• 제목/요약/키워드: alimentary tract

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신생아에서 맹장의 장 중복낭종에 의해 발생한 장 폐쇄 1예 (Intestinal obstruction caused by a duplication cyst of the cecum in a neonate)

  • 금승운;황민우;나종인;유승택;강동백;오연균
    • Clinical and Experimental Pediatrics
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    • 제52권2호
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    • pp.261-264
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    • 2009
  • 장 중복낭종은 드문 선천성 기형 질환으로 구강에서 항문까지 어느 곳에서나 발견할 수 있고 장관과 교통하기도 한다. 특히 맹장의 장 중복낭종은 더욱 드문 질환이다. 이들은 구토나 반복적인 복통과 위장관 출혈 및 변비 등의 증상으로 급성 장폐색을 발생시키며 생후 2년내 80%에서 발견된다. 저자들은 신생아에서 맹장의 장 중복낭종에 의해 발생한 장 폐색 1예를 경험하였기에 보고하고자 한다.

Giant Duplication Cyst Presenting as a Discharging Umbilicus

  • Garg, Ravi Kumar;Bawa, Monika;Rao, Katragadda Lakshmi Narasimha
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제20권3호
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    • pp.194-197
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    • 2017
  • Alimentary tract duplication cysts are rare congenital anomalies, most commonly located in the ileum, but may present anywhere from mouth to anus.Clinically, they may be asymptomatic, incidentally diagnosed or may present with obstruction, volvulus, intussusception or gastrointestinal bleed. Here we report a case of a one year old male child presenting in gasping state and shock. Despite the initial strong suspicion of Meckel's diverticulum and tubercular abdomen, the final diagnosis remained elusive till exploratory laparotomy was performed which revealed a duplication cyst of ileum with perforation into the umbilicus. Duplication cyst should always be kept as a differential diagnosis so that early intervention can help in better management.

우리나라 재래염소의 질병에 관한 연구-문헌조사 (Studies on The Diseases of the Korean Native Goat-A Review)

  • 이정길;이채용;곽형수
    • 한국임상수의학회지
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    • 제17권1호
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    • pp.32-44
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    • 2000
  • The Korean native goat has been extensively used in the experimental work. Compared to those experimental work employing the goat, reports on their diseases have been scarcely documented. In the present communication, authors reviewed the literatures pertaining to the diseases of the Korean native goat. Diseases of the respiratory system, the alimentary tract, the liver, the musculoskeletal system, the skin, the urogenital system, the nervous system, the eye, and the heart were reviewed. And then metabolic, toxic, and parasitic diseases were reviewed. Of those diseases reviewed, diseases of the heart and kidney, and metabolic and toxic diseases were wholly artificially-induced. Except the parasitic diseases, a considerable number of diseases of other organ systems were also artificially-induced. And the parasitic diseases reported were confined to the internal parasites. Authors feel that the known occurrence of diseases would help diagnose new disease in the goat.

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크론씨병 치험 1례 (A case report of Crohn's disease)

  • 나원경;양미라;이해자;박은정
    • 대한한방소아과학회지
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    • 제16권2호
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    • pp.51-58
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    • 2002
  • Crohn's disease is an indolent, chronic inflammatory bowel disease capable of involving the entire alimentary tract. The exact etiology and pathogenesis remain unknown despite a long and intensive research, but the finding of various abnormalities of the immune response in patients with Crohn's disease has led to the concepts that immune mechanism is involved in the pathogenesis of this disease. Recently, we have experienced a case of Crohn's disease. So the purpose of this study is to examine the efficacy of Oriental medicine for Crohn's disease.

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변비(便秘)를 동반한 번조(煩躁) 환자(患者) 1례(例)에 대한 증례 보고 (Clinical Report on the Patient with Agitation Accompanied Constipation)

  • 백동기;권영달
    • 한방재활의학과학회지
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    • 제18권3호
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    • pp.219-228
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    • 2008
  • Objectives : This study was designed to evaluate the effects of oriental medical treatments on the patient with agitation accompanied constipation. Methods : One patient was admitted who was constipation, agitation, headache, chilling sign, thirst, heat, nausea, insomnia. The patient was diagnosed as constipation and agitation that was caused by heat in the heart and alimentary tract, and was treated with herb-medication, acupuncture, moxa therapy, anal therapy and aroma therapy for about 4 months. And then, we investigated and analyzed the clinical symptoms of the patient. Results : Most of all the clinical symptoms related with agitation accompanied constipation were improved gradually after oriental medical treatments. Conclusions : From the above results, it could be suggested that oriental medical treatments have good effects on agitation and constipation. And it will be necessary to extensively research and develop oriental medical treatments for this disease.

