• Title/Summary/Keyword: abdominal wall

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Inguinal Lipoblastoma Mimicking Recurrent Inguinal Hernia (재발성 서혜부 탈장으로 오인된 지방모세포종)

  • Nam, So Hyun;Lim, Yun-Jung;Kim, Yeon Mee
    • Advances in pediatric surgery
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    • v.20 no.2
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    • pp.58-61
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    • 2014
  • Palpable inguinal mass in children should be differentiated from inguinal hernia, hydrocele, lymph node, and tumor. Though using ultrasonography, fatty tumor would be misdiagnosed as incarcerated inguinal hernia containing fatty component. We experienced the huge inguinal lipoblastoma in 5-year-old girl mimicking recurrent incarcerated hernia. Laparoscopic exploration revealed it was not incarcerated hernia but well demarcated bulging mass from abdominal wall. Mass was about $10{\times}4{\times}3cm$ and extended from internal inguinal ring to saphenous opening. It was near total excised because of right external iliac vein injury. Pathologically, it was proven as lipoblastoma containing mature adipocyte with lipoblast and fibrous septa. Postoperatively, we noticed a segmental thrombotic occlusion of external iliac vein. After 1 year, she has no symptom related to occluded vessel. The remained lipoblastoma showed no interval change. Even lipoblastoma has a good prognosis with low recurrence rate, we need careful follow-up.

Application of Z-plasty for Skin Defects by Mastectomy in a Dog (개에서 유방절제술에 의한 피부결손의 Z-plasty응용)

  • 김남수;최은경;정인성;최인혁
    • Journal of Veterinary Clinics
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    • v.19 no.4
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    • pp.440-442
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    • 2002
  • A fourteen-year-old mongrel female dog that was 22 kg and had two large mammary tumor lesions was admitted to the Animal Teaching Hospital of Chonbuk National University. Two large mammary tumor lesions were observed in the right caudal thoracic and the left inguinal mammary glands, which were sized 6 cm and 5 cm in diameter, respectively. These tumor lesions were removed by block mastectomy, then large skin defect of 7 cm diameter in caudal abdominal wall were recoverd by classic Z-plasty in both medial thigh. Classic Z-plasty was designed with 60 in angle and, with 6 cm in length of central limb in right medial thigh and 4 cm in left, respectively. This patient had been recoverd to normal gait and behavior at 20 days after the plastic operation.

REDUCTION GLOSSECTOMY OF MACROGLOSSIA IN BECKWITH-WIEDEMANN SYNDROME : A CASE REPORT (Beckwith-Wiedemann 증후군 환자에서의 거대설 절제술)

  • Kim, Hak-Kyun;Kim, Eun-Seok;Ko, Young-Kwon;Kim, Su-Gwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.6
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    • pp.559-564
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    • 2005
  • Beckwith-Wiedemann syndrome is an autosomal dominant growth excess disorder, which occurs with a reported incidence of 1 in 13,700 to 1 in 17,000 live births. It constitutes a discrete clinicopathologic entity characterized by macroglossia, abdominal wall defects (omphalocele), visceromegaly, gigantism, hemihypertrophy, hypoglycemia, and the increased risk of solid tumor development from multiple cell lines. A macroglossia is a key component of the syndrome, and can lead to cosmetic, functional and psychologic disorder. This report shows a 5-year-old patient with Beckwith-Wiedemann syndrome, who had macroglossia and received reduction glossectomy.

Voided Urine Cytology of Small Cell Carcinoma of the Urinary Bladder -A Case Report- (방광의 소세포암종의 요 세포 소견 -1예 보고-)

  • Lee, Won-Ae;Lee, Seung-Ha
    • The Korean Journal of Cytopathology
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    • v.18 no.2
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    • pp.153-156
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    • 2007
  • Primary small cell carcinoma of the urinary bladder is an extremely rare but important entity. We experienced a case of small cell carcinoma of the urinary bladder diagnosed by urine cytology. A 59-year-old man presented with gross hematuria and dysuria, and a calcified mass was detected at the left ureterovesical junction by cystoscopy. Abdominal ultrasonography revealed focal wall thickening at the left lateral side of the urinary bladder, and urine cytology findings were of an inflammatory background and atypical small round cells with minute hyperchromatic or pyknotic nuclei, scant cytoplasm, and rare nucleoli. In addition, atypical cells were scattered in an isolated single cell pattern or in small loose clusters with prominent nuclear molding. Subsequent histological and immunohistochemical examinations confirmed a diagnosis of small cell carcinoma.

