• 제목/요약/키워드: calculi

검색결과 88건 처리시간 0.024초

Lesch-Nyhan 증후군을 가진 소아의 체외충격파신쇄석술을 위한 전신마취 경험 (General Anesthesia for Extracorporeal Shockwave Lithotripsyin Child with Lesch-Nyhan Syndrome)

  • 박상진;권일치;이원기;이덕희
    • Journal of Yeungnam Medical Science
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    • 제25권1호
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    • pp.78-83
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    • 2008
  • Lesch-Nyhan syndrome is an inborn error of purine metabolism resulting from hypoxanthine-guanine-phosphoribosyltransferase (HGPRT) deficiency and leading to excess purine production and uric acid over-production. It is a very rare X-linked recessive disorder, characterized by movement disorder, cognitive deficits, and self-injurious behavior. However, because of the high incidence of calculi, patients may present for surgery of urinary tract, and have increased risk of difficult intubation, aspiration pneumonia, renal insufficiency or sudden death. We report the case of a 5-year-old boy with Lesch-Nyhan syndrome who underwent successive extracorporeal shockwave lithotripsy under general anesthesia.

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Renal and Urinary Bladder Calculi of Korean Native Cattle

  • Sohn, Myung-Hee;Jeong, Won-Il;Suh, Dong-Kyun;Jeong, Da-Hee;Do, Sun-Hee;Lee, Chang-Woo;Kim, Tae- Hwan;Jeong, Kyu-Shik
    • 한국수의병리학회:학술대회논문집
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    • 한국수의병리학회 2004년도 추계 학술대회 초록집
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    • pp.20-20
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    • 2004
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하부요관결석에 대한 요관경하배석술 (Clinical Experiences of the Ureteroscopic Management for the Lower Ureteral Stone)

  • 모성종;김영수;서준규;박동춘
    • Journal of Yeungnam Medical Science
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    • 제7권2호
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    • pp.97-102
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    • 1990
  • Ureteroscopic removal of the stone is now popular for the management of the lower ureteral stone. A clinical study was performed on our 75 patients with lower ureteral stone treated with ureteroscopy. Of the 75 stone manipulations 62(83%) were immediately successful and the final success rate including spontaneous delivery of stone or fragment after the procedure was 87 percents(65 cases). Of 57 smaller calculi than 1Cm(radiographic largest diameter) 50(88%) were removed successfully. Mean duration of postoperative hospitalization was 5.6 days. There were no interrelations between the success rate and anesthetic methods. Significant complications durinf or after procedure were not identified. We conclude that ureteroscopic removal of stones under direct vision can be done safely and be the first choice of procedure for the lower ureteral stones.

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Toothache Caused by Sialolithiasis of the Submandibular Gland

  • Kim, Jae-Jeong;Lee, Hee Jin;Kim, Young-Gun;Kwon, Jeong-Seung;Choi, Jong-Hoon;Ahn, Hyung-Joon
    • Journal of Oral Medicine and Pain
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    • 제43권3호
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    • pp.87-91
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    • 2018
  • Sialolithiasis is the most frequent disease of the salivary glands, causing swelling and/or pain of the affected site. We report a 44-year-old woman who presented with severe pain in the lower left second molar region without swelling. Sialoliths on her left submandibular gland were confirmed by radiographic examinations. After robot-assisted sialoadenectomy, the pain did not recur but remained facial paralysis and unaesthetic scar.

Characteristic Plain Radiographic and Intravenous Urographic Findings of Bladder Calculi Formed over a Hair Nidus: A Case Report

  • Hak Jong Lee;Seung Hyup Kim
    • Korean Journal of Radiology
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    • 제2권1호
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    • pp.61-62
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    • 2001
  • We present the characteristic plain radiographic and intravenous urographic (IVU) findings of calculus formed over a hair. A 66-year-old man who had been quadriplegic for 40 years because of vertebral injury was admitted for further evaluation of frequent urinary tract infection. Plain radiography showed a linear, serpiginous calcification in the lower abdomen, and IVU revealed a round filling defect with linear radiopacity in the bladder, suggesting calculus. The gross appearance of the stone after extraction demonstrated that calcification had formed over a hair.

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개에서 Staphylococcus intermedius에 의한 복막후농양 발생례 (Retroperitoneal Abscess Caused by Staphylococcus intermedius in a Dog)

  • 이상관;허우필;엄기동;이근우;오태호
    • 한국임상수의학회지
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    • 제26권2호
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    • pp.176-180
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    • 2009
  • 2년령의 암컷 miniature schnauzer가 침울, 복통 및 식욕부진으로 내원하였다. 신체검사를 통해 빈맥, 발열과 복통을 확인하였다. 총혈구계수 검사에서 호중구수의 증가를 동반한 백혈구증가증이 관찰되었다. 방사선 검사에서 하행결장의 변위와 척추와 평행하게 방사선투과가 감소한 부위가 관찰되었다. 초음파검사시 방광내 결석과 슬러지, 우측 신장의 수신증 및 근위뇨관의 확장이 관찰되었다. 뇨검사결과 단백뇨와 혈뇨가 나타났으며 뇨침사검사에서 다수의 상피세포, calcium oxalate 결정, struvite 결정, 무정형 결정과 과립원주, 백혈구 및 구균이 관찰되었다. 상기의 결과와 배설성 요로 조영술을 통해 신우신염과 편측성 뇨관 완전폐색증으로 진단하였다. 신장절제술을 위한 개복술시 후복막강에 풍선형의 구조물을 발견하였다. 구조물로부터 채취한 시료의 세포검사와 배양검사결과 다수의 퇴행성 호중구와 탐식된 구균을 관찰하였다. 결론적으로 뇨관폐색과 방광결석을 동반한 Staphylococcus intermedius에 의한 복막후농양으로 최종 진단하였고 우측신장의 절제를 실시하여 치료하였다.

