• Title/Summary/Keyword: abdominal distension

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Studies on the overinflation of the Cardiac Stomach in Sterlet Sturgeon Acipenser ruthenus, fingerlings (양식 스털렛 철갑상어, Acipenser ruthenus 치어의 위 팽창 증후군에 관한 연구)

  • Park, Sung-Woo;Yu, Jin-Ha;Han, Jung-Jo
    • Journal of fish pathology
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    • v.25 no.1
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    • pp.59-65
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    • 2012
  • Overinflation of cardiac stomach occurred in farmed sterlet sturgeon (Acipenser ruthenus) fingerlings. Affected fish congregated and swam upside-down near the edges of the tanks with abdominal distension. When pressed the dilated abdomen, the fish often exhibited a normal swimming pattern for some time, then resumed their characteristic upside-down swimming patterns. Internally, the fish showed abdominal dropsy and dilated stomach filled with yellowish granular contents. When the contents in the stomach, fish feed, water and excrement in the farm inoculated on Sabouraud destrose agar (SDA) at $25^{\circ}C$ for 48 hr. Candida sp. were isolated except from the feed. Candida sp. in excrement or water in the farm may enter into the stomach with feed and then produce gases in the metabolic process, which in turn may cause the stomach overinflation.

Generalized Meconium Peritonitis Diagnosed with Antenatal Ultrasonography (산전 초음파검사로 진단된 범발성 태변성 복막염 2예보고)

  • Kim, Soong-Chul;Hwang, Shin;Yoo, Shi-Joon;Kim, In-Koo
    • Advances in pediatric surgery
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    • v.1 no.1
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    • pp.59-62
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    • 1995
  • Meconium peritonitis is defined as an aseptic, chemical or foreign-body peritonitis caused by spill of meconium in the abdominal cavity related to the prenatal perforation of the intestine. Perforation is usually caused by obstruction from meconium ileus, intestinal atresia, stenosis, volvulus, internal hernia, congenital peritoneal bands, intussusception, or gastroschisis. Less commonly, no evidence of distal obstruction exists. Here, we present two cases of generalized meconium peritonitis of antenatal diagnosis. The first case, detected at 8 months of gestational age, had a perforation of the proximal blind pouch of jejunal atresia, associated with respiratory distress due to severe abdominal distension. This case was successfully treated with resection and anastomosis and brief period of postoperative ventilatory support. The second case had a distal ileal perforation with thick meconium in the terminal ileum. In this case, there was no dilatation of ileum proximal to the perforation site. Resection and anastomosis was performed and postoperative course was uneventful.

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A Case of Intraperitoneal Bladder Rupture after Isotope Voiding Cystourethrography in a Child with Urinary Tract Infection (요로감염 소아에서 동위원소 배뇨성 방광요도조영술 후 발생한 방광파열 1례)

  • Nham Seung-Yeon;Kim Jin-Ah;Hwang Soo-Ja;Park Eun-Ae;Lee Seung-Joo;Lee Sun-Wha;Chung Woo-Sik
    • Childhood Kidney Diseases
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    • v.1 no.1
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    • pp.97-100
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    • 1997
  • Rupture or contrast extravasation of urinary bladder after voiding cystourethrography(VCUG) was a very rare complication which occurred in neurogenic or unused bladder. Only one case of bladder extravasation was reported in a girl with normal bladder function. Case: A 18 month-old boy presented with recurrent E. Coli urinary tract infection and was evaluated with isotope VCUG, which was failed to catheter insertion. Two days later, isotope VCUG was repeated with difficult catheter insertion. Two hours after isotope VCUG, gross hematuria and anuria developed, and abdominal distension was followed. Bladder rupture was diagnosed by abdominal sonography and computerized tomography. He was treated with simple closure and suprapubic catheter drainage.

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Primary Hepatic Tumors in Children (소아 원발성 간종양)

  • Jung, Hyung-Joong;Kim, Hyun-Young;Jung, Sung-Eun;Park, Kwi-Won;Kim, Woo-Ki
    • Advances in pediatric surgery
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    • v.11 no.2
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    • pp.107-114
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    • 2005
  • Primary liver tumors are uncommon in childhood, with a relative frequency of 3 % of all childhood tumors. Seventy-three cases of pediatric primary liver tumors operated on at single institution between 1986 and 2002 were reviewed. Malignant tumors included 37 cases of hepatoblastoma, 11 hepatocellular carcinomas, 6 undifferentiated (embryonal) sarcomas, and 1 mixed germ-cell tumor. Benign tumors constitute only 24.6 % of liver tumors, including 7 hemangioendotheliomas, 5 mesenchymal hamartomas, 3 congenital cysts, and one each with focal nodular hyperplasia and hemangioma. The common presenting clinical features were abdominal mass or abdominal distension. Anatomical hepatic resections were carried out in 38 cases, and nonanatomical resections in 34 cases. One patient died of a direct result of hepatic resection (1.4 %). The complication rate was 16.4 %.

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Endoscopic Retrieval of a Large and Circular Foreign Body Lodged in Gastric Pylorus in a Dog (내시경을 이용한 유문폐색을 유발한 개의 이물제거)

  • Lee, Seung-Gon;Choi, Ran;Moon, Hyeong-Sun;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.229-232
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    • 2007
  • A 7-year-old Shih Tzu cross dog was presented for severe abdominal pain, persistent vomiting and anorexia. Laboratory tests revealed mild anemia and hypoproteinemia. Abdominal survey radiography revealed marked gastric distension and large circular foreign body in the gastric pylorus. The foreign body was removed using a videoendoscope, fishing line and retrieval forceps. The dog's clinical signs resolved following foreign body removal.

