• Title/Summary/Keyword: abdominal examination

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A Case of Sigmoid Volvulus in a Child (소아에서 발생한 S상 결장 염전증 1예)

  • Lee, Dong-Han;We, Ju-Hee;Park, Hyun-Seok;Kim, Hae-Young;Park, Jae-Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.13 no.2
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    • pp.199-203
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    • 2010
  • Sigmoid volvulus may cause acute or subacute colonic obstruction. Excessive length of the sigmoid colon may be a contributing factor. Typically, the patient develops bilious vomiting and marked gaseous abdominal distension. We report a case of sigmoid volvulus in a 9-year-old boy who presented with recurrent, sudden onset abdominal pain, abdominal distension, and vomiting for 1 year, which was diagnosed by simple abdominal X-ray, barium enema, computed tomography, and colonoscopic examination. Colonoscopic reduction failed and a sigmoid colectomy with primary repair was performed. The intra-operative findings showed that the sigmoid colon was noted to be dilated, and redundant with a lax mesentery. Two clear areas of compression (proximal and distal) were present. After sigmoidectomy, the symptoms resolved. After 5 years of follow-up, he had no new symptoms.

Evaluation of Normal Abdominal Organs by Diagnostic Imaging in the Premature Miniature Pig (미성숙 미니돼지에서 방사선과 초음파를 이용한 복부장기의 평가)

  • Chang, Jin-Hwa;Jung, Joo-Hyun;Oh, Sun-Kyoung;Choi, Min-Cheol
    • Journal of Life Science
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    • v.19 no.3
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    • pp.417-421
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    • 2009
  • This report describes the normal radiographic and ultrasonographic morphological features of premature minipigs at 4, 8, 12 and 20 weeks of age. Radiographic examination is a simple diagnostic method used to identify the general morphologic state of major organs and their adjacent structures, and to assess the presence of abnormalities. The parameters for evaluation in plain abdominal radiographs are the degree of diffuse serosal margin details, extent of visualization of each organ, their size, shape, and contour, locations of main organs - such as the liver, stomach, spleen, kidneys, urinary bladder - the distribution of the intestines, and assessment of the retroperitoneal space and its contents. Ultrasonographic examinations are used to investigate their internal condition. The parameters for evaluation in abdominal ultrasonography are echogenicity, echotexture, and size and shape of the main organs such as the liver, spleen, kidney, urinary bladder and gastrointestinal tract. Minipigs had similar findings compared to dogs or cats.

The Comparison Study on the Effect of Bowel Movement between Bo-Ryu Enema(보류관장, Bao-Liu Enema) and General Enema in Patients at the Acute Stage of Cerebrovascular Accident (급성기 중풍 환자에 있어서 보류관장과 일반관장의 사하효과에 대한 비교 연구)

  • 손동혁;조기호;김영석;배형섭;이경섭;이영구
    • The Journal of Korean Medicine
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    • v.22 no.3
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    • pp.51-62
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    • 2001
  • Objectives : In Oriental Medicine, the improvement of constipation is very important for patients at the acute stage of cerebrovascular accident. For constipation, oral medicine has usually been used but is not available to stroke patients with dysphagia and mental disorder, and may bring about side effects on the gastrointestinal tract. In such cases, general enema has been used for assistant therapy, We needed to develop a more effective enema technique on constipation of stroke patients. Methods : Sixty-three patients were researched. We treated 29 patients with Bo-Ryu enema and 34 patients with general enema. To compare the effect of the Bo-Ryu enema group with that of the general enema group, we analyzed general characteristics, bowel movement, abdominal examination and related symptoms. Results : Sixty-three patients comprised the Bo-Ryu (n=29) and general (n=34) enema groups. Between the Bo-Ryu and general enema groups, the Bo-Ryu enema was more effective than the general enema in the number of bowel movements, total and corrected amount of stool, tonus of rectus abdominis muscle and abdominal discomfort. However, there were not significant differences in the power of abdominal muscle, digestion and physical power. Among the subgroups, Bo-Ryu enema group was most effective in the number of bowel movements, total amount of stool and tonus of rectus abdominis muscle, and Bo-Ryu enema group was best in the corrected amount of stool and abdominal discomfort. Conclusions : Bo-Ryu enema should be considered as an effective and safe treatment for patients with constipation during the acute stage of cerebrovascular accident.

