• 제목/요약/키워드: Ilsan

검색결과 1,360건 처리시간 0.027초

Ileal Perforation with Norovirus Gastroenteritis in a 3-Month-Old Infant

  • Wi, Seol Woo;Lee, Su Jin;Kang, Eun Kyeong;Cho, Sung Min
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제20권2호
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    • pp.130-133
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    • 2017
  • Noroviruses have been recognized as the leading cause of epidemic and sporadic gastroenteritis since the advent of molecular diagnostic technique. They have been documented in 5-31% of pediatric patients hospitalized with gastroenteritis. Although norovirus gastroenteritis is typically mild and self-limited, it causes severe, but sometimes fatal, conditions in the vulnerable population such as immunocompromised patients, young children, and the elderly. Bowel perforation due to norovirus infection is rare. We report a case of small bowel perforation with norovirus gastroenteritis in the infant with Down syndrome during the hospitalization with pneumonia. Severe dehydration may cause bowel ischemia and could have triggered bowel perforation in this case. Physicians should be alert to the potential surgical complications followed by severe acute diarrhea, especially in high risk groups.

Primary extracranial meningioma presenting as a forehead mass

  • Kim, Chae Min;Jeon, Yeo Reum;Kim, Yee Jeong;Chung, Seum
    • Archives of Craniofacial Surgery
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    • 제19권1호
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    • pp.55-59
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    • 2018
  • Meningioma originates from arachnoid cap cells and is the second most common intracranial tumor; however, it can also be found in an extracranial location. A very rare primary extracranial meningioma without the presence of an intracranial component has also been reported. Primary extracranial meningiomas have been found in the skin, scalp, middle ear, and nasal cavity. A computerized tomography or magnetic resonance imaging scan is necessary to determine the presence or absence of an intracranial meningioma, and a biopsy is essential for diagnosis. We report a case of primary extracranial meningioma located in the forehead skin of a 51-year-old male.

Painless Aortic Dissection Simulating Guillain-Barré Syndrome (길랑-바레 양상으로 발현한 무통성 대동맥 박리 1례)

  • Oh, Eun-Jin;Jeong, Sang-Wuk;Park, Jong-Kwan;Hong, Keun-Sik
    • Annals of Clinical Neurophysiology
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    • 제7권1호
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    • pp.49-51
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    • 2005
  • A 61-year-old man with an antecedent febrile illness presented with progressive flaccid paraparesis, but no sensory or sphincter involvement. Magnetic resonance imaging (MRI) of the spine was negative and nerve conduction study (NCS) showed the absence of F-waves in his legs, suggesting $Guillain-Barr{\acute{e}}$ syndrome (GBS). However, abdominal pain after admission led to the consideration of the spinal cord ischemia secondary to aortic dissection confirmed by computed tomography. We report the rare condition of painless aortic dissection simulating GBS.

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Cortical Laminar Necrosis in an Infant with Severe Traumatic Brain Injury

  • Han, Seong-Rok;Yee, Gi-Taek;Choi, Chan-Young;Lee, Chae-Heuck
    • Journal of Korean Neurosurgical Society
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    • 제50권5호
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    • pp.472-474
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    • 2011
  • Cortical laminar necrosis appears as hyperinense lesions with a laminar pattern on T1 weighted magnetic resonance (MR) imaging, without signs of hemorrhage or calcification on T2 weighted MR imaging or computed tomography. It has been reported to be associated with hypoxia, metabolic disturbances, drugs, and infections. We present a 12 month-old male infant who suffered diffuse brain injuries following car accident and showed laminar necrosis of cortex.

Escherichia Coli Subdural Empyema Following Subdural Hygroma in Elderly Patient

  • Yoon, Ki-Sung;Yee, Gi-Taek;Han, Seong-Rok;Lee, Chae-Hyuk
    • Journal of Korean Neurosurgical Society
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    • 제47권6호
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    • pp.470-472
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    • 2010
  • Subdural empyema of the brain is an uncommon disorder that occurs more frequently in children than in adult. Authors report a very rare of subdural empyema following the subdural hygroma after mild head injury. The exact mechanism of infection is not known. However, we have to consider subdural infection as one of differential diagnosis in elderly patient with subdural hygroma when new abnormal density lesion is developed in the subdural space.

