• 대한수의학회지
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• 제60권1호
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• pp.39-42
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• 2020

This report describes a three-month-old Korean domestic kitten presented with dehydration and poor body condition. Physical examination revealed abdominal distension. Rectal diagnosis was unachievable due to the small rectum diameter. X-ray radiography and endoscopy confirmed presence of abdominal distension and indicated a stricture located 1.5 cm from the anus. A balloon was gently inserted into the rectum and inflated several times followed by triamcinolone injection. Four months later, same procedures were repeated. This report is the first to describe the use of balloon dilation of a rectal stricture followed by intralesional triamcinolone injection in a small cat with poor condition.

• 대한영상의학회지
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• 제82권2호
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• pp.335-346
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• 2021

장간막과 대망에서 원발성으로 생기는 종양은 비교적 흔하지 않지만, 종양과 비슷한 다양한 질환과의 감별이 필요한 경우가 많다. 또한, 다양한 복부 질환의 확산 경로이기 때문에 정확한 감별진단을 위해서는 장간막과 대망에 대한 해부학과 질병 종류 및 양상에 관하여 자세히 알아야 할 필요가 있다. 또한, 장간막과 대망의 숨어있는 병변들을 잘 찾아내어 적시에 정확한 치료를 하는 것이 중요하므로 복부 CT 판독 시 병변이 잘 생기는 부위를 잘 관찰하여야 한다.

• 한국임상수의학회지
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• 제30권2호
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• pp.131-133
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• 2013

9 년령 23 kg의 암컷 진도견이 2개월 동안의 안구 분비물을 주요증상으로 본원에 내원하였다. 초기 안검사에서 좌측 아래 안구 결막 부위에서 크기 2 cm의 길게 돌출 된 종괴를 발견하였다. 다른 안구 및 주위 조직의 이상소견을 확인하기 위해 안구초음파를 실시 하였고 모두 음성으로 판명되었다. 또한 흉 복부에 실시한 X-ray 검사에서도 특이 소견이 관찰되지 않았다. 세포학적 검사에서 다수의 원형세포와 중등도의 호산구 (eosinophils)가 관찰되었다. 종괴는 외과적으로 절제되었고 조직학적 검사를 통해 비만세포종 (mast cell tumor)로 진단되었다. 수술 후 6개월 뒤 실시한 흉복부 X-ray 및 초음파 검사에서 종양의 전이 또는 재발은 관찰되지 않았다.

• Journal of Yeungnam Medical Science
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• 제4권1호
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• pp.25-32
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• 1987

전복부조사에 대한 X-선의 영향을 체중과 말초혈액 변화를 분석하여 적정 분할회수 및 치료기간설정에 응용하기 위하여 도합 160마리의 백색마우스를 두개의 조사군으로 나누어 제1군은 100cGy과, 제2군은 200cGy으로 나누고 일령이 $30{\pm}3$일로서 체중은 수컷이 $25{\pm}2gm$, 암컷은 $23{\pm}1gm$의 동수를 재료로 하여 방사선조사를 시행한 후, 체중의 변화와 말초혈액 변화를 분석하여 다음과 같은 결과를 얻었다. 체중과 혈색소의 변화는 성별이나 분할조사량에 따른 현저한 차이를 발견할 수 없었다. 백혈구의 감소는 3,000cGy에서 최소치를 나타내었으며 암, 수 모두에서 100cGy군에 비해 200cGy군에서 현저하였다. 감별백혈구의 변화는 조사선량이 증가함에 따라 암, 수 모두에서 임파구의 감소가 급격하였으나 호중구는 이와 반대로 증가함을 보였으며 이런 변화는 일회 조사량이 더 많은 제1군에서 현저하였다. 위의 결과를 종합하여 보면 방사선조사 자체로 인한 체중과 혈색소의 변화는 일회조사량이나 총 조사기간에 따른 차이를 발견할 수 없었으며 일회조사량이 많은 경우에 백혈구의 감소가 더 현저하였으며 이는 주로 임파구의 감소에 기인하며 이와는 반대로 호중구의 비율증가가 나타났다. 실험적으로 분할조사량의 선정에 말초혈액상에 미치는 영향이 큼을 보여주어 실제 치료에서 분할조사량의 올바른 책정이 중요함을 시사하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4431-4433
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• 2012

Aim: The aim of the present study was to evaluate retrospectively histopathologically-diagnosed lesions that were detected in the kidney after radical nephrectomy for a preoperative diagnosis of kidney cancer. Methods: The medical records of 83 patients (51 male, 32 female) were included. Preoperative staging was accomplished by various methods including physical examination, blood hemography and biochemistry, abdominal ultrasonography (US), chest x-ray, abdominal computed tomography (CT) and abdominal magnetic resonance imaging (MRI). Results: Totals of 70 patients underwent radical nephrectomy and 13 nephron sparing surgery. Of the 83 patients, 70 had malignant lesions (renal cell carcinoma, squamous cell carcinoma or other malignancies) 13 had a variety of benign lesions, the most frequently detected being oncoytoma (6), angiomyolipoma (3), xanthogranulamatous pyelonephritis (2), cortical cyst (1) and chronic pyelonephritic change (1). Conclusion: It was concluded that in spite of great technological developments regarding radiological imaging modalities such as US, CT and MRI, benign lesions might still be detected pathologically in patients who undergo radical nephrectomy with the preoperative diagnosis of renal cancer. But, all renal masses should be regarded as malignant and should be managed surgically otherwise proven benign.

