• 제목/요약/키워드: Thorax

검색결과 404건 처리시간 0.029초

A Rare Human Case of Dirofilaria repens Infection in the Subcutaneous Posterior Thorax with Molecular Identification

  • Le, Tran Anh;Vi, Thuat Thang;Nguyen, Khac Luc;Le, Thanh Hoa
    • Parasites, Hosts and Diseases
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    • 제53권3호
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    • pp.329-333
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    • 2015
  • The emergence of dirofilarial infections in Asia including Vietnam is a clinically significant threat to the community. We here report a rare case of subcutaneous Dirofilaria repens infection on the posterior thoracic wall in a young woman presenting a painful, itchy, and palpable nodule. The adult worm was identified by mitochondrial cox1 and nuclear ITS-2 sequence determination. The diagnosis was additionally confirmed by 16S rRNA sequencing of the endosymbiont Wolbachia pipientis commonly co-existing with D. repens. This is a rare case of subcutaneous human infection on the posterior thoracic region caused by D. repens.

Mesalizine-Induced Acute Pancreatitis and Interstitial Pneumonitis in a Patient with Ulcerative Colitis

  • Chung, Min Jae;Lee, Jae Hee;Moon, Kyung Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제18권4호
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    • pp.286-291
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    • 2015
  • Ulcerative colitis (UC) is a chronic idiopathic inflammatory bowel disease. Mesalizine for the first-line therapy of UC has adverse effects include pancreatitis, pneumonia and pericarditis. UC complicated by two coexisting conditions, however, is very rare. Moreover, drug-related pulmonary toxicity is particularly rare. An 11-year-old male patient was hospitalized for recurring upper abdominal pain after meals with vomiting, hematochezia and exertional dyspnea developing at 2 weeks of mesalizine therapy for UC. The serum level of lipase was elevated. Chest X-ray and thorax computed tomography showed interstitial pneumonitis. Mesalizine was discontinued and steroid therapy was initiated. Five days after admission, symptoms were resolved and mesalizine was resumed after a drop in amylase and lipase level. Symptoms returned the following day, however, accompanied by increased the serum levels of amylase and lipase. Mesalizine was discontinued again and recurring symptoms rapidly improved.

흉곽내 갑상선종 1예 보고 (Intrathoracic Goiter)

  • 김용환
    • Journal of Chest Surgery
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    • 제22권6호
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    • pp.1056-1060
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    • 1989
  • Substernal goiter may be defined as any thyroid enlargement that has 50 to 100 % of its mass inferior to the thoracic inlet. Ectopic substernal goiters are rare, and most substernal gaiters arise from cervical thyroid gland. Fifteen to fifty percent of these patients are asymptomatic. Symptoms, when present, are usually the result of tracheal or esophageal compression. Symptoms are often positional. Standard chest roentgenograms are often diagnostic, but computed tomographic or radioactive iodine scans may be helpful. In symptomatic patients or those in whom explorations are undertaken for diagnostic purpose or exclude carcinoma, surgical removal is indicated. Although cervical thyroids with substernal extension may be safely and successfully removed through a cervical incision, primary substernal goiters by definition derive their blood supply from within the thorax and are better approached by splitting the sternum or through a posterolateral thoracotomy. Recently we experienced a child fist sized secondary posterior mediastinal goiter in 55-year old female. The mass was completely removed through right posterolateral thoracotomy without any complications. The postoperative courses were uneventful.

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폐쇄성 흉부손상후 발생한 유미흉 1례 보고 (One Case of Surgical Treatment for Chylothorax following Closed Thoracic Injury)

  • 정황규
    • Journal of Chest Surgery
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    • 제21권2호
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    • pp.379-382
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    • 1988
  • We have experienced a case of right side chylothorax following closed chest injury. A 35-year-old man in his car was accidentally collided against obstacles on September 19, 1986 resulting in a contusion on right anterior chest wall. The only complaint noted on admission was right chest pain. Chest X-ray showed near total radiopaque density of right thorax. Conservative treatment of closed tube thoracostomy at right pleural cavity through midaxillary 7th intercostal space had been continued for 25 days without improvement. Chyle outflow through the chest tube was averaging 1,700cc per day. Oversewing of the thoracic duct and pleura by silk and pledgetted prolene sutures were done. There was no complication and recurrence till postoperative 20 days. Chylothorax following closed chest injury was never reported in this country, and will be a interesting clinical case report.

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흉벽에 발생한 탄성섬유종 - 1예 보고 - (Elastofibroma Dorsi - A case report -)

  • 김병호;허동명;손경락;신현웅
    • Journal of Chest Surgery
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    • 제36권4호
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    • pp.293-296
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    • 2003
  • 흉벽의 탄성섬유종은 피막을 형성하지 않는 양성질환으로 탄성섬유를 내포하는 섬유조직의 증식을 특징으로 하고 있으며, 나이 많은 여자의 견갑골 직하부에 가장 많이 발생한다. 비교적 천천히 자라며 악성으로 전환은 하지 않는 것으로 알려져 있다. 동통이나 통증, 운동장애와 같은 증상이 드물어 쉽게 지나치는 경우가 많다. 탄성섬유종의 진단은 특징적인 조직학적 소견으로 이루어지며 방사선학적인 검사로 예측이 가능하다. 48세의 여성에서 흉벽에 발생한 탄성섬유종을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Diagnostic imaging of congenital pulmonary aplasia in a dog

  • Kim, Soochan;Choi, Hojung;Lee, Youngwon
    • 대한수의학회지
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    • 제57권4호
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    • pp.253-255
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    • 2017
  • A 2-year-old, female Pomeranian dog was referred for dyspnea. Thoracic radiographs revealed left-sided mediastinal shift, increased soft tissue opacity in the caudal aspect of left thorax with loss of the left diaphragmatic silhouette, and dorsal elevation of mediastinal structures and heart from the sternum by lung tissue. The left main bronchus was visualized as an air-bronchogram and observed to abruptly discontinue at the level of the 10th rib. Thoracic computed tomography (CT) revealed absence of the left lung parenchyma and left pulmonary vessels with a rudimentary left main bronchus. The case was congenital pulmonary aplasia diagnosed via radiography and CT.

