• Title/Summary/Keyword: perineal

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A Case of Seminal Vesicle Cyst Accompanied with Ipsilateral Renal Agenesis in an Infant (영아에서 발견된 동측 신무형성증과 동반된 정낭낭종 1례)

  • Yun, Jin-Sang;Chang, Sun-Jung;Lee, Jun-Ho
    • Childhood Kidney Diseases
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    • v.13 no.2
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    • pp.252-255
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    • 2009
  • Seminal vesicle cysts have been rarely detected. Most of them are caused congenitally, and two-thirds of them are accompanied with ipsilateral renal agenesis or dysplasia. They are usually present with dysuria, urinary frequency, perineal pain, epididymitis, pain after ejaculation, scrotal pain or infertility in the second to fourth decade of patient's life. Occasionally cysts are palpable by digital rectal examination, but radiologic imaging study is necessary to diagnose. We report a case of an infant with seminal vesicle cyst accompanied with ipsilateral renal agenesis detected incidentally in postnatal sonogram. The infant's right side of kidney was diagnosed as antenatally multicystic dysplastic kidney.

Urethroperineal Fistula Associated with a Severe Ulcerative Dermatosis in a Puppy (자견에서 발생한 중증의 궤양성 피부증과 관련된 요도회음누관증)

  • Choi, Ho-Jung;Lee, Young-Won;Yeon, Seong-Chan;Lee, Hyo-Jong;Lee, Hee-Chun
    • Journal of Veterinary Clinics
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    • v.26 no.1
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    • pp.101-103
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    • 2009
  • 40-day-old mixed male puppy was presented with a 10-day history of tenesmus and extensive ulcerative lesion of perineum. At physical examination, the dog was voiding mainly from an orifice in the perineal fistula. On fistulogram, a urethroperineal fistula was diagnosed. The dog was treated by wet dressing for wound management and antibiotics for 4weeks. Subsequently, the patient improved and no complication or recurrence was presented.

Tubular Colonic Duplication Presenting as Rectovestibular Fistula

  • Karkera, Parag J.;Bendre, Pradnya;D'souza, Flavia;Ramchandra, Mukunda;Nage, Amol;Palse, Nitin
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.3
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    • pp.197-201
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    • 2015
  • Complete colonic duplication is a very rare congenital anomaly that may have different presentations according to its location and size. Complete colonic duplication can occur in about 15% of all gastrointestinal duplications. Double termination of tubular colonic duplication in the perineum is even more uncommon. We present a case of a Y-shaped tubular colonic duplication which presented with a rectovestibular fistula and a normal anus. Radiological evaluation and initial exploration for sigmoidostomy revealed duplicated colons with a common vascular supply. Endorectal mucosal resection of theduplicated distal segment till the colostomy site with division of the septum of the proximal segment and colostomy closure proved curative without compromise of the continence mechanism. Tubular colonic duplication should always be ruled out when a diagnosis of perineal canal is considered in cases of vestibular fistula alongwith a normal anus.

Root-knot Nematode Species Distributing in Greenhouses and Their Simple Identification Scheme (시설원예지에 분포하는 뿌리혹선충의 종류 및 간이 동정법)

  • 김동근;이영기;박병용
    • Research in Plant Disease
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    • v.7 no.1
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    • pp.49-55
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    • 2001
  • Species and races of root-knot nematodes in greenhouses in southern Korea were investigated and a simple identification scheme was provided. Among 23 populations of root-knot nematodes, Meloidogyne arenaria race 2 was 59%, M. incognita race 1 was 23%, and an unknown race of M. incognita was 18%. Total length of M. arenaria juveniles was 411㎛(306-503㎛) and that of M. incognita was 384㎛(312-488㎛); however, the ranges of two species were overlapped and could not be used to distinguish the two species. Excretory pore in female head was a consistent character to differentiate M. arenaria and M. incognita.

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Diagnostic Laparoscopy and Laparoscopic Diverting Sigmoid Loop Colostomy in Penetrating Extraperitoneal Rectal Injury: A Case Report

  • Jo, Young Goun;Park, Yun Chul;Kang, Wu Seong;Kim, Jung Chul;Park, Chan Yong
    • Journal of Trauma and Injury
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    • v.30 no.4
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    • pp.216-219
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    • 2017
  • Laparoscopy has been one of the most effective modalities in various surgical situations, although its use in trauma patients has some limitations. The benefits of laparoscopy include cost-effectiveness, shorter length of hospital stay, and less postoperative pain. This report describes diagnostic laparoscopy and laparoscopic diverting sigmoid loop colostomy in penetrating extraperitoneal rectal injury. A 41-year-old male presented with perineal pain following penetrating trauma caused by a tree limb. Computed tomography showed air density in the perirectal space and retroperitoneum. As his vital signs were stable, we performed diagnostic laparoscopy and confirmed no intraperitoneal perforation. Therefore, laparoscopic diverting sigmoid loop colostomy was performed. He was discharged without any complications despite underlying hepatitis C-related cirrhosis. Colostomy closure was performed 3 months later.

