with pancreatic cancer had the highest fatality rate (9.6%). There were different ranks of death causes in different sex groups and age groups. Conclusion: Prevention and control work of cancer should be enhanced not only for cancers with high incidence such as lung cancer, esophageal cancer but also for the cancers which have low incidence but high fatality rate, such as pancreatic cancer and gallbladder cancer, which would help to improve the survival rate and quality of life of cancer patients in the future.

The Treatise research about Acupuncture Point for Symptoms of Headache (두통(頭痛)의 침구치료혈(鍼灸治療穴)에 관(關)한 문헌적(文獻的) 고찰(考察))

  • Park, Sung Ho;Lee, Byung Ryul
    • Journal of Haehwa Medicine
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    • v.11 no.1
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    • pp.111-135
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    • 2002
  • The result as following one was founded that investigate cause and acupuncture point for symptoms of headache, 1. Headache in distinction from doo-pung(頭風) was defined that it' period is short and treatment is easy. 2. The cause of headache was classified according to the interior and exterior cause of the body. 3. Total number of used acupuncture point was one hundred and six, and in order of using time acupuncture point was appeared as LI4(15), LU7(12), GB20(12), BL2(11), GV20(9), TE23(9), SI3(7), GV24(7), GV23(7) 4. The meridian distribution of acupuncture point is appeared as Bladder Meridian(21points), Gallbladder Meridian(18points), Governer vessel(14points), Triple Energizer meridian(12points), Large Intestine Meridian(9points), Small Intestine Meridian(7points), Stomach Meridian(7points) 5. According to headache position, the distribution of acupuncture point was appeared that $Yangmy\breve{o}ng$ $Ky\breve{o}ng$ and Governer vessel was used to frontal headache, Soyang $Ky\breve{o}ng$ to migraine, Taeyang $Ky\breve{o}ng$ and Governer vessel to occipital headache. 6. LI4(合谷) and LU7(列缺) was used to general headache as basic acupuncture point.

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Survival Analysis of Biliary Tract Cancer Cases in Turkey

  • Akca, Zeki;Mutlu, Hasan;Erden, Abdulsamet;Buyukcelik, Abdullah;Cihan, Yasemin Benderli;Goksu, Sema Sezgin;Aslan, Tuncay;Sezer, Emel Yaman;Inal, Ali
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.15
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    • pp.6025-6027
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    • 2014
  • Background: Because of the relative rarity of biliary tract cancers (BTCs), defining long term survival results is difficult. In the present study, we aimed to evaluate the survival of a series of cases in Turkey. Materials and Methods: A totally of 47 patients with billiary tract cancer from Mersin Goverment Hospital, Acibadem Kayseri Hospital and Kayseri Training and Research Hospital were analyzed retrospectively using hospital records between 2006-2012. Results: The median overall survival was $19.3{\pm}3.9$ months for all patients. The median disease free and overall survivals were $24.3{\pm}5.3$ and $44.1{\pm}12.9$ months in patients in which radical surgery was performed, but in those with with inoperable disease they were only $5.3{\pm}1.5$ and $10.7{\pm}3.2$ months, respectively. Conclusions: BTCs have a poor prognosis. Surgery with a microscopic negative margin is still the only curative treatment.