• Advances in pediatric surgery
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• 제15권2호
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• pp.132-140
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• 2009

The purpose of this study was to determine the success rate of air reduction as the primary treatment of intussusception and whether the success of air reduction could be predicted by plain x-ray. The authors reviewed the medical records of 54 consecutive patients diagnosed with intussusception from Jan 2005 to Dec 2007 at the Department of Surgery, Masan Samsung Hospital. The natures of symptoms and findings of plain abdominal radiography performed in the emergency department (ED) were reviewed. Air reduction failed more frequently (26.3 %) in patients who visited ED more than 24 hours after symptom onset (p=0.009). The mean duration of symptom for operated patients was longer than air reduction group (p=0.01). Also, 3/4 of patients having localized distension of small bowel in the left upper quadrant abdomen had unsuccessful air reduction (p=0.002). In conclusion, the time interval from symptom onset to arrival at ED and localized distension of small bowel in the left upper quadrant abdomen significantly increased the failure rate of air reduction.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제16권2호
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• pp.131-134
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• 2013

Cecal volvulus is uncommon in pediatric patients and there are few reports of cecal volvulus with cerebral palsy. Here, we report the case of a 19-year-old male patient who presented with abdominal distension, a history of cerebral palsy, refractory epilepsy due to lissencephaly, and chronic constipation. An abdominal x-ray and computed tomography without contrast enhancement showed fixed dilated bowel intensity in the right lower abdomen. Despite decompression with gastric and rectal tube insertion, symptoms did not improve. The patient underwent an exploratory laparotomy that revealed cecal volvulus. Cecal volvulus usually occurs following intestinal malrotation or previous surgery. In this patient, however, intestinal distension accompanying mental disability and chronic constipation resulted in the development of cecal volvulus. We suggest that cecal and proximal large bowel volvulus should be considered in patients presenting with progressive abdominal distension combined with a history of neuro-developmental delay and constipation.

• 대한정형도수물리치료학회지
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• 제16권2호
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• pp.34-39
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• 2010

Purpose : The purpose of this study is to find out the evidence concerning the effectiveness of manual therapy intervention in the treatment of low back pain related to spondylolisthesis Methods : 12men with lumbar pain from L5~S1 spondylolisthesis of 2 or 3 grade were treated during 12-week period. The manual therapy applied twice per week. The results of back and radiating pain were measured by VAS, and abdominal muscle strength was measured by Power track II. The measurement of degree of slip in spondylolisthesis was confirmed by the lateral view of X-ray and took a measurements of the anterior displacement of a vertebral body in relation to the vertebral below. Results : 1. There was significant decrease in the back and radiating pain.(p<0.05) 2. There was significant increase in the abdominal muscle strength.(p<0.05). 3. There was significant decrease in the degree of the anterior displacement. Conclusion: The intervention of manual therapy for lumbar spondylolisthesis is effective in back pain, radiating pain, abdominal muscle strength and degree of the anterior displacement. So, nonsurgical treatment should be attempted before surgical treatment.

• 대한한방내과학회지
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• 제41권2호
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• pp.233-240
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• 2020

Objectives: This report presents a case using acupuncture and moxibustion to treat postoperative adhesive small bowel obstruction. Case Presentation: A 62-year-old male with two previous intra-abdominal surgeries, complaining of abdominal pain, abdominal distention, and general weakness, visited Korean medicine hospital. He was suffering from small bowel obstruction that had not improve for three weeks. Methods: The patient was diagnosed with postoperative adhesive small bowel obstruction. The patient received acupuncture and moxibustion in addition to intravenous fluid treatment. The patient underwent radiologic testing on a daily basis. Results: The symptoms improved quickly with the treatment, including acupuncture and moxibustion. He was able to start eating three days after he started receiving treatment. The abdomen X-ray also showed rapid improvement. No adverse effect was observed during the nine days of hospitalization. Conclusions: This report demonstrates that acupuncture and moxibustion may be effective in treating adhesive small bowel obstruction. However, further research is needed to confirm these findings.

• 사상체질의학회지
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• 제35권4호
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• pp.72-85
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• 2023

Objectives This study was aimed to report a significant improvement of a CKD patient's constipation, diagnosed as 'Soyang type yin depletion pattern' based on Sasang constitutional medicine. Methods The patient had treatment with Sasang constitutional medicine. The treatment was executed three times everyday from January 6th to February 21st of 2023. Clinical improvement was evaluated with Bristol Stool Form Scale, the number of defecation per week, average stool weight per day, the degree of abdominal discomfort and abdomen x-ray. Results The symptoms of constipation, abdominal discomfort, appetite and delirium were improved. Conclusion After the treatment with Sasang constitutional medicine, constipation, abdominal discomfort, appetite, delirium and the general condition of the patient also had improved.