• Title/Summary/Keyword: Abdominal Cavity

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Gastric Duplication Cyst Presenting as Massive Gastrointestinal Bleeding

  • Youssef, Alexey;Ibrahim, Alexander;AlShehabi, Zuheir;Omran, Ammar;Sharara, Ala I.
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.2
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    • pp.189-192
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    • 2019
  • Gastric duplication cysts (GDCs) are rare congenital anomalies. Presentation of GDCs varies from an asymptomatic abdominal mass to fulminant or massive gastrointestinal (GI) bleeding. Herein, we describe a case of a GDC in a 10-month-old infant presenting with unexplained massive GI hemorrhage and hematemesis. An abdominal ultrasound was negative, while computerized tomography was, initially, inaccessible. Through a series of repeated esophagogastroduodenoscopies, we documented penetration of the GDC into the gastric cavity that was later confirmed by computerized tomography. The patient was treated successfully with surgical resection.

Mechanism of Apoptosis & Tumor Growth Inhibition of Agrimonia pilosa Ledebour(APL) in vitro and in vivo (선학초(짚신나물)에 의한 in vitro와 in vivo에서의 암세포사멸 기전 탐색)

  • Choi, Soon-Ja;Baik, Jong-Woo;Park, Jong-Hyeong;Jun, Chan-Yong;Choi, You-Kyung;Ko, Seung-Gyu
    • The Journal of Internal Korean Medicine
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    • v.30 no.2
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    • pp.399-409
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    • 2009
  • Objectives : The aim of this study was to experiment the antitumor activity of Agrimonia pilosa Ledebour (APL) in human stomach cancer (AGS) cell lines (in vitro) and male C57BL/6J mouse (in vivo). Methods : The effects of the ethanol extract from the plant on several transplantable rodent tumors were investigated in vitro by 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxy phenyl)-2-(4-sulfophenyl)-2H-tetrazolium, inner salt (MTS) assay. DNA content analysis and Western blot analysis. Agrimonia pilosa Ledebour (APL) was given to rats with Lewis Lung Carcinoma (LLC) cells. The experimental rats were divided into 3 groups in vivo. Saline was injected into the abdominal cavity in the first group, 50 mg/kg APL was injected into the abdominal cavity in the second group and 100 mg/kg was injected into the abdominal cavity in the third group. After that, we checked their tumor volume periodically. Results : At first, human gastric cancer (AGS) cell lines (in vitro) showed decreased cell viability, and increased $sub-G_1$ contents. When we experimented rat intestinal epithelial (RIE)l as same condition, this result didn't show. With this, compared to normal cells, Agrimonia pilosa Ledebour (APL) led selectively to the extinction of cells only in human gastric cancer. Moreover, we showed that the traditional herbal medicine APL induced caspase-dependent apoptosis in AGS cells. Next, APL inhibited the growth of LLC-bearing mouse tumor. However, we could not verify APL induced caspase-dependent apoptosis in LLC-bearing mouse tumor. Conclusions : The roots of Agrimonia pilosa Ledebour (APL) contain some antitumor constituents.

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Radiation Damage Mechanism of the Small Intestine's Absorptive Epithelium and Radioprotection Effect after Propolis Abdominal Cavity Injection (프로폴리스 복강 주사 후 소장 흡수상피조직의 방사선 손상 기전과 방어효과)

