• 제목/요약/키워드: left flank pain

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청소년기 여아에서 만성적인 좌측 측복부 통증으로 진단된 골반울혈증후군 1례 (A Case of Pelvic Congestion Syndrome Presenting with Chronic Left Flank Pain in an Adolescent Girl)

  • 김성진;심혜선;강성길;손병관;이병익;조순구;이지은
    • Childhood Kidney Diseases
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    • 제11권1호
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    • pp.126-131
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    • 2007
  • 측복부 통증은 신, 상부 요로계 질환의 대표적인 척도로 여겨지나 드물게 골반울혈증후군도 감별해야 한다. 골반울혈증후군은 가임기 경산부 여성에서 호발하나 소아청소년기에 원인이 불명확한 측복부 통증을 호소할 때 고려해야 할 질환이다. 저자들은 청소년기 여아에서 만성적인 좌측측복부 통증으로 진단된 골반울혈증후군 1례를 경험하였기에 보고하는 바이다.

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A Case of an Ureteropelvic Junction Obstruction Caused by a Crossing Vessel

  • Kim, Mi Young;Im, Young Jae;Hyun, Hye Sun;Kang, Hee Gyung;Ha, Il Soo;Cheong, Hae Il;Park, Eujin
    • Childhood Kidney Diseases
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    • 제22권1호
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    • pp.28-31
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    • 2018
  • Ureteropelvic junction obstruction is one of the common causes of hydronephrosis in infancy and childhood. Most cases of ureteropelvic junction obstruction are diagnosed prenatally and are usually asymptomatic. Although less common, older children can experience ureteropelvic junction obstruction that presents with symptoms including flank or abdominal pain. Here, we present the case of a nine-year-old healthy girl who had repeated flank pain and abdominal symptoms, with mild left hydronephrosis, for several months. Computed tomography that was performed during the period of acute flank pain revealed aggravated hydronephrosis on her left kidney, which was secondary to an ureteropelvic junction obstruction. She underwent laparoscopic pyeloplasty, and a crossing vessel that passed the ureteropelvic junction was identified. In addition, we reviewed the current literature of this rare entity.

대상포진 후 신경통환자의 시령탕(柴領湯) 치험 1례 (Case Report of Post-herpetic Neuralgia by Siryung-tang(Ch${\acute{a}}$il${\acute{i}}$ng-t${\bar{a}$ng))

  • 손지영;이성근;이기상;박준영;윤효진
    • 동의생리병리학회지
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    • 제20권6호
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    • pp.1779-1784
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    • 2006
  • This study was designed to evaluate the effects of an oriental medicine(Siryung-tang) on pain caused by Post-herpetic neuralgia. We treated a 70 year-old male patient who suffered left flank pain by Post-herpetic neuralgia. As for treatment, we used Siryung-tang. After seven-day of treatment, all symptoms started to improved. This study suggests that Siryung-tang is effective in treatment of pain by Post-herpetic neuralgia.

Nineth Rib Syndrome after 10th Rib Resection

  • Yu, Hyun Jeong;Jeong, Yu Sub;Lee, Dong Hoon;Yim, Kyoung Hoon
    • The Korean Journal of Pain
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    • 제29권3호
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    • pp.185-188
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    • 2016
  • The $12^{th}$ rib syndrome is a disease that causes pain between the upper abdomen and the lower chest. It is assumed that the impinging on the nerves between the ribs causes pain in the lower chest, upper abdomen, and flank. A 74-year-old female patient visited a pain clinic complaining of pain in her back, and left chest wall at a 7 on the 0-10 Numeric Rating scale (NRS). She had a lateral fixation at T12-L2, 6 years earlier. After the operation, she had multiple osteoporotic compression fractures. When the spine was bent, the patient complained about a sharp pain in the left mid-axillary line and radiating pain toward the abdomen. On physical examination, the $10^{th}$ rib was not felt, and an image of the rib-cage confirmed that the left $10^{th}$ rib was severed. When applying pressure from the legs to the $9^{th}$ rib of the patient, pain was reproduced. Therefore, the patient was diagnosed with $9^{th}$ rib syndrome, and ultrasound-guided $9^{th}$ and $10^{th}$ intercostal nerve blocks were performed around the tips of the severed $10^{th}$ rib. In addition, local anesthetics with triamcinolone were administered into the muscles beneath the $9^{th}$ rib at the point of the greatest tenderness. The patient's pain was reduced to NRS 2 point. In this case, it is suspected that the patient had a partial resection of the left $10^{th}$ rib in the past, and subsequent compression fractures at T8 and T9 led to the deformation of the rib cage, causing the tip of the remaining $10^{th}$ rib to impinge on the $9^{th}$ intercostal nerves, causing pain.

단백뇨를 동반한 Nutcracker 증후군 1례 (A case of Nutcracker Syndrome Associated with Proteinuria)

  • 손진태;노광식;김병길;김명준
    • Childhood Kidney Diseases
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    • 제1권2호
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    • pp.166-169
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    • 1997
  • The nutcracker syndorme refers to compression of the left renal vein between the aorta and the superior mesentric artery which results in renal vein, left gonadal vein varices, hematuria and left sided flank pain. We report this experience of 11yr-11mon of girl has typical Nutcracker syndrome with persistent proteinuria and without typical hematuria. According to the renal biopsy for persistent proteinuria, biopsy shows pathologic findings similar to minimal change nephrotic syndrome. All symtpoms relieved without any specific treatments but she had no response to steroid treatment for persistent proteinuria. Now she was followed up through OPD base without symptom and consideration of surgical intervention.

