• Title/Summary/Keyword: 괴사

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Comparison of Subchondral Fracture on Radiographs with MR Images in Evaluation of Osteonecrosis in LCP Patients (LCP 환아에서 골괴사의 평가방법으로 연골하 골절선과 자기공명영상의 비교)

  • Kim, Jin-Won;Park, Mee-Jung;Choi, Ho-Chul;Cho, Jae-Min;Ryoo, Jae-Wook;Jeong, Seong-Hoon;Kim, Dong-Hee;Lee, Gyung-Kyu;Na, Jae-Boem
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.2
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    • pp.177-182
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    • 2009
  • Purpose : To compare the subchondral fracture on plain radiography and MR image as a method for assessing osteonecrosis in Legg-Calve-Perthes(LCP) pateients. Materials and methods: We retrospetively reviewed 15 hip joint MR images and plain radiography which visualized subchondral fracture. With basis of the Salter-Thompson classification, extent of necrosis was graded group A to B, as follows; Group A = < 50%, B = > 50%. On PACS workstation, necrotic area of each MR image was measured to calculate the volume of necrotic portion: volume = necrotic area $\times$ slice thickness. Necrotic areas on MR images were graded group A to B and results were compared with that measured in Salter-Thompson classification. On follow up, bone resorption was measured and the extent was compared with subchondral fracture representing necrotic area and that on MR volume method respectively. Results : In 9 joints of 15 hip joints (60%), the degree of necrosis in Salter-Thompson classification on plain radiographs was different from that on MR volume method. Based on plain radiographs by Salter-Thompson classification, the degree of necrosis was overestimated in 6(67%) joints, and underestimated in 3(33%) joints compared with MR volume method. On follow up study, bone resorption was not correlated with necrotic extent of subchondral fracture and MR volume method. Conclusion : The extent of femoral head necrosis measured by subchondral fracture was different from that measured by MR and was not correlated with bone resorption on follow up. Therefore, usefulness of subchondral fracture as a prognostic factor may be limited.

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일본 양식 뱀장어(Anguilla japonica)의 헐피스바이러스(Herpesvirus)성 아가미 질병 : 새변 괴사증

  • 이남실;허민도
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2000.05a
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    • pp.440-441
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    • 2000
  • 1990년대에 들면서, 온수 양어장에서 버나바이러스(Birnavirus)성 아가미 질병인 2차새변 벽주세포 괴사증(일명: 아가미 점상출혈증)과는 그 증상에서 차이를 보이는 아가미 질병이 발생되었다. 새변의 울혈과 괴사 병변을 주로 나타내는 본 질병은 경우에 따라 가슴지느러미와 아가미 근접복부에 출혈상을 나타내기도 한다. 병어의 병리조직학적 관찰, 분리 바이러스의 생화학적 또는 전자현미경 관찰 및 감염실험을 통해 아가미 질병의 원인 바이러스로도 H. anguillae가 인정되었으므로 이에 그 연구내용을 보고한다. (중략)

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Concurrent Liposarcoma and Fat Necrosis in an Encapsulated Mass: Report of a Case (지방괴사와 동반된 지방육종 - 증례 보고 -)

  • Kang, Hyun-Guy;Min, Hye-Sook;Cho, Hwan-Seong
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.2
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    • pp.187-191
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    • 2008
  • Encapsulated fat necrosis is a degenerative process involving various mature adipose tissues. Liposarcoma may also occur in any body fat area but it is quite different from lipoma and fat necrosis. Moreover, sarcoma does not derive from lipoma. We present a case of liposarcoma accompanying extensive fat necrosis in an well-encapsulated mass.

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Balthazar Computed Tomographic Severity Index Application for Experimental Acute Necrotizing Pancreatitis in Dogs (개의 실험적 급성 괴사성 췌장염 평가에서 Balthazar Computed Tomographic Severity Index의 적용)

  • Choi, Ji-Hye;Choi, Min-Cheol;Yoon, Jung-Hee
    • Journal of Veterinary Clinics
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    • v.27 no.6
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    • pp.686-692
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    • 2010
  • Computed tomography (CT) is considered as gold standard in evaluating pancreatitis in human, but there have been only a few studies in veterinary field. Balthazar CT severity index (CTSI) used to assess the severity of acute necrotizing pancreatitis in human could be applicable to dogs, because the severity of acute pancreatitis depends on the area of pancreatic necrosis in dogs more than in human. In this study, 25 adult, clinically healthy beagle dogs were used. CT examinations was performed in normal pancreas, positive control group and acute necrotizing pancreatitis induced by autologous bile injection. Balthazar CTSI was applied to canine acute necrotizing pancreatitis in contrastenhanced CT image and compared with the result of histopathologic examination. The Hounsfield unit (HU) of normal canine pancreas was $52.44{\pm}4.58$ and the density was significantly decreased in acute necrotizing pancreatitis (P < .05). In contrast-enhanced CT examination, pancreatic density was decreased significantly and this area was compatible to pancreatic necrosis. Balthazar CTSI showed positive correlation with histopathologic evaluation with a sensitivity of 100% and a specificity of 88.89%. Balthazar CTSI can be applied to evaluate the severity of acute necrotizing pancreatitis in dogs.