Transcutaneous and Serosal Measurement of Gastric Electrical Activity in Animals (동물에서의 위전기신호의 경피적 및 위장막 측정)

  • Kim, I.Y.;Han, W.T.;Kim, W.K.;Son, J.I.;Rhee, P.L.;Rhee, J.C.
    • Proceedings of the KOSOMBE Conference
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    • v.1996 no.11
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    • pp.182-184
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    • 1996
  • Electrogastrography(EGG) is the technique by which gastric myoelectrical activity is recorded noninvasively, from surface electrodes on the abdominal skin. In older to know the relation between the signal of the gastric mil and the EGG signal, we measured the gastric myoelectrical activity in animals using surface electrodes and serosal electrodes, and measured the gastric contraction simultaneously using a strain gauge attached to the gastric wall we compared the signals with and without the gastric contraction.

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Radiographic and Ultrasonographic Images in Canine Lymphoma (개에서 림프종의 방사선학적 및 초음파학적 진단)

  • 이기창;윤정회;최민철
    • Journal of Veterinary Clinics
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    • v.19 no.3
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    • pp.337-341
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    • 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.

Ileocecocolic and Colocolic Intussusception in a Young Jindo

  • Jung, Joo-Hyun;Chae, Woong-Joo;Kwon, Do-Hyoung;Chang, Jin-Hwa;Oh, Sun-Kyoung;Yoon, Jung-Hee;Choi, Min-Cheol
    • Journal of Veterinary Clinics
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    • v.25 no.6
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    • pp.549-552
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    • 2008
  • An eight-month-old, intact female Jindo, weighing 9 kg with a one-day history of acute bloody diarrhea was referred. Plain abdominal radiographic findings included evidence of a soft tissue tubular mass within the dilated colon. In ultrasonographs, a target-like mass was identified with multiple hyperechoic and hypoechoic parallel wall layers. A barium enema showed a large radiolucent filling defect within the colon and a completely occlusive lumen. On the basis of these images, ileocecocolic and colocolic intussusception was diagnosed. Surgical manual reduction, resection and anastomosis were performed. The patient recovered normally without any complications or recurrence.

A Technique for Paravertebral Anesthesia in Korean Cattle (한우(韓牛)의 척추측마취(脊椎側痲醉))

  • Nam, Tchi-Chou;Lee, Heung-Shik;Lee, In-Se
    • Korean Journal of Veterinary Research
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    • v.23 no.1
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    • pp.119-122
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    • 1983
  • Paravertebral anesthesia for operation of abdominal wall in Korean cattle were effectively accomplished with the following technique. Any problems in surgical procedure were not observed under the block of ventral branches of the last thoracic nerve and the first and second lumbar nerves with the administration of preanesthetic. The site of injection for blocking of ventral branches of the thirteenth thoracic nerve were approximately 5cm lateral to the midline from the posterior edge of spinous process of the 13th thoracic vertebra and about 10ml of local anesthetic was injected immediately anterior to the transverse process of the first lumbar vertebra through thin site. The block of ventral branches of the first and second lumbar nerves were obtained by injecting 10ml of local anesthetic immediately below the posterior edge of transverse process of the 2nd and 4th lumbar vertebra, respectively.

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Subcutaneous fascioliasis: A case report (흉벽 근육내에 발생한 간질(간질)의 이소기생 증례)

  • 장의찬;최호림
    • Parasites, Hosts and Diseases
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    • v.29 no.4
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    • pp.403-406
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    • 1991
  • A 32-year old housewife, living in Seoul, recognized incidentally a painless mass at the left chest wall. During later 3 months, she experienced spontaneous swelling and regression of the mass repeatedly for 4 times. Surgical resection showed a granuloma at anterior serratus muscle containing a nearly matured adult of Fasciola species without vitellaria and uterus. This is the l1th human fascioliasis and the first extra-abdominal infection reported in Korea.

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Anaplastic Large Cell Lymphoma of the Duodenum in a Teenage Girl: Misdiagnosed as an Intramural Duodenal Hematoma

  • Sriphongphankul, Hansa;Tanpowpong, Pornthep;Ruangwattanapaisarn, Nichanan;Thirapattaraphan, Chollasak;Treepongkaruna, Suporn
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.6
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    • pp.571-575
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    • 2019
  • We report a case of a 13-year-old girl who presented with a 2-month history of intermittent abdominal pain. Laboratory examination showed hepatitis and pancreatitis. Because of persistent vomiting, computed tomography (CT) was performed, which revealed a circumferential soft tissue density in the duodenal wall, causing partial obstruction. Supportive therapy failed. Repeat CT showed no significant change from the initial study. The patient underwent upper endoscopy, which revealed a mass in the second portion of the duodenum, which occluded most parts of the lumen. The histopathological finding was consistent with an anaplastic large cell lymphoma, a rare form of small bowel neoplasm. After the third course of chemotherapy, complete resolution of the mass was noted, and her symptoms were relieved.