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대황치자고 첩부법과 한약 치료를 병용한 다발성 늑골 골절 환자 증례보고 1례 (A Case Report on Multiple Rib Fracture Improved with Daewhangchija-paste Adhesive treatment and Herb-medicine treatment.)

  • 하유빈;신길조
    • 대한한의학회지
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    • 제41권3호
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    • pp.151-161
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    • 2020
  • Objectives: The purpose of this study is to report the improvement of multiple rib fracture after korean medical treatment; adhesive treatment and herb-medicine treatment. Methods: A patient with multiple rib fracture was treated with Daewhangchija-paste(大黃梔子膏) adhesive and herb-medicine treatment. Verbal numeric rating scale, medical examination by interview and rib series x-ray were used to assess progress of treatment. And we took pictures of left flank after attaching Daewhangchija-paste to observe the changes of the skin colors. Results: Rib series x-ray taken after 2 months of treatment revealed hard callus which added stability against external force on rib cage. After taking off Daewhangchija-paste, left plank skin turned into blue, green and yellow. And the pain level(VNRS) of left plank decreased from 10 to 0.5 for 4 months. Conclusions: Pain reduction on trauma site and improvement of general health condition were observed during combination treatment of Daewhangchija-paste adhesive and herb-medicine.

원발부위 불명암 환자의 한의치험 1례 (Treatment of Cancer of Unknown Primary Site Patient with Traditional Korean Medicine : A Case Report)

  • 김지혜;배겨레;박지혜;박소정;조종관;유화승
    • 대한암한의학회지
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    • 제21권1호
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    • pp.15-25
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    • 2016
  • Objective : The purpose of this study is to report the possibility of treatment of Cancer of Unknown Primary Site (CUPS) patient with Traditional Korean Medicine based Samchilchoongcho-jung and Gunchilgyebok-Jung following chemotherapy. Methods : The patient is a female, who was diagnosed with CUPS, suffering from left flank pain, abdominal discomfort, nausea, vomiting and fatigue after chemotherapy. The patient was treated with acupuncture, pharmacoacupuncture, moxibution, herbal medicine and enema used with herbal decoction for 15 days. The clinical outcomes were measured by numeric rating scale(NRS). Results : After treatment, left flank pain had disappeared and nausea and vomiting was decreased from NRS 4 to NRS 1 respectively. Fatigue was also improved. Conclusion : This case study suggests that Traditional Korean Medicine is effective for treatment of CUPS patients and can improve the quality of life.

흉막에 발생한 국소성 섬유성 종양;1례 보고 (Localized Fibrous Tumor of Pleura; A report of a case)

  • 김남혁
    • Journal of Chest Surgery
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    • 제26권12호
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    • pp.959-961
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    • 1993
  • Localized fibrous tumor of pleura is submesothelial origin and related terms with localized mesothelioma, giant sarcoma of visceral pleura, post-inflammatory tumor of the pleura, pleural fibroma, submesothelial fibroma. This tumor is rare. We experienced a case of localized fibrous tumor.This 66 years old female was admitted with 2 years left persistant flank pain and mild dyspnea. Chest X-ray and CT scan showed a 12x10cm well-defined huge mass in the left subpulmonic area, and not metastatic lesion of any organs.Exploratory thoracotomy was done and a 14x10x8cm [650gm weight] sized mass was excised.The patient was discharged without any complications postoperatively.

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A Case of Spontaneous Common Iliac Atery Dissection

  • Noh, Juho;Rhee, Il;Kim, Minsung;Lee, Jonghyun;Kim, Kisu;Park, Byungwhan
    • 고신대학교 의과대학 학술지
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    • 제33권3호
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    • pp.431-437
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    • 2018
  • Spontaneous and isolated dissection of the limb arteries without involvement of the aorta is extremely rare, and has been reported previously in pregnant patients in association with collagen vascular disease, and in cases of high-energy trauma or intensive activity in athletes. There is no consensus yet on indications for medical or surgical therapeutic modality. Due to the rarity of spontaneous dissection of external iliac artery, its natural history has been poorly described. A healthy 50-year-old male with normotension was admitted with an acute onset of left flank pain. Left external iliac artery dissection was diagnosed by abdominal computed tomography.

미만성 척수 경막외 농양을 동반한 화농성 척추염 - 증 례 보 고 - (Pyogenic Spondylitis with Diffuse Spinal Epidural Abscess - A Case Report -)

  • 김훈;김성민;정대진;심영보;박용기;최선길
    • Journal of Korean Neurosurgical Society
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    • 제29권8호
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    • pp.1074-1079
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    • 2000
  • We report a case of pyogenic spondylitis on L2 and L3 with diffuse epidural abscess up to T4 to L3 and large psoas abscess. A forty-nine-year old male was presented with progressive back pain, left flank pain and ab-dominal distention, weakness of the both legs and voiding and defecation difficulty during last 2 months. Initially multiple coronal hemilaminectomies from T4 to T12 were done for the treatment of diffuse thoracic epidural ab-scess. Then second operation via left retroperitoneal approach was performed for lumbar spondylitis and psoas abscess on third day after initial operation. After removal and curettage of pyogenic psoas and epidural abscess and spondylitis (L2-L3), iliac bone grafting with Keneda instrumentation from L1 to L4 was done simultaneously. Postoperative course has been unevenful without recurrent infection. The literature on diffuse epidural and large psoas abscess with pyogenic spondylitis are reviewed and instrumentation for stabilization of pyogenic spondylitis is also discussed.

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