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Computed Tomographic Features of Blunt Abdominal Trauma in a Dog (개에서 컴퓨터단층촬영을 이용한 복부 장기 열상 진단 1례)

  • Park, Hyun-young;Seo, Ji-won;Lee, Young-won;Choi, Ho-jung
    • Journal of Veterinary Clinics
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    • v.33 no.1
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    • pp.39-42
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    • 2016
  • A 10 months old, male Poongsan dog was referred with a history of right forelimb lameness due to hit by a car a few hours before presentation. On the physical examination, the dog showed pale mucous membrane, respiration distress, and skin abrasions. The main laboratory finding was leukocytosis, while hematocrit was normal. Abdominal radiography revealed the loss of abdominal serosal detail, which was diagnosed as peritoneal hemorrhage on ultrasonography (US) and aspiration. On computed tomography (CT), hepatic and splenic injuries were seen characterized by the discontinuity of the capsule with irregular margin and lower density lesions than parenchyma. No contrast enhancing area were shown in the laceration lesion. The accessory spleen was incidentally found by US and CT. In this case, acute intra-abdominal hemorrhage from splenic and hepatic laceration was diagnosed using CT.

Relationships between obesity and physical activities and prevalence of osteoarthritis in menopause women (폐경 여성의 비만 및 신체활동과 골관절염 유병의 관계)

  • Chae, Hyunju
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.217-225
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    • 2020
  • This study was a secondary analysis research using data from the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII-2), 2017 to identify the relationships between obesity and physical activities and prevalence of osteoarthritis in menopause women. The subjects were 1,516 menopause women aged over 19 years who participated in the KNHANES VII-2, 2017. Data were downloaded from the KNHANES website and analysed through complex sampling design data analysis using IBM SPSS 21.0 program. Prevalence of osteoarthritis is 1.88 times higher in women with body mass index (BMI) above pre-obesity and non-abdominal obesity and 1.98 times higher in women with BMI above pre-obesity and abdominal obesity than in women with BMI normal or low weight and non-abdominal obesity. These results indicate that obesity prevention and management should be provided to prevention of osteoarthritis for menopause women and obesity should be considered body mass index and abdominal obesity.

A case of Sotos syndrome presented with end-stage renal disease due to the posterior urethral valve

  • Cho, Won Im;Ko, Jung Min;Kang, Hee Gyung;Ha, Il-Soo;Cheong, Hae Il
    • Journal of Genetic Medicine
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    • v.11 no.2
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    • pp.74-78
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    • 2014
  • Sotos syndrome (SS, OMIM 117550) is characterized by prenatal and postnatal overgrowth with multiple congenital anomalies. However, there have been few cases of growth retardation caused by renal failure from infancy. We report a case of dysplasia of the bilateral kidneys with renal failure and poor postnatal growth. A 2-month-old boy visited the emergency room owing to poor oral intake and abdominal distension. He was born at the gestational age of 38 weeks with a birth weight of 4,180 g. After birth, he had feeding difficulty and abdominal distension. Upon physical examination, his height and weight were in less than the 3rd percentile, while his head circumference was in the 50th percentile on the growth curve. He also showed a broad and protruding forehead and high hairline. Blood laboratory tests showed severe azotemia; emergent hemodialysis was needed. Abdominal ultrasonography revealed bilateral renal dysplasia with multiple cysts and diffuse bladder wall thickening. A posterior urethral valve was suggested based on vesicoureterography and abdominal magnetic resonance findings. Results of a colon study to rule out congenital megacolon did not reveal any specific findings. The conventional karyotype of the patient was 46, XY. Array comparative genomic hybridization study revealed a chromosome 5q35 microdeletion including the NSD1 gene, based on which SS was diagnosed. We describe a case of SS presenting with end stage renal disease due to posterior urethral valve. The typical somatic overgrowth of SS in the postnatal period was not observed due to chronic renal failure that started in the neonatal period.