  • Ji, Tae-Jeong;Lee, Sang-Hun
    • The Journal of the Korea Contents Association
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    • v.10 no.7
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    • pp.297-304
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    • 2010
  • As Small Intestine Absorptive Epithelium Cells are surrounded by mucus polysaccharide and lymphocytes and mitochondria, they are sensitive to radiation energy. Damaged cells lead to a deficiency of nutrients and the imbalance of electrolyte metabolism, which in turn can becomes a major cause of an intestine tract death. This research observed ultra structures after injecting propolis into the abdominal cavity in order to reveal the radiation damage mechanism and radioprotection effect of intestine absorptive epithelium cells. The result of this research's observation found that stenosis occurred in the small intestine in some tissues 20 days after 5Gy irradiation, their surface turned black, and their elasticity dropped. Through observation with an optical microscope, it was found that the size of the goblet cells decreased, while the paneth granulate cells atrophied and were vacuolated. Observation with an transmission electron microscope(TEM) revealed that while microvill and lysosome were normally observed in jejunum tissues, mitochondria membrane was damaged and uneven surfaces were formed on lymphocytes. The membrane of absorptive epithelium cells hypertrophied in tissues of the ileum, and vacuole was observed. However, the observation after injecting propolis into the abdominal cavity found that mitochondria damage dropped dramatically, and radioprotection effects were to some extent confirmed, considering that glycocalyx of villi was clear, and M cells could be observed.

A STUDY OF SO SHI HO DECOCTION EFFICACY ON THE SALMONELLA TYPHI (TY 2) OF THE RABBITS IN THE FEVER CASES (소시호탕투여(小柴胡湯投與)가 Salmonella typhi(Ty 2) 표준균주(標準菌株)에 의(依)하여 발열(發熱)된 가토(家兎)의 체온(體溫)에 미치는 영향(影響)에 관(關)한 연구(硏究))

  • Noh, Seung-Hyeon
    • The Journal of Internal Korean Medicine
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    • v.1 no.1
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    • pp.56-63
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    • 1976
  • The results of the So Shi Ho Decoction efficacy on the Salmonellatyphi (Ty 2) of the rabbits (2.5kg) in the fever cases were as follows: 1. The range of the rabbit's temperature was from $38.8^{\circ}C$ to $39.8^{\circ}C$ 2. Average temperature of rabbits were increased $2.35^{\circ}C$ from $39.35^{\circ}C,$ 48 hours after $10^6/ml,\;10^4/ml$ of the Salmonella typhi (Ty 2) were injected into the abdominal cavity of rabbits. $10^2/ml$ of the Salmonella typhi (Ty 2) were injected into the abdominal cavity of the rabbits, the body temperature was increased from $39.8^{\circ}C$ to $40.6^{\circ}C.$ 3. There was some elevated and kept the normal temperature of rabbits by the into the abdominal cavity of the rabbits, the body temperature was increased from $39.8^{\circ}C$ to $40.6^{\circ}C.$ 4. There was some elevated and kept the normal temperature of rabbits by the So Shi Ho decoction of 10ml after injection of the Samonella typhi (Ty 2) of $10^6/ml.$ Before the administration of So Shi Ho decoction, the rabbits temperature was elevated from $39.43^{\circ}C$ to $40.1^{\circ}C$ after 24 hours, and was brought down from $39.43^{\circ}C$ to $39.4^{\circ}C$ after 72 hours of So Shi Ho decoction administration. 5. The rabbit's temperature was elevated by administration the Salmonella typhi (Ty 2) through the mouth. The average rabbit's temperature were elevated from $39.43^{\circ}C$ to $39.6^{\circ}C,\;39.73^{\circ}C,\;40.01^{\circ}C$ and $40.07^{\circ}C,$ there was no visible change. 6. The rabbit's temperature was elevated from $39.43^{\circ}C$ to $40.03^{\circ}C$ after 24 hours, and was brought down from $39.43^{\circ}C$ to $39.37^{\circ}C$ after 72 hours of So Shi Ho decoction administration. 7. Above the results, we could find the some sedative action of the So Shi Ho decoction efficacy on the Samonella typhi (Ty 2) of the rabbits in the fever cases.