휘발유 폭발에 의한 식도파열 1례 (Esophageal Rupture due to Explosion of Gasoline: A Case Report)

  • 장명규;최광림;이봉하
    • Journal of Chest Surgery
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    • 제5권1호
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    • pp.57-60
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    • 1972
  • Esopkageal rupture is one of the rarest disease. Mackler described that esophageal rupture was differentiated from esophageal perforation, the perforation is produced by esophagoscopy, and continuous erosion, such as esophagitis,gastric reflux, hiatal hernia and malignant neoplasm of the esophagus, the rupture is occurred by severe vomiting, cough and strong positive pressure into the esophageal lumen. Since,at first Boerhaave reported the esophageal rupture due to severe vomiting in 1742, several case reports of esophageal rupture have been in the literatures. Authors reported a case of the esophageal rupture due to explosion of gasoline in 50 year old female. The rupture occurred a longitudinal rent on the left posterolateral aspect of lower one third of esophagus and accompanied wlth second degree burn on the entire face and neck. The treatment consists of immediate thoracotomy in order to drainage of pyothorax and gastrostomy for nutritional problem, but patient expired because of septicemia probably due to uncontrollable empyema of thorax on 45th admitted day.

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Phrixocephalus umbellatus (Copepoda : Lernaeidae) from Marine Fish, Branchiostegus japonicus of the Korea Southern Sea

  • Choi, Sang-Duk;Lee, Chang-Hoon;Chang, Dae-Soo;Ha, Dong-Soo
    • 한국양식학회지
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    • 제13권1호
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    • pp.9-12
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    • 2000
  • A species of the parasitic copepods Phrixcephalus unbellatus (Lernaeide ; Cyclopoidea) from Branchiostegus japonicus is described and reported for the first time in Korea. The parasite was recovered from the eye of host. P. umbellatus was easily identified by the body shape extensive ramification of the antennal processes and numerous branches on the thoracic horns, The parasite inserted its head and the anterior portion of thorax up to the 4th segment in the eye ball of the host through a narrow hole which it usually burrowed near the upper margin of the cornea above the crystalline lens. Prevaklence of the parasite increased from 3.3% January to 11.9% in June.

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노랑초파리의 $\alpha$-Glycerol-3-phosphate Dehydrogenase (GPDH)의 발현과 조절 (Regulation and Expression of Glycerol-3-phosphate Dehydrogerlase (GPDH) in Drosophila melanogaster)

  • 김세재;이정주남궁용김경진
    • 한국동물학회지
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    • 제34권1호
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    • pp.123-130
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    • 1991
  • Several parameters of u -glycerol-3-pholphate dehydrogenase (GPDH) such as activity, content and translatable mRNA levels were measured to elucidate mechanism underlving developmental and tissue specific regulation of 6PDH activity in Drosophila melonogastrr. In adult segments, most of total GPDH activity (62%1 Iwas detected in thorax where GPDH-1 resided, while 32% of total GPDH aUiviD was only detected in abdomen where GPDH-3 resided. The relative synthesis of GPDH was, however, similar in both tissues, although 58% of total GPDH was synthesized in abdomen. These results strongly suggest that the turnover rate of the abdominal enzyme (GPDH-3) was much more rapid than that of thoracic enzymes (GPDH-1). In nitro translation and immunoblotting experiments also indicate that GPDH-3 was arised by posttranslational modification from a single polypeptide (GPDH-1).

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Electrical Impedance Tomography and Biomedical Applications

  • Woo, Eung-Je
    • 한국지구물리탐사학회:학술대회논문집
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    • 한국지구물리탐사학회 2007년도 공동학술대회 논문집
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    • pp.1-6
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    • 2007
  • Two impedance imaging systems of multi-frequency electrical impedance tomography (MFEIT) and magnetic resonance electrical impedance tomography (MREIT) are described. MFEIT utilizes boundary measurements of current-voltage data at multiple frequencies to reconstruct cross-sectional images of a complex conductivity distribution (${\sigma}+i{\omega}{\varepsilon}$) inside the human body. The inverse problem in MFEIT is ill-posed due to the nonlinearity and low sensitivity between the boundary measurement and the complex conductivity. In MFEIT, we therefore focus on time- and frequency-difference imaging with a low spatial resolution and high temporal resolution. Multi-frequency time- and frequency-difference images in the frequency range of 10 Hz to 500 kHz are presented. In MREIT, we use an MRI scanner to measure an internal distribution of induced magnetic flux density subject to an injection current. This internal information enables us to reconstruct cross-sectional images of an internal conductivity distribution with a high spatial resolution. Conductivity image of a postmortem canine brain is presented and it shows a clear contrast between gray and white matters. Clinical applications for imaging the brain, breast, thorax, abdomen, and others are briefly discussed.

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