• Title/Summary/Keyword: Incarcerated

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Incarcerated Inguinal Hernia in Children (소아의 감돈 서혜부 탈장)

  • Jung, Poong-Man;Seo, Jeong-Meen
    • Advances in pediatric surgery
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    • v.1 no.2
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    • pp.107-114
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    • 1995
  • Three hundred and twenty-seven patients of 2,046 inguinal hernia cases Primarily repaired at Hanyang University Hospital had the history of incarceration or presented as incarcerated inguinal hernia on admission. Incidence of incarceration of all male hernias was 14.2%(234 patients) and 22.7%(93 patients) of all female cases. Incarceration occurred in 17.3% of all right hernia cases and in 13.7% of all left hernia cases. The incarceration occurred 52.6% of the hernia patients in the first month of life, 27.3% in the first year, 26.7% in the second year and 7.8% after 2 years of age. Strangulated inguinal hernia occurred in 8 patients: five patients had ovaries involved, two patients intestines, and one patient omentum. Emergency operations were performed on 66 patients(20.2%) because incarcerated hernia could not be reduced by taxis. At the time of operation, the hernia sacs were empty in 140 of 327 patients and the remainders contained omentum(50), small intestine (44), appendix and/or cecum(28), sigmoid colon(2), ovary and/or tube(66), and omental cyst(1). An elective hernia repair should be performed promptly after presentation of the hernia, especially before 2 years of life because of high incidence of incarceration. In this study, of 327 incarcerated hernia, 187 patients(57.2%) did not have prior history of incarceration and incarceration developed more than 7 days after hernia onset in 95.6%. If the hernia repairs had been performed within 7 days after hernia onset, about half of the incarceration might have been prevented.

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Incarcerated Flap Tear of the Medial Meniscus into the Inferior Joint Capsule - A Report of Two Cases - (하방 관절낭 내로 감돈된 내측 반월상 연골의 판상파열 - 2예 보고 -)

  • Kim, Byung-Kuk;Lee, Yoon-Seok;Lee, Dong-Hoon;Choi, Won Chul
    • Journal of the Korean Arthroscopy Society
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    • v.17 no.1
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    • pp.66-70
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    • 2013
  • Flap tear is a type of displaced meniscal fragments that is often clinically significant lesions requiring surgical intervention. If the displaced tear is located inferomedial to the tibial plateau and incarcerated into the articular capsule, it can be overlooked from preoperative magnetic resonance imaging evaluation and escape detection during arthroscopic examination. In addition, the clinical feature and treatment result of incarcerated flap tear has not been reported. We present 2 cases of medial meniscus flap tear incarcerated into the articular capsule that showed specific clinical features, in order to emphasize the importance of clinical suspicion of such a lesion for accurate preoperative diagnosis.

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Interphalangeal Dislocation of Great Toe with Incarcerated Sesamoid Bone -Report of Two Cases- (종자골이 감입된 족무지 지관절 탈구 -2예 보고-)

  • Kim, Dong-Joon;Moon, Sang-Ho;Suh, Byoung-Ho;Kong, Gyu-Min
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.279-283
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    • 2006
  • Irreducible dislocation of great toe interphalangeal joint with incarcerated sesamoid is a rare condition, with only a few cases reported in literature. We describe two cases of dislocation of interphalangeal joint which were diagnosed by plain radiographs and three dimensional computed tomography (3D-CT) and successfully treated with open reduction without excision of sesamoid through dorsal approach along with literature pertinent to this condition.

