• Title/Summary/Keyword: omentum

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Comparison of the Laparoscopic and Open Peritoneal Dialysis Catheter Insertion in Children (소아 환자에서 복강경 복막 투석관 삽입술과 개복 삽입술의 비교)

  • Kim, Hyun-Soo;Jung, Soo-Min;Lee, Suk-Koo;Seo, Jeong-Meen
    • Advances in pediatric surgery
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    • v.17 no.2
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    • pp.125-132
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    • 2011
  • The aim of this study was to compare peritoneal dialysis catheter insertion by the open method to the laparoscopic method. Twenty four laparoscopic and 10 open peritoneal dialysis catheter placements were performed in children between 2001 and 2008. Patient characteristics, operation related data, procedural complications and clinical outcome were compared. Although there were no cases of catheter obstruction, exit site infection or bleeding in the laparoscopic group, compared to the open method, there was no statistically significant difference between the two groups. Catheter removal rate due to complication was high in the open group and catheter survival rate was high in the laparoscopic group. We concluded that laparoscopic peritoneal dialysis catheter placement is feasible in children of all age groups with at least equivalent functional results compared to the open method. An advantage of laparoscopic catheter insertion is removal of the great omentum and easy fixation of the catheter to the abdominal wall.

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A case of pelvic paragonimiasis combined with myoma uteri and pelvic inflammatory disease (자궁근종과 골반염에 동반된 골반내 폐흡충증 1례)

  • 이연희;박은희
    • Parasites, Hosts and Diseases
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    • v.31 no.3
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    • pp.295-297
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    • 1993
  • Pcrosonimr westermani is a lung fluke of humans that Is usually found in the lunes but may be fecund elsewhere in many unusual locations. A case of pelvic paragonimiasis was found incidentally by surgical intervention of inamatov disease and myoma uteri. She was a 51-year-old Korean woman complaining of lower abdominal pain and intermittent vaginal spotting. Numerous Porosonimus ova were observed in the reseated omentum in the pelvis after total abdominal hysterectomy. It is suggested that pelvic paragonimiasis may be one of causative agents of pelvic inflammatory disease.

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A Case of an Omental Infarction in a Child (우상복부 통증을 주소로 내원한 10세 남아의 대망 경색 1예)

  • Park, Jae-Yong;Yu, Ri-Ta Miyoung;Kim, Do-Joong;Yoo, Jee-Hyoung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.1
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    • pp.70-74
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    • 2009
  • An omental infarctions is an uncommon cause of an acute abdomen and a rare entity in children. The etiology is still unclear and the symptoms mimic acute appendicitis. We recently encountered a case of a 10-year-old boy who had a previous surgical history of a manual reduction for intussusception. He complained of abdominal pain and right upper quadrant tenderness without fever or anorexia. An abdominal ultrasonography suggested an omental infarction and computed tomography confirmed the diagnosis. Conservative management was adopted with a rapid and uneventful recovery. Non-operative treatment is a safe and effective treatment of choice for omental infarction.

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Source And Identity Supporting The Theory of Materiality of Tri-Energizer in Nei Jing ("내경(內經)"에 나타난 삼초유형(三焦有形)의 근거(根據) 및 삼초(三焦)의 실체(實體))

  • Yoon, Chang-Yeol
    • Journal of Korean Medical classics
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    • v.25 no.4
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    • pp.57-63
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    • 2012
  • Objective & Method : We investigated the identity of tri-energizer, which was originally described in Huang Di Nei Jing and claimed by traditional scholars, and drew the following conclusions. Result & Conclusion : According to Huang Di Nei Jing tri-energizer is one of the six hollow-organs and is called hollow organs for digestion and elimination, water guffer organ, or solitary hollow organ. It is believed that tri-energizer is regarded as the existing entity based on following several different sources; it functions as the course of channels, regulates wind and link and physiological function-especially intrinsic function of upper, middle, lower internal organs. It also controls syndromes and dysfunction of an illness, the surface of the body, and the cracked surface of the skin. Finally, bold and timidity depend on the tri-energizer. Experts determined the true nature of tri-energizer types. Experts include: Yu Tuan from the Ming dynasty, Tang Jong Hai and Ye Lin from the Qing dynasty, and Zhang Xi Chun from the Zhunghua Minguo period. These experts' claims are based on shape and forms of tri-energizer. Our examinations of anatomical and physiological basis on tri-energizers showed that, in a narrow sense, tri-energizer indicates visceral and parietal peritoneum and omentum surrounding the internal organs, and in a broad sense, indicates the overall membrane wrapping around the whole internal organs including five visceral organs and six hollow organs.

Hyperinsulinism in a dog with beta-cell neoplasia (insulinoma)

  • Yu, Do-Hyeon;Lee, Jong-Hyun;Song, Ru-Hui;Noh, Dong-Ho;Li, Ying-Hua;Lee, Mi-Jin;Cho, Ara;Kim, Bumseok;Park, Jinho
    • Korean Journal of Veterinary Research
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    • v.49 no.4
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    • pp.365-368
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    • 2009
  • A six-year-old female cocker spaniel presented with recurring episodes of pelvic limb weakness and intermittent seizures. Laboratory analysis revealed marked hypoglycemia and an elevated serum insulin concentration. A pancreatic beta-cell tumor at stage III ($T_1N_1M_1$) was diagnosed based on serial blood glucose and insulin measurements along with diagnostic imaging. The patient survived for 140 days after diagnosis with medical management, including frequent feeding and prednisolone therapy. On necropsy, necrosis and masses in the peripancreatic omentum and liver were found; pancreatic beta-cell neoplasia with metastasis to the liver was confirmed by histopathologic examination. This case reports hyper-insulinism in a dog presenting with hypoglycemic seizures.

