• Clinical and Experimental Pediatrics
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• v.46 no.7
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• pp.722-725
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• 2003

Intussusception is a common cause of lower intestinal bleeding from five to 11 months of age. Typical symptoms are paroxysmal colicky pain, irritability, vomiting, abdominal mass and currant jelly stool, but hematemesis is rare. Though the most common type of intussusception is ileocecal type, it is rarely accompanied with hematemesis. Up until the present, hematemesis has been observed rarely but only in ileoileal type intussusuption for children and gastrojejunal or jejunojejunal type intussuception for adults who went through gastrectomy. We report a case of the ileocolic type intussusception associated with hematemesis in a 18 months old child.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.21 no.1
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• pp.72-75
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• 2018

Colorectal carcinoma is a well-known malignancy in adults. However, it is rare in children. Besides, it also has different behaviour in paediatric age-group and usually presents with non-specific symptoms like abdominal pain, weight loss, and anaemia. This usually leads to delay in diagnosis. Adenocarcinoma in children has unfavourable tumour histology (mucinous subtype) and advanced disease stage at presentation which lead to poorer prognosis in children. Family history, genetic typing and sibling screening are essential components of management as this malignancy is frequently seen associated with hereditary syndromes. We describe a case of unusual presentation of rectal carcinoma in a 12-year-old girl.

• Childhood Kidney Diseases
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• v.19 no.1
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• pp.1-7
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• 2015

Coexisting voiding and bowel dysfunction in children are common in the clinic. The idea that overactive bladder (OAB) and constipation arise from one single pathophysiology has been reinforced in many studies. In Korea, a nationwide multicenter study conducted in 2009 showed that overall prevalence of OAB in children, 5-13 years of age, was 16.59% and this number has increased more recently. The initial step to manage coexisting fecal retention and OAB in children is to characterize their bowel and bladder habits and to treat constipation if present. Although diagnosing constipation in children is difficult, careful history-taking using the Bristol Stool Form Scale, and a scoring system of plain abdominal radiography, can help to estimate fecal retention more easily and promptly. Non-pharmacological approaches to manage functional constipation include increasing fluids, fiber intake, and physical activity. Several osmotic laxatives are also effective in improving OAB symptoms and fecal retention. Additionally, correction and education in relation to toilet training is the most important measure in treating OAB with fecal retention.

• Journal of Chest Surgery
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• v.46 no.2
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• pp.146-149
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• 2013

Mesenteric ischemic symptoms appear only when two of the three major splanchnic arteries from the abdominal aorta are involved. Recently, we encountered a case of chronic mesenteric ischemia in a 50-year-old female patient caused by atherosclerotic obstruction of the celiac trunk and superior mesenteric artery. She was treated with a retrograde bypass graft from the right common iliac artery to the superior mesenteric artery (SMA) in a C-loop configuration. Complete revascularization is recommended for treatment of intestinal ischemia. When the celiac trunk is a not suitable recipient vessel, bypass grafting to the SMA alone appears to be both an effective and durable procedure for treating intestinal ischemia.

• Clinical and Experimental Pediatrics
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• v.56 no.3
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• pp.135-138
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• 2013

Sternal malformation/vascular dysplasia association is a rare congenital dysmorphology, which has not yet been reported in Korea. Its typical clinical features include a sternal cleft covered with atrophic skin, a median abdominal raphe extending from the sternal defect to the umbilicus, and cutaneous craniofacial hemangiomata. We report a case of a full-term newborn who presented with no anomalies at birth, except for a skin defect over the sternum and a supraumbilical raphe. Multiple hemangiomas appeared subsequently on her chin and upper chest wall, and respiratory distress due to subglottic hemangioma developed during the first 2 months of life. Her symptoms were controlled with oral prednisolone administration. No respiratory distress have recurred during the 3-year follow-up period.

