• 제목/요약/키워드: Peritonitis

검색결과 176건 처리시간 0.026초

Accidental case of large colon impaction in a horse

  • Berzina Dace;Zeeshan Muhamad;Chekarova Irina;Park Hee-Jin;Yoon Hyun-Sang;Lee Seung-Yeon;Oh Myong-Ho;Kim Bum-Seok;Lim Chae-Woong
    • 한국동물위생학회지
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    • 제29권1호
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    • pp.79-82
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    • 2006
  • A 5 years old gelding (Thoroughbred, Equus caballus) had shown severe abdominal pain, colic, after overeating of hay in the feed storage. following through treatment, it subsequently died. Grossly, the large colon was impacted with firm mass of food and congestion of blood vessel in the intestinal wall. There were mild peritonitis and pleuropneumonia. This case demonstrates typical large colon impaction with hard consistence ingesta due to improper management of horse.

복막투석환자에서의 개존된 Processus Vaginalis -방사성핵종복막촬영술로 확진된 2예- (Patent Processus Vaginalis in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis - Two Cases Confirmed by Radionuclide Peritoneal Scintiscan -)

  • 이재태;손상균;이규보;황기석;조동규;고철우
    • 대한핵의학회지
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    • 제23권2호
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    • pp.231-236
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    • 1989
  • Continuous ambulatory peritoneal dialysis (CAPD) is a well established method of treating end stage renal failure, and is commonly used as an alternative to hemodialysis. Several complications have been observed. These include catheter malfunction, abdominal and inguinal hernia, and peritonitis. A relatively frequent complication is swelling of external genitalia, due to bowel fluid passing through a patent processus vaginalis. Special diagnostic procedures are necessary to determine the nature of the abnormality and to guide the surgical correction. We reported two cases of patent processus vaginalis in patient on CAPD proved by radionuclide peritoneal scintiscan using Tc-99 m-tin colloid.

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Unusual Necrotizing Uterine Adenocarcinoma in a Dog

  • Kim, Tae-Jung;Shin, Sung-Shik;Park, Sang-Ik
    • 한국수정란이식학회지
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    • 제32권4호
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    • pp.325-329
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    • 2017
  • A 2-year-old female Maltese dog was admitted with a history of pyometra and resulting peritonitis and septicemia. Uterine specimen sampled by ovariohysterectomy was processed routinely for histopathological observation. Grossly, the uterine mucosa was covered with necrotic debris and on the cut surface, lesion extended into the uterine wall. Microscopically, severe necrosis was observed throughout thickened mucosa, submucosa, and wall of uterus. Tumorous lesions composed of anaplastic cells with bizarre nuclei or tubular structures of cuboidal to short columnar cells were infrequently observed around the necrotic lesions and muscular layer far from necrotic areas. Immunohistochemically, central necrotic area with ambiguous cell and tissue structures, peri-necrotic tumor lesions, and muscular layer were strongly positive for cytokeratin. Since huge necrosis of adenocarcinoma lesions in this case made it difficult to diagnose, immunohistochemical results enable to diagnose as a severe necrotizing adenocarcinoma. Thus, histopathological and immunohistochemical findings in this case may serve as an important knowledge to diagnose uterine adenocarcinoma with huge necrosis in the veterinary field.

고환초막강의 농양에 의한 음낭 부종 1례 (A Case of Scrotal Swelling Induced by Tunica Vaginalis Abscess)

  • 김종훈;이동근;임인석
    • Childhood Kidney Diseases
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    • 제7권1호
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    • pp.103-105
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    • 2003
  • 저자들은 고환초막강내의 농양(감염성 음낭수종)에 의한 발열과 보챔, 음낭부종으로 내원한 신생아에서 조기진단 및 적절한 치료로 성공적으로 회복된 1례를 경험하였으며 감염성 음낭수종은 신생아에서 드물지만 조기에 정확하게 진단되어 질 때, 그리고 고환, 부고환에 영향을 끼치지 않았을 경우 단지 배액술과 항생제 치료만으로도 성공적으로 치료할 수 있음을 보고하는 바이다.

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고양이에서 포도막염을 동반한 전안방 섬유소성 종괴의 내과적 치료 (Medical Management of an Anterior Chamber Fibrinous Mass Accompanied by Uveitis in 3 Cats)

  • 강선미;서강문
    • 한국임상수의학회지
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    • 제37권5호
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    • pp.286-291
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    • 2020
  • A 15-year-old castrated male Persian (Case 1), an 1.5-year-old castrated male Bengal (Case 2), and an 1.5-year-old spayed female Russian Blue (Case 3) cats were presented with iris-color change and suspicious anterior chamber mass. Complete ophthalmic examination revealed a vascularized or blood tinted mass filling with anterior chamber accompanied by rubeosis iridis, dyscoria, keratic precipitates, and severe aqueous flare. Ocular ultrasonography showed an iridociliary mass with blood flow signal in Case 1. Abdominal ultrasonography also revealed suspicious metastatic involvements of liver and spleen in this cat. Case 2 and 3 were suspected of being infected with feline infectious peritonitis. Topical antibiotic/steroid combinations were prescribed to control the uveitis in all 3 cases, although enucleation was initially considered for palliative pain management in Case 1. Anterior chamber mass had almost completely disappeared after topical medications and uveitis has been successfully managed, remaining in sight, even though ocular hypertension developed 1 month later in Case 1.