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Diagnostic Imaging of Lipoma in the Retroperitoneum and Pelvic Cavity in a Dog (개의 후복강과 골반강에 발생한 지방종의 진단영상 증례)

  • Lee, Nam-Soon;Kim, Jun-Young;Na, Eung-Sic;Kim, Mi-Eun;Lee, Hye-Yeon;Choi, Mi-Hyun;Kim, Wan-Hee;Kim, Dae-Yong;Choi, Min-Cheol;Yoon, Jung-Hee
    • Journal of Veterinary Clinics
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    • v.27 no.1
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    • pp.88-92
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    • 2010
  • An 11-year-old, spayed female, weighing 10 kg miniature Schnauzer was admitted for abdominal distension, anorexia, pollakiuria, and constipation. A large, homogeneous fat opacity mass was identified in the retroperitoneum and pelvic cavity on the abdominal survey radiography. The mass displaced the descending colon peripherally and ventrally, and the urinary bladder ventrally. On the abdominal ultrasonographic examination, the mass was uniformly hyperechoic with a coarse internal echo texture and had outer hyperechoic capsule, and it showed homogeneously same attenuation (-180 ~ -110 HU) as adjacent fat on the computed tomography. There was no evidence of invasion into the surrounding structures or organs. Cytological findings from fine needle aspirates were numerous sheets and clusters of adipocytes. The dog showed complete resolution of clinical signs after surgical resection of the mass. The mass was confirmed as simple lipoma through histopathological examination.

Diagnostic Imaging of Solitary Nodular Cecal Lymphoma in a Dog (맹장에 발생한 단일성 결절형 소화관 림프종의 영상 진단 증례)

  • Jung, Joo-Hyun;Kwon, Do-Hyoung;Lee, Seung-Hee;Chang, Jin-Hwa;Oh, Sun-Kyoung;Yoon, Jung-Hee;Choi, Min-Cheol
    • Journal of Veterinary Clinics
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    • v.26 no.1
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    • pp.81-85
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    • 2009
  • A spayed female, 8-year-old, maltese, weighing 1.84 kg with a history of acute severe vomiting, anorexia, depression for 2 day was referred. An abdominal mass was palpated with abdominal pain on physical examination. Radiographic findings included two soft tissue density masses in the mid-abdominal cavity and gas dilated colon. Ultrasonographs showed one heterogeneous hypoechoic round mass including intestinal wall. There were loss of normal wall layering and motility and absence of internal lumen of the intestinal wall. And another heterogeneous hyperechoic mass was identified to the medial side of the intestinal mass. Based on clinical signs, image findings, and the result of fine needle aspiration, intestinal obstruction due to alimentary lymphoma was diagnosed. On surgery, a cecal lymphoma and mesenteric lymphadenopathy were confirmed and the cecal mass was resected.

A Case of Alcoholic Liver Cirrhosis Treated with Injinoryeong-san (인진오령산(茵蔯五苓散)을 투여한 알코올성 간경변 환자 치험 1례)

  • Kang, Ki-wan;Lee, Jong-hoon
    • The Journal of Internal Korean Medicine
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    • v.37 no.1
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    • pp.135-142
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    • 2016
  • Objectives: To introduce the effect of traditional Korean medicine (TKM) treatment with Injinoryeong-san on alcoholic liver cirrhosis (ALC).Methods: A 37-year-old man with a history of alcohol ingestion for the past five years was diagnosed with ALC based upon his clinical symptoms, sonogram results, and laboratory studies. The patient received TKM treatment with acupuncture, moxibustion, and Injinoryeong-san in parallel to Western medicine for two weeks. The clinical assessment was monitored based upon changes in the Child-Pugh score and ultrasonography, body weight, and abdominal circumference for measuring the amount of ascites.Results: The patient’s clinical symptoms improved with decreases in abdominal circumference and body weight. Ultrasound revealed a regression of the amount of ascites in the abdominal cavity. Laboratory results also improved significantly, and the Child-Pugh score increased from class B to A.Conclusions: This case report showed a significant improvement of ALC with relatively simple treatment for only a short period and therefore supported the potential of TKM treatment in ALC.