Belt Loop and Circumcostal Gastropexy Techniques of Canine Gastric Dilatation-Volvulus: 4 Cases

  • Lee, Jae-Hoon;Lee, Young-Su;Yang, Wo-Jong;Chung, Dai-Jung;Kang, Eun-Hee;Chang, Hwa-Seok;Choi, Chi-Bong;Lee, Jeong-Ik;Kim, Hwi-Yool
    • Journal of Veterinary Clinics
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    • v.25 no.6
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    • pp.540-544
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    • 2008
  • Four dogs were presented with the history of progressive abdominal distension and regurgitation. Survey abdominal radiographs revealed gastric dilatation-volvulus (GDV) with a distended, gas-filled stomach and double bubbles. The mean time from onset of clinical signs to presentation to a clinic was 3.25 hours. In three dogs, orogastric tubes were inserted and their stomachs were decompressed. However, we failed to insert the tube in the remaining one dog. Among these four dogs, gastrotomy was performed in two dogs to remove the gastric contents and to decompress the stomach additionally during surgery. The dogs with GDV were treated with belt-loop gastropexy (n=3) or circumcostal gastropexy (n=1) to prevent recurrence. Necrosis of gastric or splenic tissues was not observed during surgical intervention. All four dogs recovered uneventfully, and no recurrence was found in long term follow-up during $1{\sim}3$ years.

A Case of Tuberculous Peritonitis Mimicking Surgical Abdomen (외과적 복부질환으로 오인된 결핵성 복막염 1례)

  • Kim, Hyun-Jin;Kim, Hae-Soon;Seo, Jeong-Wan;Choi, Kum-Ja;Lee, Sun-Wha;Sung, Sun-Hee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.5 no.2
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    • pp.181-185
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    • 2002
  • Childhood tuberculous peritonitis is difficult to diagnose especially in cases without pulmonary involvement. It may present as mechanical ileus, perforation, simulating acute appendicitis, enterocolitis or intusussception. Early diagnosis in children may be difficult, largely because of variable vague symptoms and nonspecific signs. Surgery has often been required for pathologic confirmation. We have experienced a case of tuberculous peritonitis presenting with abdominal pain, abdominal distension and persistent high fever in a 10-year-old boy who was diagnosed by explo-laparotomy and pathologic confirmation from biopsy specimen from omentum. The patient was treated with antituberculous drugs and recovered uneventfully.

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Clinical Features and Outcomes of Primary Omental Lipoma in a Dog

  • Song, Doo-Won;Lee, Ga-Won;Kang, Min-Hee;Kim, Hwi-Yool;Eom, Ki-Dong;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.36 no.5
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    • pp.271-273
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    • 2019
  • A 12-year-old intact male Cocker spaniel dog was presented for evaluation of lethargy and abdominal distension. Clinical examination revealed a round, palpable mass in the middle of the abdomen. Abdominal computed tomography showed a round soft tissue mass ($width{\times}height{\times}length$, $25{\times}13{\times}15cm^3$) without regional invasion and distant metastasis. Cytologic evaluation of the mass revealed adipose tissue-derived cells having vacuolated cytoplasm, indistinct borders, large nucleus and ropy chromatin pattern with variable sized lipid droplets. Complete surgical resection of the mass was performed and the mass was histopathologically diagnosed as primary omental lipoma. The dog has been recovered well without any additional clinical signs, and there was no relapse over the 8 months follow-up period. The clinical features and prognosis of the dog with primary omental adipocytic tumors have been described in this report.

A Case Report of Korean Medicine Treatments Combined with Chemotherapy for Recurrent Liver Metastasis (간전이 바터팽대부암의 항암화학요법에 병용한 한의치료 1례)

  • Seung-Yun Oh;Soo-Jung Park
    • Journal of Korean Traditional Oncology
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    • v.28 no.1
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    • pp.45-53
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    • 2023
  • Objectives: To report the reduction of adverse effects of chemotherapy and improvement in the quality of life in recurrent liver metastasis by Korean medicine treatments. Methods: In 2018, a 75-year-old male patient underwent surgery for primary cancer in the ampulla of Vater. In 2021, he was diagnosed with recurrent liver metastasis. Following the failure of tumor treatment with gemcitabine/cisplatin and the development of severe side effects, he decided to discontinue chemotherapy. Subsequently, with a significantly enlarged liver tumor, he resumed capecitabine/oxaliplatin treatment, alongside moxibustion, acupuncture, and herbal prescriptions from August 2021 to August 2023. The changes of chief complaints, abdominal CT, and laboratory findings were investigated. Results: After combined treatment of Korean traditional medicine and chemotherapy, the mass was decreased. Laboratory findings, and chief complaints of hand-foot syndrome, fatigue, abdominal distension, nausea and anorexia were improved. Conclustions: This case study suggests that Korean traditional medicine is effective in enhancing anticancer effects, suppressing the side effects of chemotherapy, and improving general conditions.

Acute Gastric Necrosis Due to Gastric Outlet Obstruction Accompanied with Gastric Cancer and Trichophytobezoar

  • Lee, Do-Sang;Sung, Ki-Young;Lee, Jun-Hyun
    • Journal of Gastric Cancer
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    • v.11 no.3
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    • pp.185-188
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    • 2011
  • Gastric necrosis due to gastric outlet obstruction is a very rare condition, but it might be fatal if missed or if diagnosis is delayed. Our patient was a 73-year-old male complaining of abdominal pain, distension and dyspnea for 1 day. In plain radiography and computed tomography, a markedly distended stomach and decreased enhancement at the gastric wall were noted. He underwent explo-laparotomy, and near-total gastric mucosal necrosis accompanied by sludge from the soaked laver was noted. A total gastrectomy with esophagojejunostomy was performed, and he recovered without sequelae. Final pathologic examination revealed advanced gastric cancer at the antrum with near-total gastric mucosal necrosis.