• 제목/요약/키워드: Omentum

검색결과 106건 처리시간 0.026초

소아 환자에서 복강경 복막 투석관 삽입술과 개복 삽입술의 비교 (Comparison of the Laparoscopic and Open Peritoneal Dialysis Catheter Insertion in Children)

  • 김현수;정수민;이석구;서정민
    • Advances in pediatric surgery
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    • 제17권2호
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    • pp.125-132
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    • 2011
  • The aim of this study was to compare peritoneal dialysis catheter insertion by the open method to the laparoscopic method. Twenty four laparoscopic and 10 open peritoneal dialysis catheter placements were performed in children between 2001 and 2008. Patient characteristics, operation related data, procedural complications and clinical outcome were compared. Although there were no cases of catheter obstruction, exit site infection or bleeding in the laparoscopic group, compared to the open method, there was no statistically significant difference between the two groups. Catheter removal rate due to complication was high in the open group and catheter survival rate was high in the laparoscopic group. We concluded that laparoscopic peritoneal dialysis catheter placement is feasible in children of all age groups with at least equivalent functional results compared to the open method. An advantage of laparoscopic catheter insertion is removal of the great omentum and easy fixation of the catheter to the abdominal wall.

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자궁근종과 골반염에 동반된 골반내 폐흡충증 1례 (A case of pelvic paragonimiasis combined with myoma uteri and pelvic inflammatory disease)

  • 이연희;박은희
    • Parasites, Hosts and Diseases
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    • 제31권3호
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    • pp.295-297
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    • 1993
  • 폐흡충은 주로 폐장내에 기생하지만 때로는 폐 이외의 다른 장관조직을 침범하기도 한다. 평소 하복부 동통을 호소하던 51세 여자 환자가 부인과적으로 자궁근종과 만성골반염으로 진단되어 전자궁적출술을 시행받았다 수술시 자궁근종이 있었고 골반조직은 만성골반염으로 인하여 자궁 및 자궁부속기와 대망막간에 심한 유착소견을 보였고 굘반 유착부위 대망막 조직생검에서 우연히 폐흡충란을 발견하였다 골반내 이소기생 폐흡충증은 비교적 드문 예로써 수술시 우연히 발견되는 경우가 많다. 본 례의 골반염증은 만성폐홉충증에 의한 것이라고 추정해 볼 수 있어 문헌고찰과 함께 이에 보고하는 바이다.

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우상복부 통증을 주소로 내원한 10세 남아의 대망 경색 1예 (A Case of an Omental Infarction in a Child)

  • 박재용;유리타;김도중;유지형
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제12권1호
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    • pp.70-74
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    • 2009
  • 저자들은 급성 복통을 주소로 내원한 10세 남아에서 복부 초음파와 복부 전산화단층촬영을 통하여 대망 경색을 진단하였으며 항생제 및 진통제 등의 보존적인 치료로 증상의 완화를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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"내경(內經)"에 나타난 삼초유형(三焦有形)의 근거(根據) 및 삼초(三焦)의 실체(實體) (Source And Identity Supporting The Theory of Materiality of Tri-Energizer in Nei Jing)

  • 윤창열
    • 대한한의학원전학회지
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    • 제25권4호
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    • pp.57-63
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    • 2012
  • Objective & Method : We investigated the identity of tri-energizer, which was originally described in Huang Di Nei Jing and claimed by traditional scholars, and drew the following conclusions. Result & Conclusion : According to Huang Di Nei Jing tri-energizer is one of the six hollow-organs and is called hollow organs for digestion and elimination, water guffer organ, or solitary hollow organ. It is believed that tri-energizer is regarded as the existing entity based on following several different sources; it functions as the course of channels, regulates wind and link and physiological function-especially intrinsic function of upper, middle, lower internal organs. It also controls syndromes and dysfunction of an illness, the surface of the body, and the cracked surface of the skin. Finally, bold and timidity depend on the tri-energizer. Experts determined the true nature of tri-energizer types. Experts include: Yu Tuan from the Ming dynasty, Tang Jong Hai and Ye Lin from the Qing dynasty, and Zhang Xi Chun from the Zhunghua Minguo period. These experts' claims are based on shape and forms of tri-energizer. Our examinations of anatomical and physiological basis on tri-energizers showed that, in a narrow sense, tri-energizer indicates visceral and parietal peritoneum and omentum surrounding the internal organs, and in a broad sense, indicates the overall membrane wrapping around the whole internal organs including five visceral organs and six hollow organs.

Hyperinsulinism in a dog with beta-cell neoplasia (insulinoma)

  • Yu, Do-Hyeon;Lee, Jong-Hyun;Song, Ru-Hui;Noh, Dong-Ho;Li, Ying-Hua;Lee, Mi-Jin;Cho, Ara;Kim, Bumseok;Park, Jinho
    • 대한수의학회지
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    • 제49권4호
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    • pp.365-368
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    • 2009
  • A six-year-old female cocker spaniel presented with recurring episodes of pelvic limb weakness and intermittent seizures. Laboratory analysis revealed marked hypoglycemia and an elevated serum insulin concentration. A pancreatic beta-cell tumor at stage III ($T_1N_1M_1$) was diagnosed based on serial blood glucose and insulin measurements along with diagnostic imaging. The patient survived for 140 days after diagnosis with medical management, including frequent feeding and prednisolone therapy. On necropsy, necrosis and masses in the peripancreatic omentum and liver were found; pancreatic beta-cell neoplasia with metastasis to the liver was confirmed by histopathologic examination. This case reports hyper-insulinism in a dog presenting with hypoglycemic seizures.

