• Title/Summary/Keyword: Muscularis propria

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Segmental Dilatation of the Ileum in Neonate (신생아에서 회장의 분절 확장증)

  • Song, Young-Tack
    • Advances in pediatric surgery
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    • v.1 no.2
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    • pp.181-185
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    • 1995
  • Segmental intestinal dilatation is rare, which causes symptom of bowel obstruction and requires resection. The resection is not only diagnostic but also curative procedure. Recently, author experienced 2 cases of segmental dilatation of the ileum due to focal agenesis of the intestinal muscularis in 7 day & 4 day-old female neonates. The post operative recovery was excellant in the first case after resection of dilated ileum(15cm in length) and end to end anastomosis, and discharged at 20th day. But in the second case, the passage disturbance was not relieved after resection of dilated ileum (30cm in length), and author re-resected 80cm more of dilated proximal ileum at 2 weeks after the first operation. This baby discharged after diarrhea control with Loperin on 1 month after the second operation. Final histologic examination showed 1) normal population of ganglion cells in both narrowed & dilated ileum in both cases. 2) focal abscence of muscularis propria in both cases. 3) relative hypertrophy of inner circular muscle layer and thinned, multiple fragmented outer longitudinal muscle layer in case 2.

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Treatment of phlegmonous esophagitis in various patients: a case series

  • Han Sol Lee;Chul Ho Lee;Yun-Ho Jeon
    • Journal of Yeungnam Medical Science
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    • v.40 no.4
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    • pp.442-447
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    • 2023
  • Acute phlegmonous esophagitis (APE) is a rare and fatal disease. Phlegmonous infection involves the submucosal layer and muscularis propria but not the mucosal layer. Because surgery is not the first treatment option for this disease, an accurate diagnosis is crucial. Herein, we report three cases of APE with various clinical features. All patients were successfully treated with antibiotics and appropriate medical procedures.

Intraluminal Pedunculated Leiomyoma in the Cervical Esophagus - Report of 1 Case - (경부식도에 발생한 강내 육경성 평활근종의 수술 치험)

  • 이형렬;김흥수;박준호;조정수;강대환;이창훈
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.621-625
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    • 2002
  • Though leiomyoma is the most common tumor of esophagus, it accounts for only 1% of all esophageal tumors. Most of the leiomyomas are intramural type originating from the muscularis propria and only l% of them is intraluminal pedunculated type originating from muscularis mucosae. Recently, a 30-year-old male was admitted to our hospital because of dysphagia. Radiologic examination showed that intraluminal tumor 5cm in diameter was found at the cervical esophagus. Endoscopic examination showed that the tumor was covered with normal mucosa. The patient underwent surgical excision through the left cervical approach. After full, longitudinal esophagotomy, the intraluminal pedunculated tumor was successfully enucleated. Esophageal leiomyoma was confirmed histopathologically. Postoperative course was uneventful and the patient was relieved from dysphagia.

Evolutionary Patterns with Age of Acetylcholinesterase Activity of Rect al Suction Biopsies in Hirschsprung's Disease (Hirschsprung씨 질환에서 직장 흡인 생검의 Acetylcholinesterase 활성도의 연령에 따른 변화)

  • Park, Woo-Hyun;Choi, Soon-Ok;Kim, Sang-Pyo;Chang, Eun-Soak;Paik, Tae-Won
    • Advances in pediatric surgery
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    • v.1 no.1
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    • pp.1-7
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    • 1995
  • The acetylcholinesterase(ACHE) activity in 37 biopsies from the patients with Hirschsprung's disease was analyzed for histochemical patterns according to age, and its evolutional behavior was also assessed. The histochemical criterion used for the diagnosis of Hirschsprung's disease was that of Chow, i.e., "the presence of many coarse discrete cholinergic fibers in the muscularis mucosae and in the immediately subjacent submucosa regard less of an infiltration of cholinergic fibers in the lamina propria." The acetylcholinesterase activity in Hirschsprung's disease was further classified into 3 patterns, advocated by de Brito and Maksoud : Pattern I-many thick fibers exclusively in the muscularis mucosae and submucosa(newborn pattern). Pattern II-many thin fibers in the muscularis mucosae and submucosa with a clear infiltration of cholinergic fibers in the lamina propria(classical pattern). Pattern III-an intermediate pattern showing morphological characteristics of the two patterns with predominance of one or the other. Of 37 biopsies, Pattern 1 was seen exclusively in 16 biopsies taken from the neonates. Pattern III was 11 of 37 biopsies and it was mainly seen in children between 2 to 12 months of age. Pattern II was seen in all 3 biopsies of older than 1 year of age and in 6 ones of 3 to 12 months of age. In summary, this study reinforces the impression that there is an evolutional character of the distribution and morphology of the cholinergic ACHE positive fiber with age. In other words, ACHE activity in Hirschsprung's disease appears to evolve with age from the newborn pattern to the intermediate pattern finally to the classical pattern.