• CELLMED
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• v.4 no.2
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• pp.10.1-10.8
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• 2014

Affecting more than half of menstruating women, dysmenorrhea is a cramp which causes abdominal or lower back pain just before or during a menstruation. In western medicine, non-steroidal anti-inflammatory drugs (NSAIDs) are normally used to treat primary dysmenorrheal symptoms. Despite their rapidity in relieving pain, NSAIDs have many serious side effects on the liver, kidney, and gastrointestinal tract. Thai traditional medicines comprise many preparations for treating dysmenorrhea, especially Prasaplai preparation which has been listed in the Thai traditional common household drug list since 2006. The use of Prasaplai was originated about 100 years ago and is still being used in the present time to treat dysmenorrhea. This review focuses on the history of the preparation, active ingredients, and biological activities especially on cyclooxygenase inhibitor, artifacts occurred in the preparation, quantitative analysis, and clinical trial of Prasaplai formulation.

• Journal of The Korean Society of Clinical Toxicology
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• v.4 no.2
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• pp.180-186
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• 2006

The various species of aconitum contain diterpene (C-20) and norditerpene (C-19) forms of the natural alkaloid aconitine that cause neurologic, gastrointestinal, cardiovascular symptoms. In chinese medicine, these plants has been used as drugs to treat pain, dyspepsia, cerebrovascular disease, and so on. Because the therapeutic window is narrow, poisoning may occur from unintentional exposure, with a variety of toxic effects such as arrhythmia, hypotension, paresthesia, paralysis, nausea, vomiting, and abdominal pain. Aconitine-containing folk remedies are widely used in Korea. We encountered two cases of ventricular arrhythmia in patients who ingested tablets, known as 'Wha-Pung-Dan' made with aconitine extracts and were subsequently admitted to the ED. A 42 year-old man who took 35 tablets presented with ventricualr tarchycardia, and 40 year-old woman who took 40 tablets showed premature ventricular contractions. Both patients were discharged normally without any complications after three days.

• Advances in pediatric surgery
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• v.19 no.2
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• pp.140-144
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• 2013

Adrenal venous malformation is an uncommon disease. We report a case of an incidentally diagnosed adrenal cystic mass during an evaluation for gastritis in a child. A 14-year-old girl admitted to our pediatric department for epigastric pain. After the gastroscopy, she was diagnosed with hemorrhagic gastritis. A 5.5 cm-sized cystic mass was incidentally found adjacent to her left adrenal gland during an ultrasound examination for evaluating her abdominal symptoms. She underwent laparoscopic surgery for the diagnosis and treatment of this cystic mass, which was confirmed to be venous malformation at pathologic diagnosis.

• The Journal of Pediatrics of Korean Medicine
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• v.16 no.1
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• pp.203-216
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• 2002

Objective : There were few reports on the treatment of 'Intestinal pseudoobstruction secondary to Transverse Myelitis'. This study about the Oriental medical treatment conducted on the 'Intestinal pseudoobstruction secondary to Transverse Myelitis' shows the possibility of healing 'Intestinal pseudoobstruction secondary to Transverse Myelitis'. Methods : The acupuncture and herbal medicine therapies were applied for improving the function of stomach & spleen and harmonizing energy & blood. Results : After treatments, the symptoms (abdominal pain, vomiting, constipation, oral intake unable) of 'Intestinal pseudoobstruction secondary to Transverse Myelitis' were improved. Conclusion : The more study about the Oriental medical treatment and conception on 'Intestinal pseudoobstruction secondary to Transverse Myelitis' is needed.

• Journal of Physiology & Pathology in Korean Medicine
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• v.16 no.6
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• pp.1297-1301
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• 2002

Tubercular peritonitis become ill suddenly or insidiously. Common clinical symptom is an abdominal pain which is spread out to all abdomen or extention of abdomen by a localized pain and ascites. Besides, there is fever, nausea, vomiting, diarrhea and general whole body sign by tuburclosis. We watched a tubercular peritonitis patient which is a woman in poor health after childbirth and investigated treatment process, every disease after childbirth and tubercular peritonitis. We treated her with Herb-Medicine for 30 days according to chief symptom's changes. The patient improved in clinical symptoms.