Histopathologic Findings of Necrotizing Lymphadenitis (괴사성 림프절염의 병리조직학적 소견)

  • Shim, Young-Ran;Nam, Hae-Joo
    • Journal of Yeungnam Medical Science
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    • v.10 no.2
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    • pp.485-492
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    • 1993
  • Necrotizing lymphadenitis was first recognised as a self-limiting lymphadenitis by Japanese workers in 1972. It is a distinct clinicopathologic entity, but can be mistaken as malignant lymphoma. We have studied clinicopathologic features in 15 cases of necrotizing lymphadenitis. This disease occurs predominantly in young adult. Male-female ratio is 2 : 1. The commonest presentation is lateral cervical lymphadenopathy. Pain, tenderness, and fever can be seen. Biopsy of the lymph nodes from all patients demonstrates the characteristic histologic features : multifocal, relatively circumscribed nodules in the cortex and/or paracortex, consisting of a mixture of activated large lymphoid cells, histiocytes and small lymphocytes. Numerous karyorrhetic debris are present. Neutrophils and plasma cells are strikingly absent.

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Two Cases of Avascular Necrosis of the Femur Head after Whole Pelvic Radiation Therapy for the Treatment of Cervical Cancer (자궁경부암의 전골반방사선치료 후 발생한 대퇴골두 무혈성괴사 2예)

  • Yu, Jeong-Il;Huh, Seung-Jae;Park, Won;Oh, Dong-Ryul;Lee, Jung-Ae
    • Radiation Oncology Journal
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    • v.26 no.2
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    • pp.126-130
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    • 2008
  • Avascular necrosis(AVN) is a disease characterized by the temporary or permanent loss of the blood supply to the bones, resulting from many possible causes, including radiation therapy. The femoral head is known to be the most common site of AVN. The authors encountered two cases of AVN of the femoral head among 557 patients with cervical cancer treated with whole pelvic radiation therapy at the Samsung Medical Center. AVN of the femoral head was presented with a sclerotic density change in a plain roentgenography and a decreased signal intensity lesion on the T1 and T2 weighted phases of a magnetic resonance image(MRI). Although it is a very rare complication after whole pelvic radiation therapy, AVN of the femoral head should be considered when characteristic imaging findings appear on follow-up examinations.

Analysis of Neonatal Gastrointestinal Diseases in a Neonatal Intensive Care Unit for 3 Years Neonatal GI Diseases in a NICU for 3 Years (3년간 단일기관 신생아실의 위장관 질환의 분석)

  • Kwon, Kyoung-Ah;Bae, Mi-Hae;Park, Kyung-Hee;Byun, Shin-Yun;Cho, Yong-Hoon;Kim, Hae-Young;Sung, Si-Chan
    • Neonatal Medicine
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    • v.18 no.2
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    • pp.337-344
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    • 2011
  • Purpose: To report our experience of gastrointestinal operations performed in neonates including low birth weight infants and to evaluate their clinical characteristics. Methods: We retrospectively reviewed the medical records of patients who underwent neonatal gastrointestinal surgery or had necrotizing enterocolitis (NEC) or inguinal hernia from January 2008 to December 2010 at Pusan National University School of Medicine. Results: The main disease was anorectal malformation and male patients were dominant. Twenty four patients (19.2%) had one or more associated anomalies including hydronephrosis and congenital heart disease. Eighteen patients (43.9%) of anorectal malformation had other anomalies. Seventy six percent of NEC cases were very low birth weight infants. Concerning mean days of full enteral feeding after operation, NEC patients needed 30.8 days, which was the longest period. Overall mortality of operation (except NEC and inguinal hernia operation) was 1.6%. The mortality of NEC with surgical treatment was 18.8%. The direct bilirubin in the operation group was significant higher than in the non-operation group in NEC patients. Conclusion: The morbidity and mortality after neonatal gastrointestinal surgery were excellent. The direct bilirubin in the operation group was significant higher than in the non-operation group in NEC.

Studies on a viral disease of masu salmon, Oncorhynchus masou-I A histopathological study on masu salmon fry (산천어(山川魚)의 바이러스성(性) 질병(疾病)에 관(關)한 연구(硏究)-I 산천어(山川魚) 치어(稚魚)의 병리조직학적(病理組織學的) 연구(硏究))

  • Sohn, Sang-Gyu;Park, Myoung-Ae;Lee, Saeng-Dong
    • Journal of fish pathology
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    • v.4 no.2
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    • pp.79-85
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    • 1991
  • In Feb., 1990 an epizootic disease to masu salmon fry, Oncorhynchus masou cultured at the hatchery of rainbow trout in Samchok, Kwangwon-do have broken out and induced high mortality over 70%. Externally, the diseased fish showed dark discoloration, abdominal distension with ascites, slight exophthalmus and fecal casts. Internally, the gill and the liver of diseased fish were edematous and pale, and the stomach of moribund fish contained the milkish fluid. Microscopically there was extensive necrosis of the hematopoietic tissue in kidney and spleen, and scattered necrosis of pancreas, liver and lateral muscle. Especially, the necrosis of lamina propria, muscle layer and tela submucosa in the digestive tract known as the typical signs associated with infectious hematopoietic necrosis virus was seen clearly.

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특집 : 미세혈관 합병증 - 말초혈관에 의한 족부병변 - 당뇨발 괴사의 진단과 치료

  • Han, Seung-Hwan
    • The Monthly Diabetes
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    • s.259
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    • pp.22-25
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    • 2011
  • 당뇨발의 발생원인으로 신경병증 및 혈관병증이 있다. 신경병증의 경우 발의 자기 방어기전의 소실로 족부에 궤양이 유발되나, 혈관병증에 의한 혈액순환 장애는 궤양의 발생뿐 아니라, 산소 및 영양공급을 차단 시켜 궤양의 치료까지 어렵게 만들어 발이 까맣게 썩어가는 괴사까지 초래하게 된다.

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