Ileocecal Intussusception in a Growing Thoroughbred Filly (육성 중인 Thoroughbred 망아지에서 회맹장 중첩 1례)

  • 양재혁;양영진;조길재;김성희;김영주
    • Journal of Veterinary Clinics
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    • v.19 no.2
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    • pp.243-246
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    • 2002
  • An acute colic in a 6-month-old Thoroughbred filly is described. The filly was presented with acute colic haracterized by rolling and pawing. Over a period of days she suffered from severe abdominal pain and subsequently died. ost mortem examination revealed the ileocecal intrssusception as a part invagination of the ileum into the cecum. It seems ogical to assume that the invagination occurred at the start of the illness. In addition, it is also noted the presence of Parascaris quorum in the stomach.

A Case of Modified Umbilical Herniorraphy in Thoroughbred Foal (더러브렛 망아지에서 제허니아 정복술 치료예)

  • 양영진;조길재;양재혁;남치주
    • Journal of Veterinary Clinics
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    • v.19 no.2
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    • pp.239-242
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    • 2002
  • A two-month-old female Thoroughbred foal was referred to the Equine Hospital, Jeju Stud Fm, Korea Racing Association. The foal was presented with opening of the abdominal ring by congenital predisposition. In physical examination, the foal revealed a mild heating, fluctuant swelling at umbilicus. The umbilical hernia was diagnosed, and then modified umbilical herniorraphy was performed and resulted in successful treatment. We conclude this method is of great value within the six-month-old foal with hernial ring size less than 10 cm.

Primary Malignant Fibrous Histiocytoma of the Left Atrium - A Case Report - (좌심방내에 발생한 악성 섬유성 조직구종 치험1례)

  • 김택진
    • Journal of Chest Surgery
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    • v.24 no.4
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    • pp.357-360
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    • 1991
  • Malignant fibrous histiocytoma is the most common soft tissue sarcoma of late adult life. The tumor occurs principally in one of the extremities or in the abdominal cavity or retroperitoneum, but very rarely in the heart. We report a case of M.F.H. that arose from the posterior wall of the left atrium. A 50 years old woman was presented with signs and symptoms of severe congestive heart failure. On 2-D echocardiographic exam, a huge mass was found in the left atrium. The mass was excised under open heart surgery. Histologic examination revealed that the tumor was actually a malignant fibrous histiocytoma.

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Study on the Possibility of Quantitative Measurement of Abdominal Examinations in Korean Medicine - A Focus on Diagnosis of Abdominal Coldness in Functional Dyspepsia Patients - (한의 복진 정량화 연구 - 기능성 소화불량 환자의 복냉 진단을 중심으로 -)

  • Lee, Jae-hong;Cho, Soo-ho;Ko, Seok-jae;Kim, Jin-sung;Park, Jae-woo
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.495-510
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    • 2018
  • Objective: This study was designed to investigate the possibility of quantification of the diagnosis of abdominal coldness (AC) in patients with functional dyspepsia (FD). Methods: Forty-four patients with FD were enrolled in this study. Three Korean medicine doctors each randomly examined all abdomens. Diagnosis of AC was made by consensus of at least two of the doctors. Body temperature (oral by digital oral thermometer) and skin temperature (by digital infrared thermal imaging [DITI]) were measured, followed by administration of the Cold and Heat questionnaire (CHQ) and the Instrument of Pattern Identification for Functional Dyspepsia (IPIFD). Results: Of the 44 patients with FD, 22 were assigned to the AC group and 22 to the non-AC group. The concordance rate of diagnosis among the three doctors was 63.6% (28/44), with a ${\kappa}$ of 0.504, indicating means moderate agreement). Neither the oral nor the skin temperatures showed statistically significant differences between the AC and non-AC groups. However, the CHQ scores and 'Simultaneous Occurrence of Cold and Heat Syndromes pattern' scores of the IPIFD were higher in AC group and showed statistically significant differences (p=0.010 and 0.009). Conclusions: This is the first study conducting quantitative measurements of abdominal coldness in patients with FD. Although oral and skin temperature showed no statistical significance between AC and non-AC groups, the concordance rate of diagnosis of AC among the three Korean Medicine doctors was moderate. The CHQ scores and 'Simultaneous Occurrence of Cold and Heat Syndromes pattern' scores of the IPIFD also suggest that diagnosis of AC is relevant to cold and heat patterns, and these questionnaires could be utilized as supportive data for the diagnosis of AC. Further studies should be conducted for the purpose of quantifying and standardizing abdominal examinations in Korean Medicine.