• 대한한방소아과학회지
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• 제18권1호
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• pp.93-104
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• 2004

Objectives: Transverse myelitis is a rare neurological disorder that is part of a spectrum of neuroimmunologic diseases of the central nervous system. A patient was hospitalized with intestinal pseudoobstruction(poor oral feeding, vomiting, abdominal pain, constipation) secondary to Transverse myelitis. We treated her with Oriental medical approach and obtained satisfactory result. Methods: The Herbal medicine(Bihwa-eum), Acupuncture, Moxibustion therapy were applied for improving the deficiency of energy of the spleen and stomach, regulate the flow of vital energy. Results: After treatments, Patient's vomiting frequency is decreased and abdominal pain is improved and oral feeding is available. She gains in weight continuously. Conclusion: The authors thought that Bihwa-eum is effective to vomiting and abdominal pain due to intestinal pseudoobstruction. The more study is needed.

• 대한한의학회지
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• 제17권2호
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• pp.394-404
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• 1996

Epilepsy is a chronic cerebral. disease resulting from a variety of factors, which is a syndrome with chief complaint of recurrent seizure caused by abnormal electrical discharge of cerebral nerve cell, while the clinical result showed that epilepsia occurs more frequently in pediatrics. A Child having the chief complaint of recerrent vomiting for 2 months undergone the brain and abdominal C.T, MRI, and gastric endoscopy, when the child was normal. While vomiting gas too serious to administer a medicine, a cyclic vomiting repeated with its discontinuation for 2-3 days after continuation for 10 days. As a result, the child visited the ambulatorium of our hospital and then was hospitalized and treated over two times, when there was a remarkably improvement. There was no any particular complaint for 1 year and 2 months, then, the child complained moderate headache. For thjs reason, we performed again electroencephalography, when there appeared in epilepsia opinion. Since then, we have experienced a case of autonomic nervous seizure which was significantly improved by anticonvulsant, and a therapy by using the phlegm resolvents and central stimulants for treating epilepsy(豁痰醒腦治癎法) as an oriental medicine. Therefore, it is to report both treatment view of oriental medicine and analysis on Oriental and Western medical literatures.

• 대한암한의학회지
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• 제27권1호
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• pp.1-12
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• 2022

Objectives: To report recurrent pancreatic cancer treated by Korean medicine based-integrated oncology treatment, who is improved quality of life without progression of cancer Method: A 63-year-old female patient diagnosed with recurrent pancreatic cancer in April, 2022 received Chemotherapy with Korean medicine based integrative oncology treatment. Radiologic outcome was assessed by Abdomen Computed Tomography (CT) based on Response Evaluation Criteria In Solid Tumors (RECIST). Clinical outcomes were assessed by National Cancer Institute Common Terminology Criteria for Adverse Event (NCI-CTCAE), Eastern Cooperative Oncology Group (ECOG), Numeric Rating Scale (NRS) Result: During 2months of treatment, Cancer size was stable in Abdominal CT. Chief complaints, Abdominal pain and dyspepsia, were improved and ECOG score was improved from grade 2 to 1. There were no toxicity on laboratory test and no side effects of grade 3 or higher on NCI-CTCAE. Conclusion: This report shows that Korean medicine based integrative oncology treatment might contribute to synergetic effect to Chemotherapy and improvement of quality of life

• Childhood Kidney Diseases
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• 제22권2호
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• pp.75-80
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• 2018