두강내 출혈 및 출혈성 경향을 동반한 선천성 담관 낭종 -1예 보고와 문헌보고- (A Choledochal Cyst Associated with Hemorrhagic Tendency and a Cerebral Hematoma -Report of a case and review of literature-)

  • 박영복;이명우;김홍진;권굉보
    • Journal of Yeungnam Medical Science
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    • 제2권1호
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    • pp.299-306
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    • 1985
  • 저자들은 3개월 된 남아에서 생긴 선천성 담관낭종으로 인해 vitamin K 흡수 장애로 출혈성 경향이 생기면서 두강내 혈종을 동반한 1예를 치험하였기에 문헌고찰과 함께 보고하는 바이다. vitamin K를 주사하여 출혈성 경향을 교정하고 두강내혈종을 제거한 뒤 담관낭종 절제 및 담관공장 문합술을 시행하였으며, 술후 경과는 양호 했다.

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간이식 후 중환자실에서의 섬망 발생 위험요인 (Risk Factors for Postoperative Delirium after Liver Transplantation in the Intensive Care Unit)

  • 조옥희;유양숙;최정은;김남희
    • 기본간호학회지
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    • 제16권3호
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    • pp.290-299
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    • 2009
  • Purpose: The objectives of this study were to determine the prevalence, incidence, duration and risk factors for delirium following liver transplantation while the patients were in the acute stage and admitted to the intensive care unit. Method: A retrospective chart review of 106 patients who had liver transplantation was conducted. A delirium risk factor checklist was used, to collect preoperative and postoperative data. Descriptive analysis, t-test, x2-test, and logistic regression analyses were used for data analysis. Results: The post-transplantation incidence of delirium was 29.3% (n=31). Multivariate analysis revealed that risk factors were preoperative conditions in the patients including spontaneous bacterial peritonitis, hepatorenal syndrome, and postoperative laboratory test results, such as hyperbilirubinemia. Conclusion: Therefore, a daily delirium risk factor assessment should be conducted before liver transplantation as a way to identify risk of delirium after the liver transplantation and to effectively manage delirium when it occurs.

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기관상관후 발생한 기관식도루의 교정 1 례 (Tracheoesophageal Fistula Due to Endotracheal Intubation: a case Report of Requiring Tracheal Reconstruction)

  • 신원선;곽영태
    • Journal of Chest Surgery
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    • 제30권6호
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    • pp.636-640
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    • 1997
  • 기관 식도루의 발생은 대개 카프 주변의 압력에 의한 기관후벽의 궤양 및 괴사에 의한 식도와의 누공 발생에 의하여 생긴다. 본 교실에서는 23세의 여자 환자에서 심폐소생술을 위한 기관삽관후 12일째 발견한 기관식도루 1예를 치험 하였다. 기관식도루는 자연 치유가 드물어 수술로서 교정을 시행하여야 하며 진단 즉시 수술해야 하는 것이 원칙이나 본 예에서는 환자의 전신 상태가 쇠약하여 수술을 지연하였으며 기관 재건술후 재건 부위는 양호하였으나 위루관 제거부위 누출에 의한 복막염 및 패혈증으로 사망한 1예를 보고한다.

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둔상성 외상 후 양측 간내 담관에서 담즙 누출의 치료 사례 1례 (Management of Bile Leaks from Bilateral Intrahepatic Ducts after Blunt Trauma)

  • 김동훈;최석호;고승제
    • Journal of Trauma and Injury
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    • 제27권3호
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    • pp.89-93
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    • 2014
  • Bile leaks are complications that are much more frequent after a high-grade liver injury than after a low-grade liver injury. In this report, we describe the management of bile leaks that were encountered after angiographic embolization in a 27-year-old man with a high-grade blunt liver injury. He had undergone an abdominal irrigation and drainage with a laparotomy on post-injury day (PID) 16 due to bile peritonitis and continuous bile leaks from percutaneous abdominal drainage. He required three percutaneous drainage procedures for a biloma and liver abscesses in hepatic segments 4, 5 and 8, as well as endoscopic retrograde cholangiopancreatography with biliary stent placement into the intrahepatic biloma via the common bile duct. We detected communication between the biloma and the bilateral intrahepatic duct by using a tubogram. Follow-up abdominal computed tomography on PID 47 showed partial thrombosis of the inferior vena cava at the suprahepatic level, and the patient received anticoagulation therapy with low molecular weight heparin and rivaroxaban. As symptomatic improvement was achieved by using conservative management, the percutaneous drains were removed and the patient was discharged on PID 82.

개 고립 결절 형태의 소화기계 림프종에 대한 진단영상 1례 (Diagnostic Imaging for Solitary Nodular Form of Alimentary Lymphoma in a Dog)

  • 최지혜;김현욱;장재영;김혜진;김준영;윤정희
    • 한국임상수의학회지
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    • 제24권3호
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    • pp.467-472
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    • 2007
  • Alimentary lymphoma accounts for approximately 5% of neoplasm and diffuse lesion is more common than solitary nodular form in dogs. An eleven year-old male Yorkshire terrier was examined because of nonspecific gastrointestinal symptoms such as anorexia and vomiting for 10 days. An abdominal mass was palpated, which was originated from small intestinal wall in abdominal ultrasonography. Small intestine was obstructed by hypoechoic mass and lost normal layering and measured 24.5m. After fine-needle aspiration, septic peritonitis due to intestinal rupture occurred and emergency surgery was performed. Solitary mass was found in small intestine and diagnosed as alimentary lymphoma through histopathologic examination. Conclusively, abdominal ultrasonouaphy could verify the thickened bowel, loss of wall layering and decrease of motility and percutaneous ultrasound-guided fine-needle aspiration is considered as useful diagnostic technique, especially in nodular form of alimentary lymphoma.