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Inguinal Lipoblastoma Mimicking Recurrent Inguinal Hernia (재발성 서혜부 탈장으로 오인된 지방모세포종)

  • Nam, So Hyun;Lim, Yun-Jung;Kim, Yeon Mee
    • Advances in pediatric surgery
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    • v.20 no.2
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    • pp.58-61
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    • 2014
  • Palpable inguinal mass in children should be differentiated from inguinal hernia, hydrocele, lymph node, and tumor. Though using ultrasonography, fatty tumor would be misdiagnosed as incarcerated inguinal hernia containing fatty component. We experienced the huge inguinal lipoblastoma in 5-year-old girl mimicking recurrent incarcerated hernia. Laparoscopic exploration revealed it was not incarcerated hernia but well demarcated bulging mass from abdominal wall. Mass was about $10{\times}4{\times}3cm$ and extended from internal inguinal ring to saphenous opening. It was near total excised because of right external iliac vein injury. Pathologically, it was proven as lipoblastoma containing mature adipocyte with lipoblast and fibrous septa. Postoperatively, we noticed a segmental thrombotic occlusion of external iliac vein. After 1 year, she has no symptom related to occluded vessel. The remained lipoblastoma showed no interval change. Even lipoblastoma has a good prognosis with low recurrence rate, we need careful follow-up.

Diagnostic imaging features of hepatic myelolipoma incarcerated in a peritoneopericardial diaphragmatic hernia in a cat

  • Lee, Namsoon;Choi, Jihye;Yoon, Junghee
    • Journal of Veterinary Science
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    • v.23 no.3
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    • pp.42.1-42.6
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    • 2022
  • A 1-year-old male Persian cat was presented for castration. Liver incarcerated in a peritoneopericardial diaphragmatic hernia (PPDH) was diagnosed through pre-anesthetic tests. Multiple homogeneous hyperechoic nodules in the hepatic parenchyma were identified using ultrasound. The nodules showed decreased attenuation compared with normal hepatic parenchyma, and the herniated hepatic parenchyma showed increased arterial and decreased portal enhancement on computed tomography. From the histopathology, we diagnosed hydropic degeneration with portal fibrosis and myelolipoma. This report presents diagnostic imaging features of hepatic myelolipoma incarcerated in a PPDH in a cat. When perfusion of the hepatic parenchyma is altered, surgical treatment should be considered.

Comparison of relationship with friends among adolescents under probation and high school students (보호관찰청소년과 일반청소년의 친구관계 비교 분석)

  • Uichol Kim;Young-Shin Park;Soo Yeon Tak
    • Korean Journal of Culture and Social Issue
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    • v.16 no.4
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    • pp.487-508
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    • 2010
  • The purpose of this study is to compare relationship with friends among adolescents under probation and high school students without any criminal record. A total of 510 respondents (253 adolescents under probation, 257 high school students) participated in this study. Results indicate that both adolescents under probation and high school students reported that they talk to talked to their friends when they were lonely, that they were comfortable when they are with their friends, and that they trusted their friends unconditionally. However, the two groups showed a difference in the place that they meet their friends. Adolescents under probation are likely to meet their friends at Internet Cafe to play internet games, while high school students are likely to meet their friends near their school. Compared to high school students, adolescents under probation had more friends who were expelled from school, who were under probation and who have been previously incarcerated. For adolescents under probation, compared to first time offenders, the repeat offenders were more likely to have friends who were under probation and who have been previously incarcerated. When discriminant analysis were conducted for adolescents under probation and high school students, the two groups can be distinguished by the number of friends expelled from school, number of friends under probation, and number of friends who have been previously incarcerated. For adolescents under probation, compared to first time offenders, the repeat offenders could be distinguished by the number of friends expelled from school, number of friends under probation, number friends who have been previously incarcerated, and number of times their partners in crime were under probation or incarcerated.

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Arthroscopic Reduction of Irreducible Posterolateral Knee Dislocation with Interposition of the Vastus Medialis: A Case Report

  • Sim, Jae-Ang;Kim, Byung-Kag;Lee, Beom-Koo;Yoon, Yong-Cheol;Choi, Eun-Suk
    • Journal of Trauma and Injury
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    • v.29 no.4
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    • pp.167-171
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    • 2016
  • Irreducible traumatic knee dislocation is rare. The knee dislocation is classified depending on the incarcerated structures. Complete reduction is achieved by extracting the incarcerated structure. Several reports introduce the reduction of irreducible traumatic knee dislocation by open surgery or arthroscopy. This case describes irreducible posterolateral knee dislocation with interposition of the vastus medialis. Closed reduction failed in the emergency room, and complete reduction was attained by arthroscopically sectioning the muscle and fascia of the vastus medialis in the intercondylar notch.