Nutcracker syndrome is a phenomenon that the left renal vein (LRV) is pressed between the superior mesenteric artery (SMA) and the aorta. Clinical characteristics include gross or microscopic hematuria, orthostatic proteinuria, abdominal pain, and back pain. It occurs due to LRV squeezing caused by narrowed aortomesenteric angle. SMA syndrome is a disease that the third part of the duodenum is prone to intestinal obstruction by narrowed angle between the SMA and the abdominal aorta. Clinical symptoms include postprandial abdominal distension, epigastric pain, nausea, and vomiting. SMA syndrome and nutcracker syndrome have common features that result from narrowed aortomesenteric angle. However, it is very rare for both syndromes to occur simultaneously, so the two syndromes are regarded as separate diseases. This is a report on a case of nutcracker syndrome with SMA syndrome in a child who presented gross hematuria, recurrent abdominal pain and vomiting. To our knowledge, nutcracker syndrome simultaneous with SMA syndrome has not been previously reported in pediatric patient, especially with an exhibition of gross hematuria. This case suggests that the simultaneous presence of SMA syndrome with the same pathogenesis needs to be considered when nutcracker syndrome is suspected in pediatric patients with hematuria.

• The Korean Journal of Pain
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• 제28권1호
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• pp.57-60
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• 2015

Sphincter of Oddi dysfunction (SOD) is a syndrome of chronic biliary pain or recurrent pancreatitis due to the functional obstruction of the pancreaticobiliary flow. We report a case of spinal cord stimulation (SCS) for chronic abdominal pain due to SOD. The patient had a history of cholecystectomy and had suffered from chronic right upper quadrant abdominal pain. The patient had been diagnosed as having SOD. The patient was treated with opioid analgesics and nerve blocks, including a splanchnic nerve block. However, two years later, the pain became intractable. We implanted percutaneous SCS at the T5-7 level for this patient. Visual analog scale (VAS) scores for pain and the amount of opioid intake decreased. The patient was tracked for more than six months without significant complications. From our clinical case, SCS is an effective and alternative treatment option for SOD. Further studies and long-term follow-up are necessary to understand the effectiveness and the limitations of SCS on SOD.

• The Korean Journal of Pain
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• 제22권1호
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• pp.104-106
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• 2009

Behcet's disease is a chronic relapsing vasculitis characterized by recurrent aphthous oral and genital ulcers with uveitis. Multiple organs can be involved. Entero-Behcet's disease is often uncontrollable, relapsing, and can cause acute intestinal bleeding, fistula formation, or perforation. Corticosteroids, immunosuppressors, and colchicines are used to treat Entero-Behcet's disease with varying degree of success. Thalidomide may also be feasible. We present a 29-year-old male Entero-Behcet's patient suffering from abdominal pain, diarrhea, and back pain. He did not respond to prior treatments, but responded to thalidomide.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권3호
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• pp.225-232
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• 2019

Purpose: To evaluate intra- and inter-observer variability and guideline adherence amongst pediatricians in treating children aged between 4 and 18 years referred with recurrent abdominal pain (RAP) without red flags. Methods: The first part of the study is a retrospective single-center cohort study. The diagnostic work-ups of eight pediatricians were compared to the national guidelines. Intra- and inter-observer variability were examined by Cramer's V test. Intra-observer variability was defined as the amount of variation within a pediatrician and inter-observer variability as the amount of variation between pediatricians in the application of diagnostic work-up in children with RAP. Prospectively, the same pediatricians were requested to provide a report on their management strategy with a fictitious case to prove similarities in retrospective diagnostic work-up. Results: A total of 10 patients per pediatrician were analyzed. Retrospectively, a (very) weak association between pediatricians' diagnostic work-ups was found (0.22), which implies high inter-observer variability. The association between intra-observer diagnostic was moderate (range, 0.35-0.46). The Cramer's V of 0.60 in diagnostic work-up between pediatricians in the fictitious case implied the presence of a moderately strong association and lower inter-observer variability than in the retrospective study. Adherence to the guideline was 66.8%. Conclusion: We found a high intra- and inter-observer variability and moderate guideline adherence in daily clinical practice amongst pediatricians in treating children with RAP in a teaching hospital.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제2권1호
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• pp.21-29
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• 1999

