• Title/Summary/Keyword: Ileocecal

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Ileocecal Intussusception in a Growing Thoroughbred Filly (육성 중인 Thoroughbred 망아지에서 회맹장 중첩 1례)

  • 양재혁;양영진;조길재;김성희;김영주
    • Journal of Veterinary Clinics
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    • v.19 no.2
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    • pp.243-246
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    • 2002
  • An acute colic in a 6-month-old Thoroughbred filly is described. The filly was presented with acute colic haracterized by rolling and pawing. Over a period of days she suffered from severe abdominal pain and subsequently died. ost mortem examination revealed the ileocecal intrssusception as a part invagination of the ileum into the cecum. It seems ogical to assume that the invagination occurred at the start of the illness. In addition, it is also noted the presence of Parascaris quorum in the stomach.

A Case of Intussusception Secondary to Ileocecal MALT Lymphoma (장중첩증을 초래한 회맹부의 MALT 림프종 1예)

  • Lee, Won-Hee;Yang, Eun-Seok;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.10 no.2
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    • pp.197-201
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    • 2007
  • The gastrointestinal (GI) tract is the extranodal location most frequently involved in MALT lymphomas, and although MALT lymphomas can be found in the small intestine, most MALT lymphomas of the GI tract occur in the stomach. In addition, MALT lymphoma occurs predominantly in adults; however, a ten-year old female that was admitted to our hospital due to Rt. lower quadrant abdominal pain 1 month ago,was diagnosed with intussusception secondary to ileocecal MALT lymphoma. A biopsy specimen confirmed lymphocyte infiltration with lymphoepithelial lesions, suggesting a low grade MALT lymphoma. Therefore, we report a case of low-grade MALT lymphoma occurring in a ten-year-old female who presented with ileocecal intussusception.

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Intestinal lipoma near the ileocecal calve Report of 3 cases and review of the literature (회맹판 주위 장관 지방종)

  • Shim, Min-Chul;Lee, Su-Jeong;Min, Hyun-Sik;Kwun, Koing-Bo
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.333-337
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    • 1986
  • Three cases of intestinal lipoma near the ileocecal valve are described. In patients of cecal and ileocecal valve lipoma, they had right lower quadrant abdominal pain secondary to partial intestinal obstruction. In rarely developed segmental lipomatosis of the ileum, the patient had right abdominal mass and pain to fecal impaction of the diverticula. Diagnosis may be made by an abnormal roentgenographic pattern and confirmed by colonoscopy. Surgical removal of the affected segment results in cure in symptomatic patients.

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Alimentary Tract Duplication in Pediatric Patients: Its Distinct Clinical Features and Managements

  • Kim, Soo-Hong;Cho, Yong-Hoon;Kim, Hae-Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.5
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    • pp.423-429
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    • 2020
  • Purpose: Alimentary tract duplication (ATD) is a rare congenital condition that may occur throughout the intestinal tract. Clinical symptoms are generally related to the involved site, size of duplication, or associated ectopic mucosa. This study aimed to identify clinical implications by anatomical locations and age group and then suggest a relevant management according to its distinct features. Methods: We retrospectively reviewed the clinical data of pediatric patients who received a surgical management due to ATD. Furthermore, data including patients' demographics, anatomical distribution of the duplication, clinical features according to anatomical variants, and outcomes were compared. Results: A total of 25 patients were included in this study. ATD developed most commonly in the midgut, especially at the ileocecal region. The most common clinical presentation was abdominal pain, a sign resulting from intestinal obstruction, gastrointestinal bleeding, and intussusception. The non-communicating cystic type was the most common pathological feature in all age groups. Clinically, prenatal detection was relatively low; however, it usually manifested before the infantile period. A laparoscopic procedure was performed in most cases (18/25, 72.0%), significantly in the midgut lesion (p=0.012). Conclusion: ATD occurs most commonly at the ileocecal region, and a symptomatic one may usually be detected before the early childhood period. Surgical management should be considered whether symptom or not regarding its symptomatic progression, and a minimal invasive procedure is the preferred method, especially for the midgut lesion.

Clinical Manifestations of Childhood Intussusception with Ubiquitous Ultrasonography -Comparison with Small Bowel and Ileocecal Type- (복부 초음파 검사 보편화 시대의 소아 장중첩증의 임상적 고찰 - 소장형과 대장형의 비교 -)

  • Kim, Wan-Sung;Jeong, Jin-Ho;Lee, Jong-Hoon;Park, Jae-Kun;Moon, Hyoun-Jong;Shin, Hyuk-Jai;Lee, Jong-In
    • Advances in pediatric surgery
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    • v.17 no.1
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    • pp.23-34
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    • 2011
  • We analyzed the clinical characteristics and outcome of ileocecal and small bowel intussusceptions (ICI and SBI) in the pediatric patients. From August 2003 to July 2010, 144 children with intussusception were included in this study. We retrospectively reviewed the clinical records and Imaging study findings. A total of 86 children with ICI and 58 children with SBI were diagnosed. Children with SBI were older than ICI ($36.6{\pm}24.6$ months vs. $24.2{\pm}21.6$ months, p=0.002). Typical symptoms such as irritability, abdominal mass, bloody stool were more frequent in ICI than SBI (p<0.05) patients. In the ICI group, intussusceptums were reduced with air reduction (84.5%), surgery (17.4%), and spontaneity (1.2%). All patients in the SBI group were reduced spontaneously. SBI occurred in older age and was reduced spontaneously more frequently than ICI. Conservative management with close observation with follow-up by ultrasonography is recommended for SBI.