Incarcerated umbilical hernia with small bowel obstruction in a continuous ambulatory peritoneal dialysis patient

  • Jeong, Yo-Han;Do, Jun-Young;Hwang, Mun-Ju;Kim, Min-Jung;Gu, Min Geun;Park, Byung-Sam;Choi, Jung-Eun;Kim, Tae-Woo
    • Journal of Yeungnam Medical Science
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    • v.31 no.1
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    • pp.25-27
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    • 2014
  • Patients treated with peritoneal dialysis have increased intra-abdominal pressure and a high prevalence of abdominal wall complications. Hernias can lead to significant morbidity in patients on peritoneal dialysis. Hernias are clinically important because of the risk of incarceration, strangulation and subsequent bowel obstruction, rupture, and peritonitis. In this paper, a case of incarcerated umbilical hernia with small bowel obstruction in a continuous ambulatory peritoneal dialysis (CAPD) patient is reported. The small bowel obstruction improved after herniorrhaphy, and the peritoneal dialysis was resumed 2 weeks after the herniorrhaphy. The patient had been undergoing CAPD without technical failure until the 2 months follow-up after the herniorrhaphy. This case shows that early detection of incarcerated umbilical hernia and herniorrhaphy can prevent resection of a strangulated small bowel so that it can remain on CAPD without post-operative technical failure. Umbilical hernias should be carefully observed and intestinal obstruction should be considered when a CAPD patient with an umbilical hernia has abdominal pain.

A Case Study on the Experience of Adaptation Process of Life of Children Whose Parents are Imprisoned (부모 수감 후 남겨진 자녀의 삶의 적응과정 경험에 관한 사례연구)

  • Choi, Kyoung Ok;Lee, Kyung Rim
    • Korean Journal of Family Social Work
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    • no.62
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    • pp.171-206
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    • 2018
  • The purpose of this study is to understand the experience how children are receptive to their parents' imprisonment, adaptation from their painful experience and crisis. In order to achieve the purpose of the study, six youth participants were selected. We carried out in-depth individual interviews and the collected data from the interviews and the case study were analyzed. The commons subjects are like 'Sudden separation and shock', 'Glad to be unhappy', 'Wretched my life', 'The way of the far-away meeting', 'The one who gave me hope', 'Live my life'and so on. Based on the result of this study, policy and practical guideline were discussed and suggested to help children of the incarcerated in addition to the limitations of the study and the recommendations for further study.

Incarcerated Hiatal Hernia with Perforation after Laparoscopic Total Gastrectomy with Roux-en-Y Reconstruction: a Case Report

  • Wang, Nai-Yu;Tsai, Chung-Yu;Liu, Yuan-Yuarn;Chen, I-Shu;Ho, Kai-Hung
    • Journal of Gastric Cancer
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    • v.19 no.1
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    • pp.132-137
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    • 2019
  • The occurrence of hiatal hernia after total gastrectomy with Roux-en-Y reconstruction is rare. We report the case of a 76-year-old man who presented with dyspnea, vomiting, and fever around 8 days after total gastrectomy with Roux-en-Y reconstruction. Abdominal computed tomography revealed a hiatal hernia containing part of the small intestine in the left thoracic cavity. Emergent reduction and repair of the hiatal hernia were performed later. Operative findings revealed that the Roux limb was incarcerated in the left pleural cavity. Esophagojejunostomy leakage, perforation of the small intestine with transient ischemic change, and pyothorax were also found. Thus, feeding jejunostomy, thoracoscopic decortication, and diversion T-tube esophagostomy were performed. Considering that the main cause of hiatal hernia is blunt dissection with division of the phrenoesophageal membrane, approximating the crus with 1 or 2 figure-8 sutures, according to the size of the defect, to prevent the incidence of hiatal hernia after total gastrectomy may be performed.