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Structure on the Ventral Process and the Ovipositor of a Korean Oily Bitterling, Acheilognathus koreensis (Pisces, Cyprinidae), in Relation to Spawning Season (산란시기의 칼납자루 Acheilognathus koreensis (잉어과)의 배측융기와 산란관의 구조)

  • Park, Jong-Young;Kim, Ik-Soo
    • Korean Journal of Ichthyology
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    • v.18 no.1
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    • pp.27-35
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    • 2006
  • During spawning season of female in a Korean oily bitterling, Acheilognathus koreensis, the ventral region near the base of the pectoral fin becomes to be protruded outward of body and enlarged. This ventral process consists of both organs as rectum (vent) and inner ovipositor. The rectum consists of mucosa, lamina propria-submucosa, muscularis, and squamous epithelial layer (peritoneum=serosa) surrounding them. The mucosa contains numerous mucous cells meaning acid mucopolysaccharides in nature. The inner ovipositor is similar to that of the rectum, but the mucosa have no mucous cell, unlike that of the rectum. Whereas, the outer ovipositor has a straight and long tube which are not connected with the ventral process any more. The outer ovipositor was similar to the structure of the inner ovipositor in the ventral process. However, the outer ovipositor has no muscularis, and consists of three layers: mucosa, lamina propria-submucoa, and squamous epithelia. The outer ovipositor without the muscularis seems serves as a tube that eggs discharged from the outer ovipositor allow to send inside mussel, unlike that of the inner ovipositor performing rhythmic contractions of the layers of the muscularies for propelling to the matured oocytes to the outer ovipositor.

Esophageal Duplication Cyst -A Case Report- (식도 중복 낭종 -수술 치험 1례-)

  • 이현석
    • Journal of Chest Surgery
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    • v.28 no.9
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    • pp.869-871
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    • 1995
  • Esophageal duplication cysts are uncommon, benign lesions of the esophagus. They are rare congenital foregut anomalies. To be considered an esophageal duplication cyst, a lesion must meet the following criteria:1 the cyst in the esophageal wall 2 the cyst is covered with a muscularis propria,generally of two layers and 3 the cyst has an epithelial lining consistent with that of the 4 week embryo, which may be columnar or pseudostratified columnar, and may be ciliated. Herein we report a case of an esophageal cyst located within the thoracic cavity, which is, to the best of our knowledge, the first case reported in Korea. Surgery is generally the treatment of choice for esophageal cyst, and was indicated in this case for the diagnosis and management of symptoms attributable to the cyst.

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ENDOCRINE (APUD) CELLS IN THE OVIDUCT OF THE SHEEP

  • Ogunranti, J.O.
    • Asian-Australasian Journal of Animal Sciences
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    • v.7 no.4
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    • pp.531-535
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    • 1994
  • APUD cells in the oviduct of the sheep at standing estrus were localized as paraneurons in the lamina propria sandwiched between this structure and the tunica muscularis by the method of masked metachromasia to toluidine blue after hot mineral acid hydrolysis. These were also confirmed by lead haematoxylin stain and argyrophilia. The oviduct was serialized into 66 zones. Cells were absent in the first and last 2 zones, and most parts of the isthmus. There was however abundant number of APUD cells in the ampulla which were fusiform shaped and were about $5{\mu}m$ width and also in the juncture, where the cells were of a smaller width ($3{\mu}m$) and were quite numerous reaching 180-200 in some zones. It is concluded that peptide secreting cells are numerous in the oviduct and that this may qualify the oviduct as an endocrine organ.

Development on the esophagus of fetuses and neonates in Korean native goats (한국재래산양의 태아 및 신생아의 식도 발달에 관하여)

  • Jung, Soon-hee;Kim, Chong-sup;Huh, Chan-kwen
    • Korean Journal of Veterinary Research
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    • v.34 no.4
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    • pp.679-686
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    • 1994
  • The development of esophagus in fetuses between 60, 90, 120 days of gestation and neonates of Korean native goats was investigated by light, scanning electron microscopy. The results were summarized as follows; 1. The esophageal wall appeared to be differentiated into the epithelium, lamina propria, tunica muscularis and tunica adventitia at 60 days of gestation. The esophageal epithelium was stratified cuboidal at 60 days, being transformed into stratified squamous epithelium at 90 days, and completely transformed into squamous epithelium an 120 days. 2. In scanning electron microscopy, the longitudinal furrows and ridges appeared on the epithelium of the esophagus of the fetuses at 60 days of gestation. The longitudinal furrow became deeper and microplicae appeared in 90-day-old fetuses. The transverse and longitudinal folds appeared on the epithelial surface of esophagus and the esophageal epithelium started to be keratinized in the neonates.

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Gastric Plexiform Fibromyxoma with Two Different Growth Patterns on Histological Images: a Case Report

  • Li, Zhenyu;Jiang, Qingming;Guo, Dongfang;Peng, Yangling;Zhang, Jing;Chen, Xinyu
    • Journal of Gastric Cancer
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    • v.21 no.2
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    • pp.213-219
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    • 2021
  • Plexiform fibromyxoma (PF) of the stomach is a very rare mesenchymal tumor of the gastrointestinal tract. We report the first case of PF with 2 different growth patterns pathologically confirmed after surgical resection. The tumor was characterized microscopically as infiltrative; it demonstrated diffuse growth into the smooth muscle bundles of the muscularis propria and was also multinodular and plexiform within the myxoid stroma. Immunohistochemical analysis revealed that the tumor cells were positive or weakly positive for smooth muscle actin, vimentin, and H-caldesmon and negative for desmin, CD117, CD34, CK-20, Pan-CK, Dog1, S100, ER, PR, and CD10. No mutations of C-kit and platelet-derived growth factor receptor alpha were detected. No genetic disruption of glioma-associated oncogene homolog 1 was detected by fluorescence in situ hybridization. The final diagnosis of PF was mainly based on the morphological and immunohistochemical findings.