개에서 연령에 따른 동적 컴퓨터단층촬영을 이용한 사구체여과율의 평가 (Assessment of Aging Effects on Computed Tomographic Glomerular Filtration Rate in Dogs)

  • 장진화;김환철;최지영;최호정;이희천;장동우;이영원
    • 한국임상수의학회지
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    • 제29권2호
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    • pp.130-133
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    • 2012
  • 동적 컴퓨터단층촬영을 이용하여 연령에 따른 CT-GFR 수치에 대한 패턴을 살펴보기 위해 본 연구를 실시하였다. 품종이나 성별에 대한 제한 없이 다양한 연령으로 15마리의 개를 이용하였다. 혈액검사, 요검사, 영상학적 검사를 실시하여 개의 건강 상태를 확인한 후, propofol-isoflurane을 이용한 호흡마취를 실시하여 CT 촬영을 하였다. Iohexol (1 ml/kg, 300 mgI/ml)을 3 ml/s 일정한 속도로 2분간 주입하면서 1.5초 간격으로 총 80개의 영상을 촬영하여 파트락 분석을 통해 사구체여과율 (ml/min/kg)을 측정하였다. 양측 신장의 사구체여과율의 범위는 2.57-6.60 ml/min/kg이었다. 연구에서 연령에 따라 사구체여과율의 유의적인 차이는 확인되지 않았다.

Type II Mirizzi 증후군 1례 (A CASE OF TYPE II7 MIRIZZI SYNDROME)

  • 김홍진;이주형;신명준;권굉보;장재천;정문관
    • Journal of Yeungnam Medical Science
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    • 제7권2호
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    • pp.197-202
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    • 1990
  • 저자들은 최근 4일간의 우측 상복부 동통 및 경미한 황달을 주소로 내원한 71세 남자 환자에서 임상적으로 경피적 간담관조영술, 복부 초음파검사, 간기능 검사, 복강 동맥 조영술을 시행하여 Type II Mirizzi 증후군으로 진단된 1예를 치험하였기에 문헌고찰과 함께 보고하는 바이다.

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포획한 바스켓과 내시경이 얽힌 환자에서 체외충격파 쇄석술을 적용한 췌관결석의 치료 1예 (Removal of Pancreatic Calcification Stones by Extracorporeal Shock- Wave Lithotripsy under the Entangled Basket and the Endoscopy.)

  • 손순룡;이원홍;이희정;엄준용;진정헌;김건중
    • 대한방사선기술학회지:방사선기술과학
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    • 제22권1호
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    • pp.87-90
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    • 1999
  • Treatment of human calculi by extracorporeal shock-wave lithotripsy(ESWL) was introduced for kidney stones in 1980. This technology was then applied to the treatment of bile duct stones and pancreatic stones. Some reports have also shown that disintegration of pancreatic stones by extracorporeal shock-wave lithotripsy is possible with successful subsequent endoscopic extraction of the fragments at home ana abroad. We tried removal of pancreatic calcification stones by endoscopic procedures, but could't be removed because the basket got entagled in the endoscopy. We report one case of this pancreatic calcification stones ; the stones were successfully fragmented and completely removal by extracorporeal shock-wave lithotripsy.

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도축 한우의 방광에 대한 병리학적 연구 (Abattoir survey of bladders lesions in Korean cattle)

  • 육현수;이오형;임병무
    • 한국동물위생학회지
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    • 제28권1호
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    • pp.31-38
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    • 2005
  • To examine the prevalence and type of lesions in urinary bladder of Korean cattle, a random sampling survey was performed at a Jeonju abattoir in September 2000 and January 2001. Collected urinary bladder were examined grossly and histopathologically and the patterns of disease were investigated with season and sex. Of 735 cattle(99 bulls and 246 cows in September and 141 bulls, 3 steers, and 246 cows in January) surveyed, $26.3\%$ cattle with evident lesions were found. The most common gross finding was urolithiasis of urinary bladder($23.8\%$). Other lesions included hemorrhage($5.9\%$), congestion($4.1\%$), hematuria($2.7\%$), pyuria($0.7\%$), hyperplasia($0.5\%$). Urinary calculi collected in this study contained 80 to $90\%$ of calcium oxalate and 10 to $20\%$ of struvite, with or without $20\%$ of cystine and $10\%$ of uric acid. This study on urolithiasis and pathology of urinary bladder of slaughtered Korean cattle revealed subclinical aspects and management problem in Korean beef product.