목 적: 학동기 소아들의 반복성 복통의 발생빈도, 임상증상, 의료기관 이용양상, 선택기준 및 관련된 요인을 조사하여 반복성 복통 환아의 특징, 증상의 발현 및 유지에 영향을 줄 수 있는 요인을 알아보고, 반복성 복통 환아의 의료기관 이용양상과 문제점을 파악하여 향후 치료를 위한 기초 자료를 제공하고자 실시하였다. 방 법: 1998년 6월 광주시내 초등학교 학부모 1417명을 대상으로 반복성 복통의 발생빈도, 임상증상, 의료기관 이용양상을 알아보기 위하여 설문조사를 실시하였다. 결 과: 1) 총응답자는 1417명, 남자 715명, 여자 702명이었고, 남녀비 1.02:1 평균나이는 10.3세였다. 2) 반복성 복통증의 발생 빈도는 18.9%이었다. 남자는 18.4%, 여자는 19.2%였다. 복통의 지속시간은 10분 이내가 68.5%였다. 3) 정확한 진단을 받지 못한 경우가 62.5%였고, 66.3%가 치료를 받았고, 67.5%가 치료시 증상 호전을 보였다. 민간요법을 실시한 경우도 66%를 차지하였다. 4) 치료 의료기관은 소아과 35.2%로 많았으나, 약국 및 내과의 이용률도 30%정도를 차지하였다. 연령이 증가함에 따라 소아과 이용률이 감소하고 내과의 이용율이증가하였다. 의료기관의 선택기준은 거리의 근접성이 36.3%로 가장 많았고, 의료인의 친절도, 치료의 질 순이었다. 5) 동반증상은 55.5%에서 있었고, 두통이 30.9%로 가장 많았고, 흉통, 현기증, 구토 순이었고, 동반 증상이 없는 경우도 44.5%였다. 6) 반복성 복통의 발생시기는 하루 중 식후가 35.3%로 가장 많았고, 식사전, 수업중 순이었다. 주내 변동은 월요일이 21.4%로 가장 많았으며, 점차 감소하여 토요일이 가장 낮았다. 7) 복통의 발생부위는 배꼽주위가 38%로 가장 많았고, 심와부 등 중앙부에 위치하였으며, 통증의 성격은 작열통이 36.9%로 가장 많았다. 결 론: 반복성 복통 환아는 대부분 정확한 진단을 받지 못하고, 전문적인 치료없이 대증적인 치료 및 민간요법이 많이 시행되고 있었다. 연령이 증가함에 따라 소아과 이외의 타과의 이용률이 증가하였다. 반복성 복통에 대한 올바른 이해와 함께 정확한 진단 및 전문적인 의료기관의 선택이 필요하고 이에 대한 홍보 및 대응책이 필요하다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제4권2호
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• pp.256-260
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• 2001

저자들은 반복적으로 췌장염을 앓은 여아에서 상복부 동통을 주소로 내원하여 MRCP와 ERCP를 통해 다발성 췌관석이 원인인 만성 재발성 췌장염 1례를 치험하였기에 보고하는 바이다.

• Parasites, Hosts and Diseases
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• 제55권3호
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• pp.313-317
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• 2017

Paragonimiasis is a parasitic disease caused by Paragnonimus species. The primary site of infection is the lung, and extrapulmonary involvement is also reported. When infected with Paragonimus westermani, which is the dominant species in Korea, the central nervous system is frequently involved along with the liver, intestine, peritoneal cavity, retroperitoneum, and abdominal wall. Ectopic paragonimiasis raises diagnostic challenge since it is uncommon and may be confused with malignancy or other inflammatory diseases. Here, we report an ectopic paragonimiasis case initially presented with recurrent abdominal pain. The patient developed abdominal pain 3 times for the previous 3 years and the computed tomography (CT) of the abdomen revealed fluid collection with wall enhancement. Recurrent diverticulitis was initially suspected and part of the ascending colon was resected. However, the specimen showed intact colon wall without evidence of diverticulitis and multiple parasite eggs and granulomas were found instead. The size of about $70{\mu}m$, the presence of an operculum and relatively thick egg shell suggested eggs of Paragonimus species. With appropriate exposure history and a positive antibody test, the definitive diagnosis was made as peritoneal paragonimiasis.