• Title/Summary/Keyword: Perianal

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Minocycline as a treatment of dog with calcinosis cutis

  • Jang, Hye-Jin;Kang, Min-Hee;Sur, Jung-Hyang;Park, Hee-Myung
    • Korean Journal of Veterinary Research
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    • v.53 no.4
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    • pp.253-256
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    • 2013
  • An 8-year-old, castrated male, Schnauzer dog was presented for evaluation of gradually worsening erythematous papules. Physical examination revealed multiple erythematous papules having a firm, gritty texture located in bilateral ears, dorsal midline, perianal and inguinal area. Skin biopsy revealed aberrant structure, characterized by atrophic epidermal-dermal layer structure with granular materials which was presumed as calcinosis cutis secondary to iatrognic hyperadrenocotricism. By initiating minocycline for 14 days, there was reduction in size, number of calcium deposit with remarkably decreased erythema. This case report presents the clinical trial of minocycline as a potential agent in treating dogs with calcinosis cutis.

Blockade of the Ganglion Impar in Rectal Cancer Pain -A case report- (외톨이 교감신경절 차단을 이용한 직장암성 통증의 치험 -증례 보고-)

  • Lee, Young-Bok;Yoon, Kyung-Bong;Park, Jeong-Sim
    • The Korean Journal of Pain
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    • v.9 no.2
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    • pp.419-422
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    • 1996
  • Pain arising from pelvic viscera and perineum is frequently associated with discomfort and disability and caused by local trauma, inflammation and malignancy within the pelvis. Although various interventions have been proposed for the management of intractable perineal pain, their efficacy and applications are limited. The ganglion impar is a solitary retroperitoneal structure located at the level of the sacrococcygeal junction that marks the terminations of sympathetic chains. We propose that blockade of the ganglion impar is an effective method in the management of patient suffered from perianal pain due to advanced rectal cancer.

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Postoperative Analgesia by Caudal Nalbuphine HCL (Nalbuphine 천골강내 주입에 의한 술후 제통효과)

  • Shin, Jung-Soo;Yoon, Duck-Mi;Lee, Kyung-Min;Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.3 no.1
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    • pp.44-50
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    • 1990
  • Epidural injection of narcotics for postoperative pain relief has been well reported. Caudal nalbuphine was assessed as a postoperative analgesic in a randomized double blind study of 80 patients after perianal surgery. Caudal block was carried out with 1.5% lidocaine 25 ml (Group 1) in 20 patients, and mixed with nalbuphine 3 mg (Group 2) in 20 patients, nalbuphine 5 mg (Group 3) in 20 patients, and nalbuphine 10 mg (Group 4) in 20 patients. Pain relief was evaluated by the subsquent need for systemic analgesics (Pethidine). In group 4, the use of systemic analgesics was significantly reduced for the first 24 hours postoperatively. Urinary retention was not correlated with nalbuphin dose.

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Enterobius vermicularis egg positive rate of primary school children in a part of Kyrgyzstan (키르키스탄 일부 초등학교 아동들의 요충 감염 양성율 보고)

  • Chu Jong-Phil;Cho Yoo-Joung;Kim Deog-Kon
    • The Journal of Pediatrics of Korean Medicine
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    • v.15 no.2
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    • pp.189-193
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    • 2001
  • School children were examined for the presence of Enterobius vermicularis egg by perianal swab method at 52nd and 41st primary school between September 30, 1998 and October 7, 1998 in Kyrgyzstan, 281 children examined, 80(28.5%) were found to be positive for E. vermicularis egg. The egg positive rate of boys and girls were 41(29%) and 39(28%), respectively. Through this survey, we found that E. vericularis infection is still prevalent among children in Kyrgyzstan.

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Two Cases of Symptomatic Perineural Cysts (Tarlov Cysts) in One Family - A Case Report

  • Park, Hyun-Jun;Kim, Il-Sup;Lee, Sang-Won;Son, Byung-Chul
    • Journal of Korean Neurosurgical Society
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    • v.44 no.3
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    • pp.174-177
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    • 2008
  • Symptomatic sacral perineural cysts are uncommon. Several hypotheses have been proposed to explain the etiologies of perineural cysts, but the accurate etiologies remain unclear. We experienced two cases of symptomatic sacral perineural cysts (Tarlov cysts) in one family, who presented with perianal paresthesia. Both of them were operated and postoperatively their symptoms were disappeared immediately. We experienced the excellent treatment outcome with the surgical management of symptomatic perineural cysts in the sacral region. We assume that the theory of congenital origin including a familial tendency is the most plausible of the hypotheses that have been proposed.