제주마(濟州馬)의 위장관(胃腸管)에 기생(寄生)하는 Gasterophilus spp의 분류(分類) 및 분포조사(分布調査) (On the classification and distribution of Gasterophilus spp in the gastrointestinal tract in Cheju horse)

  • 김승호
    • 대한수의학회지
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    • 제33권1호
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    • pp.109-117
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    • 1993
  • This paper dealt with the situation and the hatch rate of bot's eggs on the equine hairs in Cheju horse with the species grouping of the bot flies of equine(genus Gasterophilus). The prevalence and infection dynamics of Gasterophilus spp. larvae was also evaluated in the equine alimentary canal submitted in this laboratory for the necropsy or from the abattoir. Samples including Gasterophilus spp. larvae, bot's flies and its eggs, which were collected from the alimentary canal and equine hairs, respectively, were studied and classified by morphology. The morphologic feature of the spines of Gasterophilus larvae were studied by scanning electron microscope. 1. Gasterophilus intestinalis larvae concentrated in the nonglandular portions of the stomach. The infection of second-, and third stage larvae were common in November, and from January to October, respectively. Gasterophilus nasalis larvae were commonly identified on the gastric pylorus and upper portion of duodenum. Second stage larvae were found from October to December, and 3rd stage larvae, from January to September. 2. The hatch rate of laid eggs of Gasterophilus intestinalis was 28.4%, and that of Gasterophilus nasalis was 79.5%. The hatch rate of Gasterophilus intestinalis eggs was highest(62.5%) in December. The hatch rate of laid eggs were higher in the region of scapula(64.0%) and limbs(62.5%) than on the maned hairs. The eggs of Gasterophilus nasalis were completely hatched by October. 3. Eight hundred five Cheju horses examined in this study were infected with the eggs of Gasterophilus spp. Gasterophilus intestinalis eggs on the body regions from sixty horses were recognized in phalangeal (14.4%), in abdominal(13.8%), metacarpal, brachial and cervical regions. Gasterophilus nasalis eggs were uncommon and recognized in submandibular regions(1.4%). 4. In conclusion, the infection of imago, larvae and eggs of both Gasterophilus intestinalis and Gasterophilus nasalis were indentified in cheju horse.

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양식산 돌돔, Oplegnathus fasciatus 소화관의 형태학적 구조 및 조직화학적 특징 (The Morphological Structure and Histochemical Features of the Alimentary Tract in Parrot fish, Oplegnathus fasciatus)

  • 김재원;최세민;백혜자;배승철
    • 한국양식학회지
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    • 제17권3호
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    • pp.215-220
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    • 2004
  • 돌돔, Oplegnathus fasciatus의 소화관은 식도, 위, 장 및 항문이 일련의 관을 이루고 있고,전체적으로 지방 덩어리가 싸고 있다. 어체 체장에 대한 식도에서 항문까지의 소화관 길이의 비(relative length of gut: RLG)는 일반적인 잡식성 어류와 비슷한 평균 1.78 (n=30)의 값을 가진다. 식도는 근육층이 잘 발달되어 있으며, 점막주름의 상피층은 입방상피 또는 원주상피로 구성되고 상피세포 사이에는 다수의 산성 점액분비세포들이 분포하며, 상피세포의 정단부에서 미세융모의 관찰은 어렵다. 위의 근육층은 외부로부터 종주근, 환상근층으로 구성된다. 위의 점막주름은 규칙적인 형태로서 상피층에는 pit, 상피 및 위선이 아주 잘 발달되어 있으며, 점막상피 세포질의 정단부에서는 영양분 흡수계통의 물질들이 관찰된다. 50∼60개의 유문수를 가지는 돌돔 유문수의 점막상피층에서는 원주형의 상피세포와 중성의 점액분비세포들이 관찰되며, 상피세포의 정단면에는 미세융모가 발달되어 있다. 장의 점막상피층에서는 원주상피세포와 중성과 산성의 점액분비세포들이 관찰되며, 종주근층의 두께가 전장, 중장, 후장으로 갈수록 두꺼워진다. 산성의 점액분비세포의 출현빈도는 중장부에서 가장 발달된 양상을 보이며 후장부로 갈수록 감소하는 경향을 보인다.