Ganglion Impar Block in the Management of Rectal Tenesmoid Pain (항문 이급후중의 치료에 있어 외톨이 신경절 차단)

  • Kim, Soo-Kwan;Ahn, Cheol-Soo;Cho, Yong-Roew;Lim, So-Young;Shin, Keun-Man;Hong, Soon-Yong;Choi, Young-Ryong
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.226-228
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    • 1996
  • Rectal tenesmus is a persistent, painful and ineffectual sensation of straining at stool or opening of the bowels. The pain is usually spasmodic in nature and most commonly encountered in patients with carcinoma of the rectum or other pelvic organs. In 1988, Bristowand Foster reported that patients with severe spasmodic painful tenesmus were relieved with chemical sympathectomy. In 1990, Plancarte introduced block of Ganglion impar. This technique is proposed as an alternative means of managing localized perineal pain of sympathetic origin. Ganglion impar block was performed on a 54-year-old female patient when analgesic or psychotropic drugs failed to control the symptoms of post-traumatic severe spasmodic painful tenesmus. Postoperatively, patient was free of tenesmoid pain for only 7 days. We then performed neurotomy by RF lesion generator which provided complete pain relief.

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The Sensory Change on the $S_2$ Area after Epidural Adhesiolysis -A case report- (경막외강 유착제거술후 발생한 $S_2$ 피부분절부위의 감각변화 -증례 보고-)

  • Lee, Sang-Chul;Jo, Dae-Hyun;Yoon, Tae-Gyoon;Lee, Byeong-Geon
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.256-259
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    • 1996
  • Epidural adhesiolysis is a convenient and safe method for the management of back pain. However, we experienced a case where a patient developed sensory change to S2 area after epidural adhesiolysis. Male patient, 43 years old, was admitted to our pain clinic for epidural adhesiolysis for back pain. Patient was experiencing pain radiating to left thigh, and sensory change and motor disturbance to the S1 area. Patient's symptoms and signs were much improved on the first day of epidural adhesiolysis. Patient, however, complained of numbness of perineal and S2 areas after the next day of injections. We postulated the cause of this complication was due to: compression of nerve root by the large volume of injectate and hematoma, and the side effect of local anesthetic, hypertonic saline and steroid.

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Clinical Report of Two Patients with Chronic Prostatitis (만성 전립선염 환장의 치험 2예)

  • Sim Kuk Jin;Park Hyoung Jin;Cho Cheol Won;Kang Sei Young;Kim Hong Joon;Song Bong Keun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.1
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    • pp.274-278
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    • 2004
  • The prostatitis is characterized as relatively incurable, chronic and recurrent illness. Because of this property, we have a difficulty in treating this illness. The purpose of this study is evaluating the efficiency of herb medicine, acupuncture, and herbal acupuncture therapy to the prostatitis. A clinical observation was made on two patients with chronic prostatitis who had perineal pain, pubic pain, testicular pain, painful urination, frequency and dysuria. They were treated with herb medicine, acupuncture, and herbal acupuncture therapy for four weeks and symptoms were considerably decreased. This result suggests that oriental medical therapy is useful enough to treat the prostatic diseases. Therefore the further study of the approach and application of this treatment on prostatitis would be necessary.

Comparison of Single-Dose Toxicity by Intravenous Infusion or Bolus Injection with CKD-602, a Camptothecin Anticancer Agent in Rats (I): Toxic Effects with regard to Mortality and Clinical Signs

  • Kim, Choong-Yong;Han, Junghee;Yang, Byung-Chul;Kim, Joon-Kyum;Kim, Jong-Choon;Ha, Chang-Su;Han, Sang-Seop
    • Toxicological Research
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    • v.20 no.4
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    • pp.375-380
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    • 2004
  • The toxicity of CKD-602 was investigated at doses of 0, 3, 9, and 27 mg/kg in rats, by administering the same total dose over 24-hr continuous infusion or bolus injection. CKD-602 treatment caused gastrointestinal symptoms such as diarrhea, soft stool, and soiled perineal region. It also decreased body weight at doses of 9 and 27 mg/kg in a dose-dependant manner. At 3 mg/ kg, clinical signs and body weight decrease were more severe in the infusion group than in the bolus group. In the bolus group, mortalities were 0/8, 0/8, 1/8, and 3/8 at 0, 3, 9, and 27 mg/kg, respectively, whereas those were 0/8, 1/8, 8/8, and 8/8 in the infusion group. $LD_{50}$ values were 36.25 mg/kg for bolus and 3.50 mg/kg for infusion, respectively. This finding indicates that the toxic potency of CKD-602 by continuous infusion is about 10 times higher than by bolus injection. Our findings suggest that the toxic effects of CKD-602 are dependant upon the duration of intravenous administration.

Ultrasonographic Diagnosis of Pneumoperitoneum Associated with a Mast Cell Tumor in a Dog (개에서 비만세포종과 관련된 기복증의 초음파학적 진단례)

  • Wang, Ji-Hwan;Park, Ki-Tae;Lee, Kyung-Woo;Yeon, Seong-Chan;Lee, Hyo-Jong;Lee, Hee-Chun
    • Journal of Veterinary Clinics
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    • v.27 no.4
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    • pp.483-487
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    • 2010
  • A 7-year-old female maltese dog with anorexia and vomiting for a week, and left axillary and perineal mass was admitted to Gyeongsang National University Veterinary Teaching Hospital. CBC revealed mild leukocytosis and severe anemia. Abdominal radiography revealed multiple gas opacities in upper abdomen. On ultrasonography, large amount of echogenic free abdominal fluid were detected. In addition, There are enhanced peritoneal strip sign (EPSS) indicating peumoperitoneum in the upper abdomen. Fine needle aspiration of the mass was performed and the result was mast cell tumor. Duodenal perforation caused by mast cell tumor was identified on laparotomy.