• Title/Summary/Keyword: Case-finding

Search Result 1,762, Processing Time 0.036 seconds

A Case of Relapsing Polychondritis involving Trachea and Bronchi (기관 및 기관지를 침범한 재발성다발연골염 1례)

  • 임상철;장일권;임성철;박경옥
    • Korean Journal of Bronchoesophagology
    • /
    • v.4 no.1
    • /
    • pp.117-121
    • /
    • 1998
  • Relapsing polychondritis is a rare disesase involving any cartilaginous structure of entire body and is characterized by recurrent episode of inflammation and degeneration of cartilage and most commonly involve ear, nose, larynx, trachea, ribs, Eustachian tube, etc. Its signs and symptoms are recurrent swelling of auricle, saddle nose deformity, polyarthralgia, hoarseness and dyspnea, audiovestibular disturbance and cardiovascular abnormality, etc. Characteristic histologic findings are loss of normal basophilic staining of cartilage, perichondrial inflammatory infiltration with plamsa cells, lymphocytes and neutrophils, and finality, destruction of cartilage and replacement with scar tissue. Our case had saddle nose deformity, arthralgia, tracheal collapse, hearig loss and positive histologic finding but no auricular perichnodritis. Her major problem was airway. obstruction due to tracheal collapse. This case was diagnosed with relapsing polychondritis according to the Damiani's criteria. This case indicates that any patients complaining of airway obstruction have to be examined systemically.

  • PDF

Appendiceal Mucinous Neoplasm Detected due to the Protrusion of Mucin, in the Absence of Appendiceal Distension: A Case Report

  • Park, Jin Woo;Park, Min Geun;Song, Ji-Sun;Cho, Hyeon Je;Kim, Yu Jin
    • Journal of Digestive Cancer Research
    • /
    • v.8 no.2
    • /
    • pp.109-111
    • /
    • 2020
  • A mucocele is a cystic dilatation of the vermiform appendix that contains mucous material. The symptoms associated with it are not specific and the diagnosis is seldom made prior to surgery. The reported prevalence in appendectomy specimens procured during surgery is 0.2-0.3%. Recently, we experienced a case of patient with appendiceal mucocele detected by colonoscopic examination. This case did not show typical colonoscopic features of a mucocele, demonstrating protrusion of mucin, in the absence of a smooth mound with normal overlying mucosa surrounding the appendiceal orifice. The case involved a 64-year-old woman who underwent a colonoscopy. An abdominopelvic computed tomography scan suggested a normal appendix. Subsequently, we performed an appendectomy. The pathologic finding was a low-grade appendiceal mucinous neoplasm.

Behcet`s Syndrome with Aortic Aneurysm: A Case Report (Bechet`s 병과 합병된 상부대동맥류: 치험 1례 보고)

