• Clinical and Experimental Pediatrics
• /
• 제49권5호
• /
• pp.574-576
• /
• 2006

Bezoar는 흡수되지 않은 이물질이 음식물과 섞여 형성된 장내 결석으로 이 중에서도 모발에 의한 경우를 trichobezoar라고 한다. 모발석은 대부분 위 내에 존재하고 소장까지 이동하지는 않는다고 알려져 있으며 빈혈, 위장관 폐쇄 또는 천공, 복막염, 장중첩증, 췌장염 등을 유발할 수 있다. 저자들은 복통과 담즙성 구토를 주소로 내원한 8세 여아에서 공장내의 10 cm 길이의 모발석을 진단하였고, 이로 인해 유발되었을 것으로 추정되는 췌장 효소(아밀라제 및 리파제)의 증가를 관찰하였다. 환아는 모발석의 수술적 제거 후 증상의 호전을 보였고, 췌장효소는 정상화되었다. 드물게 보고되고 있는 공장내의 큰 모발석 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 대한한방내과학회지
• /
• 제37권3호
• /
• pp.529-538
• /
• 2016

Objectives: The purpose of this case study is to report the efficacy and safety of treatment with Korean medicine of a patient with HBeAg-positive chronic viral hepatitis B.Methods: The patient took Korean medicine (mainly Injinchunggan-tang-gamibang) from July 20th, 2010, to March 14th, 2016, without any antiviral or interferon therapy. Changes to laboratory records, abdomen ultrasonography, and clinical symptoms were reviewed.Results: The laboratory records showed that AST, ALT, and HBV DNA had decreased to normal ranges, and HBeAg showed seroconversion. Clinical symptoms also improved after taking Korean medicine.Conclusion: The results suggest that treatment with Korean medicine and without antiviral or interferon therapy could be effective for HBeAg-positive chronic hepatitis B.

• Nuclear Medicine and Molecular Imaging
• /
• 제43권2호
• /
• pp.150-153
• /
• 2009

Xanthogranulomatous pyelonephritis is an uncommon chronic renal infection, which is usually found on middle-aged women and is rare in infant. Sometimes it forms focal mass like lesion of kidney with pathologically characteristic lipid-laden macrophage. A 1-month female infant was admitted for fever and moaning sound. On work-up of urinary tract infection, abdomen ultrasonography and computed tomography revealed a large mass on the upper portion of right kidney and PET/CT showed homogeneously increased $^{18}F$-FDG uptake. The radical nephrectomy of right kidney was performed and histology revealed a focal xanthogranulomatous pyelonephritis. To our knowledge, this is the first report presenting the finding of $^{18}F$-FDG PET/CT in the childhood xanthogranulomatous pyelonephritis.

• Archives of Plastic Surgery
• /
• 제37권6호
• /
• pp.843-846
• /
• 2010

Purpose: Plastic surgeon can easily misdiagnose the mass on the postoperative scar as hypertrophic scar. We present a case of endometrioma at abdominal scar after cesarean section. Methods: A 36 year-old female visited with a protruding, rubbery hard mass on her abdominal scar. The mass grew slowly after cesarean section performed 7 years ago. She has felt intermittent pain, not with menstrual cycle, for 2 months. The ultrasonography showed a solid irregular, ill defined mass with heterogenous echogenicity. The MRI finding is suggestive of malignant soft tissue tumor with deep fascial invasion. Incisional biopsy showed acanthosis, melanophage, lymphoplasmacytic infiltration. So we excised mass elliptically, we could see chocolatelike discharge from the mass, adhering to external oblique muscle fascia. The mass confirmed histologically as an endometrioma. Results: The mass was completely removed and did not recurr. The patient does not complain more about pain or any discomfort. Conclusion: Plastic surgeons should be aware of the possibility of endometrioma when the patient present with mass on her abdominal scar after surgery of the pelvis and abdomen.

• 한국임상수의학회지
• /
• 제33권2호
• /
• pp.116-121
• /
• 2016

A 1.83 kg, 9-year-old, spayed female Yorkshire Terrier was referred to the Veterinary Medical Teaching Hospital of Konkuk University for evaluation of an intra-abdominal mass with a week history of vomiting and diarrhea. On physical examination, survey radiography, abdominal ultrasonography, and computed tomography, a huge firm mass was identified in the mid-caudal abdomen. Surgical exploration of the abdominal cavity was performed to remove the mass. The encapsulated mass adhered to the mesentery, tail of the spleen, small intestine, omentum, and right lobe of the pancreas was removed using blunt dissection with dry gauze and cotton swabs. Macroscopic and histopathological examination revealed that the mass was foreign-body granuloma consistent with gauze fiber. Plain abdominal radiography demonstrated no remarkable findings 8 months post-operatively. There was no evidence of vomiting, diarrhea, coughing, difficulty breathing, and cyanosis on exertion 13 months post-operatively.