Testosterone/Estradiol Ratio in a Dog with Sertoli Cell Tumor-Seminoma Combination

  • Song, Doo-Won;Lee, Chang-Min;Kim, Seung-Gon;Kang, Min-Hee;Kim, Dong-Wook;Kim, Hwi-Yool;Eom, Kidong;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.38 no.5
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    • pp.221-224
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    • 2021
  • A 8-year-old male Golden Retriever dog with bilateral cryptorchidism presented for evaluation of symmetric alopecia and gynecomastia. Abdominal radiography and computed tomography revealed bilateral enlargement of the testicles in the abdominal cavity. The concentrations of estradiol and testosterone in the blood were evaluated, and the results revealed a low testosterone/estradiol ratio despite a normal concentration of estradiol. For correction, cryptorchid testicles were surgically removed. Grossly, the bilateral retroperitoneal cryptorchid testicles were enlarged, firm, and spherical. On histopathologic examination, the right abdominal cryptorchid testicle was diagnosed as a Sertoli cell tumor (SCT)-Seminoma (SEM) combination. The contralateral testicle in the abdomen was diagnosed as a Sertoli cell tumor. The clinical signs of feminization were improved after surgery. To our knowledge, this is the first report of a case of simultaneous SCT on one side and SCT-SEM combination on the other side with sex hormone profiles in a dog.

Acute Pancreatitis after Additional Trauma in Chronic Traumatic Pancreatic Diaphragmatic Hernia

  • Mun, You Ho;Park, Sin Youl
    • Journal of Trauma and Injury
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    • v.32 no.1
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    • pp.66-70
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    • 2019
  • Traumatic diaphragmatic injuries (TDIs) are a rare complication in thoraco-abdominal trauma. The diagnosis is difficult and if left untreated, TDI can cause traumatic diaphragmatic hernia (TDH). Through an injured diaphragm, the liver, spleen, stomach, small intestine, and large intestine can be herniated to the thoracic cavity, but pancreatic herniation and pancreatitis are quite rare in TDH. This paper reports a case of pancreatitis developed by additional trauma in a patient with asymptomatic chronic TDH. A 58-year-old male visited the emergency department with a left abdominal injury after a fall 6 hours earlier. The vital signs were stable, but the amylase and lipase levels were elevated to 558 U/L and 1,664 U/L, respectively. Abdominal computed tomography (CT) revealed a left diaphragmatic hernia and an incarceration of the stomach, pancreatic ductal dilatation, and peripancreatic fatty infiltration. Additional history taking showed that he had suffered a fall approximately 20 years ago and had an accidentally diaphragmatic hernia through a chest CT 6 months earlier. A comparison with the previous CT revealed the pancreatitis to be caused by secondary pancreatic ductal obstruction due to the incarcerated stomach. For pancreatitis, gastrointestinal decompression was performed, and after 3 days, the pancreatic enzyme was normalized; hence, a thoracotomy was performed. A small ruptured diaphragm was found and reposition of the organs was performed. This paper reports the experience of successfully treating pancreatitis and pancreatic hernia developed after trauma without complications through a thoracotomy following gastrointestinal decompression.

A study on The Assignment of Jangbu(臟腑) to Chon.Gwan.Cheok(寸.關.尺) in "Maekyojeongmiron(脈要精微論)" ("소문(素問).맥요정미론(脈要精微論)"의 촌관척(寸關尺) 장부배속(臟腑配屬)에 대한 고찰)

  • Yang, Kwang-Yeol
    • Journal of Korean Medical classics
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    • v.22 no.1
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    • pp.27-34
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    • 2009
  • In "Maekyojeongmiron(脈要精微論)", Jangbu(臟腑) is assigned to Chon.Gwan.Cheok(寸關尺) in according to the position. Kidney[腎] is assigned to the backward area of Cheok. Abdominal cavity[腹中] is assigned to the middle area of Cheok. Hypochondrium[季脇] is assigned to the forward area of Cheok. Liver[肝] is assigned to the backward area of left Gwan. Diaphragm[鬲] is assigned to the forward area of left Gwan. Stomach[胃] is assigned to the backward area of right Gwan. Spleen[脾] is assigned to the forward area of right Gwan. Heart[心] is assigned to the backward area of left Chon. Central part of the chest[膻中] is assigned to the forward area of left Chon. Lung[肺] is assigned to the backward area of right Chon. Thoracic cavity[胸中] is assigned to the forward area of right Chon. This method of assignment is simple and useful in clinic.

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