Diagnosis of a Trocar Site Mass as Omental Herniation after Laparoscopic Gastrectomy

  • Jeong, Sang-Ho;Lee, Young-Joon;Kim, Dong-Chool;Bae, Kyung-Soo;Choi, Sang-Kyung;Hong, Soon-Chan;Jung, Eun-Jung;Ju, Young-Tae;Jeong, Chi-Young;Ha, Woo-Song
    • Journal of Gastric Cancer
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    • v.12 no.1
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    • pp.46-48
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    • 2012
  • A trocar site hernia is a rare complication. We report a patient who had an abdominal wall mass at a previous trocar site after laparoscopic distal gastrectomy. It was diagnosed as omental herniation and fat necrosis. We conclude that patients with trocar site masses exhibiting fat density on a computed tomography scan could be followed up without surgery, and that fascial defects located at 10-mm or larger trocar sites should be closed whenever possible to prevent hernia formation.

Surgical Treatment of T4 Lung Cancer with the Use of Extracorporeal Circulation -A case report of long-term survival - (체외순환을 이용한 T4 폐암의 수술적 치험 -장기 생존 1예 보고-)

  • 조규도;조민섭;윤정섭;김치경;곽문섭
    • Journal of Chest Surgery
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    • v.37 no.2
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    • pp.180-183
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    • 2004
  • We report a case of a patient with lung cancer, which invaded the left atrium and pericardium. Right middle and lower lobectomy was performed with the use of the extracorporeal circulation. Postoperative pathologic examination revealed the stage of IIIB (T4N1MO). Although the postoperative clinical course was complicated by acute localized right sided pulmonary edema and the bronchopleural fistula, the patient recovered smoothly after the procedure of omentopexy with pedicled graft of greater omentum in closing the BPF. As of August 2003, he has been followed up for 6 years and he is healthy without any evidence of recurrence. We could not find any report concerning lung cancer resection using cardiopulmonary bypass in Korean literature and believe this is the first report, especially with long-term survival.

Air Shadow Containing Mass Lesion in the Chest (공기-수면 음영을 보이는 종괴성 병변)

  • Rhee, Kyoung-Suk;You, Kwan-Hee;Park, Sang-Suk;Kim, Won;Lee, Yong-Chul;Rhee, Yang-Keun
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.1
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    • pp.63-67
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    • 1994
  • A 70-year-old female patient was admitted due to the impression of lung abscess via local clinic. Chest P-A showed air shadow containing huge mass lesion in the right lower lung field, pericardio phrenic angle. But the patient complained of only mild upper respiratioy tract infection symptoms and the laboratory tests were within normal limits. Barium enema and chest C-T taken right after barium enema were performed in suggestion of the diaphragmatic hernia. Barium filled transverse colon and associated omentum were in the right anterior hemithorax surrounded by the hernial sac. The mass lesion shown in the chest P-A was compatible with the diaphragmatic hernia, Morgagni type. Operative reduction of the herniated bowel and simple closure of the diaphragm was performed.

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A Case of Infected Huge Lymphangioma in Pelvic Cavity (골반강에 발생한 감염된 거대 림프관종 1예)

  • Choi, Woo-Seok;Lee, Seong-Ho;Chung, Seok-Young;Song, Phil-Hyun;Baek, Un-Gi;Cho, Chul-Kyu;Park, Tong-Choon;Choi, Joon-Hyuk
    • Journal of Yeungnam Medical Science
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    • v.19 no.1
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    • pp.63-67
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    • 2002
  • Lymphangioma is a benign tumor resulted from abnormal communication between large dermal lymphatic channels and central lymphatic system. The tumor is encountered more often in the neck and axilla and less often in mediastinum, omentum, retroperitoneum, and scrotum. It rarely developes at urogenital system, and there has been no previous description of lymphangioma involving the bladder wall in Korea. We report a case of 35-year-old female with infected huge lymphagioma ansing from pelvic cavity and involving bladder wall.

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Infection Status of Todarodes pacificus (Mollusca: Cephalopoda) with Anisakid Larvae in the Markets from Jumungin (주문진 어시장 살오징어(Todarodes pacificus)의 아니사키스 유충 감염상)

  • 전계식;김세화
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.1 no.1
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    • pp.55-57
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    • 1996
  • A total of 248 specimens of Todarodes pacificus were purchased from the Jumungin fishery market at the East Sea area two times during the period from November 1 to December 30, 1995. Samples were examined for their infection status with larvae anisakid. Anisakid larvae were collected from muscle, viscera and omentum. One hundred sixteen larval anisakids sorted from 34 specimens of T. pacificus (13.7% of infection rate) ranged from 13.5 to 29.5 mm in their body length. They were classified based on morphological and morphometric observations as follows; Anisakis type I larvae (68 larvae, 58.6%: positive rate), Contracaecum type A (5, 4.3%), Anisakis type II (17, 14.5%), Contracaecum type D (8, 7.0%) and unknown type (18, 15.5%).