림프절의 염증성 가성 종양 - 세침흡인 세포학적 소견 1예 보고 - (Fine Needle Aspiration Cytologic Findings of Inflammatory Pseudotumor of the Lymph Node)

  • 박소영;공경엽;허주령;유은실;이인철;김온자
    • 대한세포병리학회지
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    • 제8권1호
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    • pp.87-92
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    • 1997
  • Reports on the cytologic or histopathologic findings of inflammatory pseudotumors are relatively infrequent and most of them have dealt with those involving the lung, liver, genitourinary tract, alimentary tract, spleen, mediastinum, retroperitoneum, etc. Moreover there have not been any cytologic studios of those involving lymph nodes. We present fine needle aspiration cytologic features of inflammatory pseudotumor occurring in a lymph node in a 64 year-old man. The aspirate consisted of proliferating spindle cells and admixed histiocytes, fibroblasts, lymphocytes, and plasma cells. Histiocytes were present either singly or in loosely cohesive small clusters. A few multinucleated giant cells were present as well. However, tuberculosis could be excluded by the absence of typical granuloma, caseation necrosis, or characteristic mixed spindle and inflammatory cell components. Other benign and malignant lymphadenopathies could also be differentiated based on cytologic findings.

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재발성 장중첩증 환아에서 병적 선두로 확인된 장중복 낭종 1예 (A Case of Intestinal Duplication Cyst Identified as Pathological Lead Point in a Child with Recurrent Intussusception)

  • 이건송;박지윤;오종석;성인창;한강민;이영석
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제13권1호
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    • pp.75-80
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    • 2010
  • 장중첩증이 재발한 15개월 여아에서 초음파 검사에서 병적 선두로 생각되는 낭성 종괴를 확인하였고 이중벽 징후와 인접한 소장 사이에 Y자 형상의 저반향 경계를 가지고 있어 중복 낭종으로 의심하였다. 이후 절제술을 시행하여 조직병리검사에서 인접한 회장과 근육층을 공유하고 낭종의 바깥쪽으로는 인접한 장 점막상피 조직과 안쪽으로는 이소성 위 점막 조직이 관찰되는 중복 낭종으로 확진되어 문헌 고찰과 함께 보고하는 바이다.

고의로 섭취한 커터칼날의 내시경 및 보존적 치료 증례 보고 (A Case of Successful Endoscopic and Conservative Treatment for Intentional Ingestion of Sharp Foreign Bodies in the Alimentary Tract)

  • 박종민;김성엽;정일용;김우식;신용철;김영철;박세혁
    • Journal of Trauma and Injury
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    • 제26권4호
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    • pp.304-307
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    • 2013
  • Food bolus impaction is the most common cause of esophageal foreign body obstruction in adults. Other causes include intentional ingestion in psychiatric patients or prison inmates. We experienced successful treatment of a patient with intentional ingestion of multiple sharp foreign bodies(25 cutter and razor fragments). A 47-year-old male patient who was suffering from chronic alcoholism was admitted, via the emergency room, with dysphagia and neck pain. He was suffering from alcoholic liver cirrhosis and psychiatric problems, such as chronic alcoholism, anxiety disorder and insomnia. The patient had intended to leave the hospital after having swallowed the sharp objects. Plain radiographs and computed tomography (CT) scan showed multiple, scattered metal fragments in the esophagus, stomach, and small bowel. We performed emergent endoscopy and successfully removed one impacted blade in the upper esophagus using by a snare with an overtube. The rest of the fragments had already passed through the pylorus, so we could not find them with endoscopy. We checked the patient with simple abdominal radiographs and careful physical examinations every day. All remaining fragments were uneventfully excreted through stool during the patient's 6 day hospital stay. Finally, we were able to confirm the presence of the objects in the stool, and radiographs were negative. The patient was discharged without complications after 14 days hospital stay and then was followed by the Department of Psychiatry.