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Intussusception due to Diverticulum of Ileocecal Area -A case report- (회맹부 게실에 의한 장중첩증 1례 보고)

  • Kim, In-Cheol;Shin, Dae-Won;Choi, Yong-Jae;Bae, En-Joo;Lee, Kyeung-Ja;Ryu, Boung-Yoon;Cho, Ji-Woong;Choi, Kyung-Chan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.1
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    • pp.104-107
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    • 2001
  • Intussusception is a frequent cause of bowel obstruction in the first five years of life and it is one of the most common surgical emergencies in infancy and early childhood. The age of five months child was administered in Department of Pediatrics of Chunchon Sacred Heart Hospital. His main symptoms were vomiting and high fever for three days. Abdominal sonography, air reduction and abdominal computerized tomography (CT) were performed and the conclusion of these study was intussusception due to cyst mass lesion; duplication cyst, mesenteric cyst or Meckel's diverticulum. He was transferred for operation. We had performed laparotomy for reduction of the intussusception. Operative findings revealed ileocolic type of intussusception due to cystic tumor on ileocecal valve that was invaginated into the cecum, and hyperplasia of the Peyer's patch were seen. But we failed manual reduction because of the tumor in the ileocecal area. So we had performed partial resection of the ileocecum. Diverticulum of the ileum was confirmed by pathologic examination. We experienced unusual cause of the intussusception. So we report this case with a review of the literatures.

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Intestinal intussusception in elefant

  • K. Matsuda;L. Kolodzieyski;Lim, C-W;M-S. Seol;B-M. Rim
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2001.09a
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    • pp.30-30
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    • 2001
  • Five years old Asian male elephant (Elephas maximus), transported from Malaysia, had showed slight inappetence and mild diarrhea from begining of stay at the zoo, and died after three months clinical therapy. Necropsy of this elephant grossly demonstrated ileocecal intussusception as the cause of the death, coupled with purulent nephritis together and nephrolithiasis, mild liver degeneration, numerous subepiacrdial and subendocardial hemorrhages. Bacteriological culture was conducted from renal pelvis revealing Klebsiella pneumonia infection. Histological findings included diffuse chronic interstitial nephritis with numerous amount of lymphocytes and giant cells. This is a unique combination of pathological findings consisting of intestinal intussusception and purulent pyelonephritis in elephant. This is the first description of intestinal intussusception together with severe nephritis in elephant

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A Case of Ileocolic Type Intussusception Associated with Hematemesis (토혈을 동반한 회맹장형 장중첩증 1례)

  • Kim, Young Hee;Kim, Seung Soo;Suh, Eun Sook
    • Clinical and Experimental Pediatrics
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    • v.46 no.7
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    • pp.722-725
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    • 2003
  • Intussusception is a common cause of lower intestinal bleeding from five to 11 months of age. Typical symptoms are paroxysmal colicky pain, irritability, vomiting, abdominal mass and currant jelly stool, but hematemesis is rare. Though the most common type of intussusception is ileocecal type, it is rarely accompanied with hematemesis. Up until the present, hematemesis has been observed rarely but only in ileoileal type intussusuption for children and gastrojejunal or jejunojejunal type intussuception for adults who went through gastrectomy. We report a case of the ileocolic type intussusception associated with hematemesis in a 18 months old child.

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.

The Application of Ganhap(干合) Theory -Focused on Viscera and Bowels- (간합이론(干合理論)의 응용 - 장부(臟腑)를 중심으로 -)

  • Cho, Yong-Ju; Kim, Jin-Ju
    • Journal of Korean Medical classics
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    • v.23 no.2
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    • pp.15-31
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    • 2010
  • Objectives : The aim of this study was to understand application of Ganhap(干合) theory to human body. Methods : We investigated 5 important sphincters along the alimentary tract (Larynx, Pharynx, Cardia, Pyrolus, Iliocecal portion) comparing with the function of Viscera and Bowels, also with Meridian and collateral theory. Results & Conclusions : We can analyze 5 important sphincters along the alimentary tract into relationship of Ganhap. 1. Larynx are related with the combination of Byeong-Sin(丙辛合). 2. Pharynx are related with the combination of Jeong-Im(丁壬合). 3. The Cardia is related with the combination of Mu-Gyu(戊癸合). 4. The Pyrolus is related with the combination of Gap-Gi(甲己合). 5. Ileocecal portion is related with the combination of Eul-Gyeong(乙庚合).