Surgery in Pediatric Crohn's Disease: Indications, Timing and Post-Operative Management

  • Kim, Seung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.1
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    • pp.14-21
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    • 2017
  • Pediatric onset Crohn's disease (CD) tends to have complicated behavior (stricture or penetration) than elderly onset CD at diagnosis. Considering the longer duration of the disease in pediatric patients, the accumulative chance of surgical treatment is higher than in adult onset CD patients. Possible operative indications include perianal CD, intestinal stricture or obstruction, abdominal abscess or fistula, intestinal hemorrhage, neoplastic changes and medically untreatable inflammation. Growth retardation is an operative indication only for pediatric patients. Surgery can affect a patient's clinical course, especially for pediatric CD patient who are growing physically and mentally, so the decision should be made by careful consideration of several factors. The complex and diverse clinical conditions hinder development of a systemized treatment algorithm. Therefore, timing of surgery in pediatric CD patients should be determined with individualized approach by an experienced and well organized multidisciplinary inflammatory bowel disease team. Best long-term outcomes will require proactive post-operative monitoring and therapeutic modifications according to the conditions.

Perianal Adenocarcinoma in a Dog

  • Kim, Hee-Ju;Do, Sun-Hee;Jeong, Won-Il;Kim, Young-Do;Park, Sang-Joon;Chung, Jae-Yong;Ki, Mi-Ran;Kim, Dong-Hwan;Kim, Tae-Hwan;Jeong, Kyu-Shik
    • Proceedings of the Korean Society of Veterinary Pathology Conference
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    • 2005.11a
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    • pp.106-107
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    • 2005
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Fistula-in-Ano in Children less than 2 Years of Age (2세 이하 소아 치루에 대한 임상적 분석)

  • Jun, Si-Youl
    • Advances in pediatric surgery
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    • v.16 no.2
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    • pp.170-176
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    • 2010
  • The clinical characteristics of fistula-in-ano in infants are different from those of older children, and its treatment remains controversial. We suggest that fistula-in-ano in infants has a congenital etiology. To verify this hypothesis and to settle the controversies regarding fistula-in ano in infants, a retrospective analysis of 29 patients less than 2 years of age with anal fistulae treated between 1994 and 2009 at Samsung Changwon Hospital were reviewed retrospectively. Twenty two patients were male and mean age at diagnosis was $7.2{\pm}5.2$ months. Eleven out of 22 cases had previous surgical drainage for perianal abscess. 18 patients had fistulotomy (81.8 %) and four had fistulectomy (18.2 %). Cryptotomies with fistulectomy were performed in 10 patients (45.5 %) who had involved crypt. There was one recurrence. These results suggest that fistula-in-ano in young children less than two years of age is different from those in older children or adults. Fistulotomy is suggested to be the recommended treatment of choice. A future study involving non-operative management would be required to explore all treatment options.

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Feline Herpes Virus-1 Associated Facial and Perianal Dermatitis in a Cat (고양이 헤르페스 바이러스-1 감염과 관련된 고양이의 안면 및 회음부 피부염)

  • Yoon, Ji-Seon;Yabuzoe, Astushi;Sekiguchi, Maiko;Park, Jinho;Iwasaki, Toshiroh;Nishifuji, Koji
    • Journal of Veterinary Clinics
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    • v.30 no.3
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    • pp.210-213
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    • 2013
  • We herein describe a feline case of facial dermatitis whose histopathological features resembled to those of FHV-associated ulcerative dermatitis. A 3-year-old, intact male domestic short-haired cat was presented with 2-years history of pruritic dermatitis that initially appeared on periocular area and extended toward the entire face. The cat had ocular discharge and conjunctivitis from 2-month of age. Clinically, skin lesions were characterized as erythema, erosions and ulcers covered with crusts on the facial and perianal area. Histopathologically, the facial lesion was characterized as interface dermatitis with hydropic degeneration at the basal layer, and single cell necrosis of keratinocytes. In addition, the epidermal and dermal necrosis infiltrated with eosinophils, and intranuclear inclusion bodies in keratinocytes were also recognized. Moreover, feline herpesvirus-1 gene was detected by a PCR analysis using a swab obtained from the crusted lesions. Based upon these findings, the present case was considered as having FHV-associated ulcerative dermatitis. Therapy including oral acyclovir and topical recombinant feline interferon omega resulted in marked improvement of the skin and mucosal lesions.