• Advances in pediatric surgery
• /
• 제6권1호
• /
• pp.60-63
• /
• 2000

Spontaneous rupture of the eventrated diaphragm is not common. The authors report a case of spontaneous rupture of the congenital diaphragmatic eventration. An 8 year-old girl with right congenital diaphragmatic eventration and nephrotic syndrome was seen in emergency room because of severe abdominal pain and vomiting. She had intermittent abdominal pain for 1 year. Plain chest X-ray and ultrasonography showed entrapped bowels in the right thoracic area. Exploratory laparotomy revealed a ruptured right eventration. THE displaced abdominal viscera were repositioned into the abdominal cavity and the ruptured diaphragm was trimmed and plicated. The postoperative course was uneventful. Only one case of spontaneous rupture of eventrated diaphragmatic has been reported in the English literature.

• The Korean Journal of Pain
• /
• 제26권2호
• /
• pp.191-194
• /
• 2013

Pseudoaneurysm of the abdominal wall is a possible but very rare clinical entity. It is a known complication of surgery, trauma, or arterial puncture, but it is rarely spontaneous. Even though it can usually present with a wide range of local symptoms, it can cause referred pain via spinal cord, which is cross-excited with afferent sympathetic nervous system. We report a case of right arm pain which was referred from a small abdominal pseudoaneurysm like a referred pain from gall bladder. This rare entity should be considered in the differential for pain management in case that the pain does not resolve with medication or interventional pain management.

• 대한물리의학회지
• /
• 제16권3호
• /
• pp.107-113
• /
• 2021

PURPOSE: Selective strengthening of the transverse abdominis muscle (TrA) during abdominal hollowing makes an important contribution to the stability and control of the spine. This study examined the effects of abdominal hollowing exercise (AHE) according to the visual feedback method on the external oblique, internal oblique, and transverse abdominis muscles. METHODS: Twenty healthy subjects were assigned randomly to an AHE with visual feedback from real-time ultrasound image (group A, n = 10), AHE with visual feedback with pressure biofeedback unit (group B, n = 10). Both groups underwent 20 min of AHE with visual feedback once daily, five days/week for two weeks. The changes in the muscle thickness of the TrA, internal oblique abdominal muscle (IO), and external oblique abdominal muscle (EO) were measured by ultrasonography. RESULTS: The thickness of TrA was changed significantly in both groups (p < .05). However, the lowest minimal detectable changes were achieved in Group A. The thickness of the IO and EO muscles in group A was changed significantly, but there were no significant changes in group B. CONCLUSION: Both visual feedback methods were effective for strengthening the TrA muscles selectively. Nevertheless, AHE with visual feedback using real-time ultrasound images may be more useful in trA muscle contraction.

• 한국임상수의학회지
• /
• 제26권1호
• /
• pp.91-94
• /
• 2009

A 6-year-old, intact female mixed dog was referred to Veterinary Medical Teaching Hospital of Gyeongsang National University due to vomiting, anorexia, depression of 1 month's duration. On abdominal radiography, numerous irregularly marginated mineralized branching structures were present within the liver. On ultrasonography, irregular hyperechoic spots with an strong acoustic shadow was identified, but evidence of ductal dilatation was absent. Based on radiography and ultrasonography, intrahepatic gallstones were diagnosed incidentally.

• 한국임상수의학회지
• /
• 제19권3호
• /
• pp.337-341
• /
• 2002

In 2001, eight small-sized dogs and three medium-sized dogs with or without clinical signs such as vomiting, dyspnea and enlargement of superficial lymph nodes were diagnosed as lymphoma by radiography, ultrasonography and cytology. Among them, six were female mainly over 7 years old and others were male around 4 years old. There were six cases of multicentric form lymphoma, three cases of mediastinal form, an alimentary and an extranodal form, respectively. Radiographic findings were enlarged cranial mediastinal lymph node, sternal lymph node, and tracheobronchial lymph nodes on thorax and hepatomegaly, splenomegaly, and enlarged sublumbar lymph nodes on abdomen. Ultrasonographic findings revealed enlarged abdominal lymph nodes and multifocal hypoechoic lesions on the liver. Especially, severe wall thickness of small bowel was observed in a dog with alimentary lymphoma. Three dogs were dead during chemotherapy, and three dogs were dead without any treatment. Three dogs did not return and two treated dog showed normal status. Radiography and ultrasonography, although not giving an final diagnosis for lymphoma, are useful for assessment and diagnosis of lymphoma.

• 한국임상수의학회지
• /
• 제41권4호
• /
• pp.246-251
• /
• 2024

Herein, we present the ultrasonography and computed tomography (CT) characteristics of an intramural calcified leiomyoma of the bladder in a dog. A 16-year-old, neutered male, Shih Tzu dog was referred to our hospital owing to corneal perforation. Serum chemistry findings and complete blood counts were unremarkable. A rounded hypoechoic intramural mass with internal hyperechoic foci was incidentally discovered on the ventral aspect of the bladder neck on abdominal ultrasonography performed for screening prior to corneal surgery. CT revealed a rounded hypoattenuated mass with central hyperattenuated foci at the level of the bladder neck. The mass was surgically excised and was diagnosed as leiomyoma based on histopathological findings.