• Parasites, Hosts and Diseases
• /
• 제57권4호
• /
• pp.429-434
• /
• 2019

A complicated case of echinococcosis with multiple organ involvement is reported in a 53-year-old businessman who frequently traveled overseas, including China, Russia, and Kazakhstan from 2001 to 2007. The patient was first diagnosed with a large liver cyst during a screening abdomen ultrasonography in 2011, but he did not follow up on the lesion afterwards. Six years later, dizziness, dysarthria, and cough developed, and cystic lesions were found in the brain, liver and lungs. The clinical course was complicated when the patient went through multiple surgeries and inadequate treatment with a short duration of albendazole without a definite diagnosis. The patient visited our hospital for the first time in August 2018 due to worsening symptoms; he was finally diagnosed with echinococcosis using imaging and serologic criteria. He is now on prolonged albendazole treatment (400 mg twice a day) with gradual clinical and radiological improvement. A high index of suspicion is warranted to early diagnose echinococcosis in a patient with a travel history to endemic areas of echinococcosis.

• 한국임상수의학회지
• /
• 제38권4호
• /
• pp.184-188
• /
• 2021

A 10-year-old spayed female Maltese with a history of vomiting and lethargy was referred to the hospital. Physical examination revealed dehydration and severe pain following abdominal palpation. A large mass was observed in the cranial abdomen through radiography and ultrasonography. Laparotomy was performed to find the origin of the mass. The mass was about 8 cm originating from the cecum and subsequently removed. Histopathologic evaluation revealed that the cecal mass was suspected to be a mesenchymal-derived tumor. Through immunohistochemistry, the mass was diagnosed as a gastrointestinal stromal tumor (GIST) based on the c-kit expression. Given its recurrence, postoperative preventive therapy was initiated with masitinib mesylate, which is a tyrosine kinase inhibitor. The animal did not show any side effects during the medication period. After 6 months of therapy, it was well controlled without any recurrence. In this case, we introduced a novel postoperative management of GIST using masitinib mesylate.

• 한국방사선학회논문지
• /
• 제16권3호
• /
• pp.265-271
• /
• 2022

본 연구는 2021년 10월부터 2021년 12월까지 부산 소재 I 병원을 내원한 환자와 건감검진 대상 중 간 초음파와 Fibroscan 검사를 모두 시행한 441명의 검사 결과지를 후향적으로 분석하였다. 연구 목적은 간 초음파를 이용한 지방간 평가와 Fibroscan을 이용한 지방간 평가의 상관관계분석 및 카이제곱검정을 시행하여 지방간 평가에 있어 Fibroscan의 유용성을 알아보고자 하였다. 복부초음파의 지방간 판독 결과와 Fibroscan UAP의 상관관계 분석 결과 r=0.600, p=0.000으로 나타나 상관관계가 확인되었다. 지방간 평가에 있어서 Fibroscan은 지방간 수치로 하여 객관적인 결과를 예측하는데 높은 타당도를 보였다.

• 한국임상수의학회지
• /
• 제38권2호
• /
• pp.85-88
• /
• 2021

A 9-year-old, intact female Shih-tzu dog presented with a three-week history of anorexia, lethargy, and weight loss. Abdominal radiography revealed a mass in the right cranial quadrant of the abdomen that was displacing the right kidney caudally. Ultrasonography showed a large, irregular, heterogeneous hepatic mass and a small amount of peritoneal fluid. On computed tomography (CT), a large hypoattenuating mass with heterogeneous contrast enhancement occupied the right lateral lobe, and parts of the right medial and caudate lobes of the liver. There was no evidence of regional lymph node or pulmonary metastasis. Lobectomy of the right medial, right lateral and caudate liver lobes was performed, however, the patient did not recover from surgery. Hepatoblastoma was confirmed by histological examination. Hepatoblastoma is rare in dogs, and this is the first report describing CT imaging of hepatoblastoma in a dog.

• 대한영상의학회지
• /
• 제84권2호
• /
• pp.372-385
• /
• 2023

유방암은 여성에서 가장 흔한 암이며, 많은 합병증을 발생시킨다고 알려져 있다. 오늘날 자기공명영상촬영(이하 MRI)은 유방암 수술 전 검사에서 필수적인 방법이다. 유방 MRI의 사용 빈도가 높아지면서 우연히 발견되는 유방 외 소견이 증가하고 있다. 이에 본 임상 화보에서는 유방 MRI 촬영에서 발견된 종격동, 폐, 상복부, 뼈 및 연조직 등의 다양한 유방 외 소견을 초음파(ultrasonography), 흉부 컴퓨터단층촬영(이하 CT), 간 MRI, 양전자방출단층촬영/컴퓨터단층촬영 스캔(PET/CT), 뼈 스캔(bone scan) 등과 비교하여 알아보고자 한다.