Diagnosis of a Trocar Site Mass as Omental Herniation after Laparoscopic Gastrectomy

  • Jeong, Sang-Ho;Lee, Young-Joon;Kim, Dong-Chool;Bae, Kyung-Soo;Choi, Sang-Kyung;Hong, Soon-Chan;Jung, Eun-Jung;Ju, Young-Tae;Jeong, Chi-Young;Ha, Woo-Song
    • Journal of Gastric Cancer
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    • 제12권1호
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    • pp.46-48
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    • 2012
  • A trocar site hernia is a rare complication. We report a patient who had an abdominal wall mass at a previous trocar site after laparoscopic distal gastrectomy. It was diagnosed as omental herniation and fat necrosis. We conclude that patients with trocar site masses exhibiting fat density on a computed tomography scan could be followed up without surgery, and that fascial defects located at 10-mm or larger trocar sites should be closed whenever possible to prevent hernia formation.

체외순환을 이용한 T4 폐암의 수술적 치험 -장기 생존 1예 보고- (Surgical Treatment of T4 Lung Cancer with the Use of Extracorporeal Circulation -A case report of long-term survival -)

  • 조규도;조민섭;윤정섭;김치경;곽문섭
    • Journal of Chest Surgery
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    • 제37권2호
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    • pp.180-183
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    • 2004
  • 우폐하엽의 폐암이 심낭과 좌심방의 하폐정맥 유입구를 침범한 62세 남자 환자에서 심폐체외순환을 이용하여 우폐 중하엽절제술을 시행하였다. 환자는 수술 후 제2일째에 우폐상엽의 국한성 폐부종이 발생하였으며 폐부종이 치료된 후 우폐의 기관지늑막루가 발생하였다. 유경대망을 이용하여 기관지 늑막루를 봉합하였다. 그 후의 임상 경과는 양호하였으며 환자는 현재 6년째 재발 없이 건강히 지내고 있다.

공기-수면 음영을 보이는 종괴성 병변 (Air Shadow Containing Mass Lesion in the Chest)

  • 이경석;유관희;박상석;김원;이용철;이양근
    • Tuberculosis and Respiratory Diseases
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    • 제41권1호
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    • pp.63-67
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    • 1994
  • A 70-year-old female patient was admitted due to the impression of lung abscess via local clinic. Chest P-A showed air shadow containing huge mass lesion in the right lower lung field, pericardio phrenic angle. But the patient complained of only mild upper respiratioy tract infection symptoms and the laboratory tests were within normal limits. Barium enema and chest C-T taken right after barium enema were performed in suggestion of the diaphragmatic hernia. Barium filled transverse colon and associated omentum were in the right anterior hemithorax surrounded by the hernial sac. The mass lesion shown in the chest P-A was compatible with the diaphragmatic hernia, Morgagni type. Operative reduction of the herniated bowel and simple closure of the diaphragm was performed.

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골반강에 발생한 감염된 거대 림프관종 1예 (A Case of Infected Huge Lymphangioma in Pelvic Cavity)

  • 최우석;이성호;정석영;송필현;백운기;조철규;박동춘;최준혁
    • Journal of Yeungnam Medical Science
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    • 제19권1호
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    • pp.63-67
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    • 2002
  • 고열, 하복부 동통, 배뇨곤란을 주소로 내원한 35세 여자 환자에서 발생한 림프관종을 보고한다. 골반강에서 발생하여 방광을 침범한 감염된 낭종성 림프관종으로 그 발생부위가 매우 드문 예로서 수술 및 병리 조직학적으로 확진되었기에 문헌고찰과 함께 보고하는 바이다.

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주문진 어시장 살오징어(Todarodes pacificus)의 아니사키스 유충 감염상 (Infection Status of Todarodes pacificus (Mollusca: Cephalopoda) with Anisakid Larvae in the Markets from Jumungin)

  • 전계식;김세화
    • 한국해양학회지:바다
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    • 제1권1호
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    • pp.55-57
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    • 1996
  • 1995년 11, 12월에 동해안 주문진 어시장에서 구입한 살오징어(Todarodes pacificus) 248개체중 34개체로부터 116개체의 아니사키스 유충이 채집되어 13.7% 의 유충 감염율을 나타내었다. 형태 및 크기를 바탕으로 유충의 종류 및 근육, 내장, 망 등 어체 부위별 감염상황을 조사한 결과 유충의 길이는 13.5-29.5 mm 이었으며 Anisakis type I이 68개체 (58.6%:회수율), Contracaecum type A 5개 체 (4.3%), Anisakis type II 17개체 (14.6%), Contracaecum type D 8개체 (7.0%) 및 불명 18개체 (15.5%)로 분류되었다.