• The Journal of Korean Physical Therapy
• /
• 제28권2호
• /
• pp.112-118
• /
• 2016

Purpose: This study examined thickness changes in abdominal muscles according to difficulty level of core stabilization exercise in healthy subjects. Methods: Thirty healthy subjects (age range: 21-30 years) volunteered under three conditions. In the first condition, the subjects performed an abdominal draw-in maneuver (ADIM). In the second condition, they performed the ADIM during quadruped exercise using a suspension device without extending their lower limbs. In the third condition, the subjects performed the ADIM during quadruped exercise using a suspension device while extending both lower limbs. The changes in thickness of transverse abdominis (TrA), internal oblique (IO), and external oblique (EO) muscles were measured by ultrasonography (US) imaging during the three experimental conditions, and US was used to measure the improvement ratio of muscle thickness at rest. The interventions were conducted over three trials in each condition, and measurements were performed on each subject by one examiner. Results: Our results showed a significantly greater increase in the muscle thickness of TrA and IO muscles after performance of quadruped exercise using a suspension device without knee extension (p<0.05) compared to the other conditions. The results also showed a significantly greater increase in the thickness changes of EO muscle in those who performed the ADIM during quadruped exercise using a suspension device with knee extension (p<0.05) compared with the ADIM only. Conclusion: These findings demonstrated positive evidence that a low-level core stabilization exercise could improve thickness of abdominal muscles.

• Physical Therapy Rehabilitation Science
• /
• 제2권1호
• /
• pp.44-48
• /
• 2013

Objective: The purpose of this study was to investigate changes of abdominal muscles thickness according to the angle during the active straight leg raise (ASLR) in young healthy subjects. Design: Cross sectional study. Methods: Twenty-three healthy university students (13 men and 10 women) voluntary participated to the study in S University. The ASLR was performed with the subject lying supine with lower extremities straight on a standard plinth, hands resting on the chest, and elbows on the plinth. When one subject performed ASLR from each angles ($30^{\circ}$, $45^{\circ}$, $60^{\circ}$, $90^{\circ}$), compared changes in the thickness of rectus abdominis muscle. Changes in muscle thickness during ASLR test were assessed with ultrasonography. All subjects were to provide enough time of rest after performed ASLR. Rectus abdominis thickness were measured using rehabilitative ultrasound image. Results: Good quality rectus abdominal muscle activation data were recorded during ASLR. The length changes of linea alba showed significantly shorter in between $0^{\circ}$ and $30^{\circ}$ (p<0.05). The thickness of rectus abdominis muscle were significantly different between $0^{\circ}$ and $30^{\circ}$, $0^{\circ}$ and $45^{\circ}$, $0^{\circ}$ and $60^{\circ}$, $0^{\circ}$ and $90^{\circ}$. According to increase of pelvic angle, the thickness of rectus abdominis muscle were more thickening (p<0.05). Conclusions: This result is changes of abdominal muscles thickness according to the angle during the ASLR.

• 한국임상수의학회지
• /
• 제33권2호
• /
• pp.116-121
• /
• 2016

A 1.83 kg, 9-year-old, spayed female Yorkshire Terrier was referred to the Veterinary Medical Teaching Hospital of Konkuk University for evaluation of an intra-abdominal mass with a week history of vomiting and diarrhea. On physical examination, survey radiography, abdominal ultrasonography, and computed tomography, a huge firm mass was identified in the mid-caudal abdomen. Surgical exploration of the abdominal cavity was performed to remove the mass. The encapsulated mass adhered to the mesentery, tail of the spleen, small intestine, omentum, and right lobe of the pancreas was removed using blunt dissection with dry gauze and cotton swabs. Macroscopic and histopathological examination revealed that the mass was foreign-body granuloma consistent with gauze fiber. Plain abdominal radiography demonstrated no remarkable findings 8 months post-operatively. There was no evidence of vomiting, diarrhea, coughing, difficulty breathing, and cyanosis on exertion 13 months post-operatively.

• Advances in pediatric surgery
• /
• 제10권2호
• /
• pp.117-122
• /
• 2004

Diagnosis of acute appendicitis in children is sometimes difficult. The aim of this study is to validate a clinical scoring system and ultrasonography for the early diagnosis and treatment of appendicitis in childhood. This is a prospective study on 59 children admitted with abdominal pain at St. Mary's Hospital, the Catholic University of Korea from July 2002 to August 2003. We applied Madan Samuel's Pediatric Appendicitis Score (PAS) based on preoperative history, physical examination, laboratory finding and ultrasonography. This study was designed as follows: patients with score 5 or less were observed regardless of the positive ultrasonographic finding, patients with score 6 and 7 were decided according to the ultrasonogram and patients above score 8 were operated in spite of negative ultrasonographic finding. The patients were divided into two groups, appendicitis (group A) and non-appendicitis groups (group B). Group A consisted of 36 cases and Group B, 23 cases. Mean score of group A was 8.75 and group B was 6.13 (p<0.001). Comparing the diagnostic methods in acute appendicitis by surveying sensitivity, specificity, positive predictive value, negative predictive value, and accuracy, PAS gave 1.0000, 0.3043, 0.6923, 1.0000, and 0.7288, and ultrasonography gave 0.7778, 0.9130, 0.9333, 0.7241, and 0.8300 while the combined test gave 1.0000, 0.8696, 0.9231, 1.0000, and 0.9490, respectively. Negative laparotomy rate was 3 %. In conclusion, the combination of PAS and ultrasonography is a more accurate diagnostic tool than either PAS or ultrasonography.