Synovial Chondromatosis of the Subscapular Recess - A Case Report - (견갑하 와의 활액막 연골종증 - 1례 보고 -)

  • Nha Koung Wook;Choo Suk Kyu;Jung Byung Hyun;Suk Seung Yeub;Kim Han Sung
    • Clinics in Shoulder and Elbow
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    • 제4권2호
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    • pp.196-198
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    • 2001
  • Synovial chondromatosis is the chondroid metaplasia of the synovial membrane, Large joints such as the knee and hip are commonly involved. Synovial chondromatosis very rarely develops within the shoulder joints. We have experienced the synovial chondromatosis developed in the right subscapular recess communicating the shoulder joint of a 30 year-old-female who was diagnosed by plain radiograph, MRI and microscopic findings, and then treated by arthroscopic synovectomy and removal of loose bodies.

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Surgical Repair of Retrograde Type A Aortic Dissection after Thoracic Endovascular Aortic Repair

  • Kim, Chang-Young;Chang, Woo-Ik;Kim, Yeon Soo;Ryoo, Ji Yoon
    • Journal of Chest Surgery
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    • 제47권1호
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    • pp.39-42
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    • 2014
  • It is expected that the stent graft will become an alternative method for treating aortic diseases or reducing the extent of surgery; therefore, thoracic endovascular aortic repair has widened its indications. However, it can have rare but serious complications such as paraplegia and retrograde type A aortic dissection. Here, we report a surgical repair of retrograde type A aortic dissection that was performed after thoracic endovascular aortic repair.

Ureteral Washing Cytology of Localized Ureteral Amyloidosis - A Case Report- (요관 세척 세포학적 검사로 진단된 요관 아밀로이드증 - 1 예 보고 -)

  • Lee, Won-Ae;Kie, Jeong-Hae;Jeen, Yoon-Mi;Lee, Mi-Kyung
    • The Korean Journal of Cytopathology
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    • 제13권1호
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    • pp.38-41
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    • 2002
  • Localized amyloidosis of the ureter is rare and clinically confused with neoplasm. We describe a case of localized amyloidosis of the ureter in which the presence of amyloid was detected in ureteral washing cytology. A 75-year-old female presented with gross hematuria. Abdominal CT and retrograde pyelography revealed hydronephrosis and hydroureter on the left side with abrupt narrowing of the distal ureter. Ureteral washing cytology yielded a hypocellular smear with many irregular clumps of amorphous, extracellar, waxy material. Biopsy sections demonstrated submucosal deposits of eosinophilic amorphous material which gave characteristic apple green birefringence with Congo-red stain under the polarized light. Familarity with the cytologic features of amyloid is helpful for preoperative diagnosis and proper treatment.

PHACE association with intracranial, oropharyngeal hemangiomas, and an atypical patent ductus arteriosus arising from the tortuous left subclavian artery in a premature infant

  • Kim, Do-Hyun;Choi, Jang-Hwan;Lee, Jung-Ha;Kim, Hee-Sup
    • Clinical and Experimental Pediatrics
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    • 제55권1호
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    • pp.29-33
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    • 2012
  • PHACE association is a rare neurocutaneous condition in which facial hemangiomas associate with a spectrum of posterior fossa malformations, arterial cerebrovascular anomalies, cardiovascular anomalies, and eye anomalies. We reported a case of PHACE association in a premature infant showing facial, intracranial, and oropharyngeal hemangiomas with evidence of the Dandy-Walker variant and complicated cardiovascular anomalies, including a right-sided aortic arch and an atypical patent ductus arteriosus arising from a tortuous left subclavian artery. To our knowledge, intracranial hemangiomas are rare in PHACE association, and a concomitant oropharyngeal hemangioma has not been previously reported in the PHACE association literature. In infants presenting with large, plaque-like facial hemangiomas, it is important to conduct active cardiovascular and neurological evaluations. Special attention should be given to the laryngoscopic examination to search for additional hemangiomas in the airway.

Intraparotid Facial Nerve Schwannoma

  • Cho, Hyung Rok;Kwon, Soon Sung;Chung, Seum;Choi, Yoon Jung
    • Archives of Craniofacial Surgery
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    • 제15권1호
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    • pp.28-31
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    • 2014
  • Intraparotid facial nerve schwannoma is a rare benign neoplasm. Due to its rarity, it is not usually a prioritized diagnosis before surgery and may therefore lead to an unintentional treatment error. In this article, we report a single case of intraparotid facial nerve schwannoma. We were able to make a diagnosis with frozen biopsy. A complete resection of the mass while preserving the facial nerve was performed. Herein we present our clinical experience with regards to the treatment process of intraparotid facial nerve schwannoma.