  • Gang, Jeong-Ho;Lee, Jeong-Ho;Yu, Hoe-Seong
    • Journal of Chest Surgery
    • /
    • v.10 no.1
    • /
    • pp.98-105
    • /
    • 1977
  • A 36 year old blindman, engineer was admitted with chief complaints of hemoptysis, recurrent sore throat, pyoderma in genital organ, uveitis and thrombophlebitis for 10 years. Above the chief complaints were remission or exacerbation during hospitalization. Physicalexamination showed that left radial, ulnar & brachial pulse was not palpable. No bruit or murmur was obtained over the mass. Neurologic examination revealed no significant finding.On admission, chest P-A showed hen egg sized round & oval compact hazy density on left upper lung field. Bronchogram revealed no pathological finding and Lt. tomogram showed well define large,ovoid mass density in the superior mediastinum. Fluoroscopy finding showed nonpulsatile on left upper lung field. Pre-op. aortography was not taken, under the impression of lung Ca. rule out .sortie aneurysm, exploratory operation was performed through the 2nd intercostal space, Lt. It was performed that the mass was ascending sortie aneurysm of saccular type. Direct aneurysmectomy with multiple figure of eight suture were done without any prosthetic graft. Post-op. control I.V.C graphy showed completely obstruction sign. Postopcontrol aortography revealed good surgical result. Final, histopathological answered non-specific sortie aneurysm, saccular type. Post-op. courses were uneventful except mild neurologic disturbance with subclavian steal syndrome and associated with both lower leg pitting edema due to inferior vena cava obstruction. After op, 3 month later, discharged to home, with big systemic problem. Behcet`s syndrome reviewed with related literatures. The coexistence of mouth and genital ulceration with hypopyon mentioned by hippocrates and described by various workers in the early part of this century was first defined as a syndrome by Behcet in 1937. In 1937 Behcet described a chronic relapsing triple symptom complex of oral ulceration, genital ulceration, and ocular inflammation. The place of the syndrome as part of a systemic disorder in now clearer, and the under lying pathology appears to be a vasculitis. The disease runs a- chronic course, blindness being the greatest disability and control nervous system involvement a cause of death. Thrombophlebitis is fairly frequent, france et al [1951] giving an incidence of 25% and Dowling [1961] 12%, superficial thrombophlebitis migrans and thrombosis of large veins, including venae cavae [Thomas, 1947: Boolukos 1960] are recorded. Little attention has been paid to arterial involvement. Mishima et al. [1961] described resection cf an aortic aneurysm in a 38 year old man with Behcet`s syndorme. Mounsey in a clinicopathological conference described a case [Brit, med. J., 1966] of ruptured aortic aneurysm in Bechcet`s syndrome treated by aorto-iliac graft. Also, Shikano and Oshima et al [1963] recorded two aneyrysm of smaller arteries. Unfrequently, aortic aneurysm was presumed to be secondary to osteomyelitis of the lumber spine, though the possible association between aortic aneurysm and Behcet`s syndrome was raised. A further case is reported here, in which ascending aortic aneurysm with Behcet`s Ds. appeared to form part of this generalized disease. This is a case report of surgical experience of Behcet`s Ds. with ascending aortic aneurysm which had nearly all the typical clinical features. Above mentioned and was reviewed with related literatures.

  • PDF

Artery to Collecting System Communication after Abdominal Trauma (복부 외상 후 발생한 동맥-집뇨계 간 연결)

  • Lee, Chang Ug;Kwon, O Jung;Bang, Sung Hak;Choi, Nak Young;Lee, Chang Sub;Ahn, Seung Hyun
    • Journal of Trauma and Injury
    • /
    • v.19 no.2
    • /
    • pp.192-195
    • /
    • 2006
  • Degenerative vascular disease, previous arterial surgery, long-term ureteral stenting, pelvis surgery, and radiotheraphy are reported as causes of artery-to-collecting-system communication.. Artery-to-collecting-system- communication associated with blunt trauma is rare, but potentially fatal. The diagnosis is very difficult and requires a high degree of suspicion. We were able to make the diagnosis based on the characteristic finding of contrast-enhanced computed tomography (CT) obtained in the early phase, equivalent to the finding obtained in the corticomedullary phase of the kidney. We report a case of artery to collecting system communication due to blunt abdominal trauma following a fall, which was treated by embolization.

STRONG CONVERGENCE OF AN ITERATIVE METHOD FOR FINDING COMMON ZEROS OF A FINITE FAMILY OF ACCRETIVE OPERATORS

  • Jung, Jong-Soo
    • Communications of the Korean Mathematical Society
    • /
    • v.24 no.3
    • /
    • pp.381-393
    • /
    • 2009
  • Strong convergence theorems on viscosity approximation methods for finding a common zero of a finite family accretive operators are established in a reflexive and strictly Banach space having a uniformly G$\hat{a}$teaux differentiable norm. The main theorems supplement the recent corresponding results of Wong et al. [29] and Zegeye and Shahzad [32] to the viscosity method together with different control conditions. Our results also improve the corresponding results of [9, 16, 18, 19, 25] for finite nonexpansive mappings to the case of finite pseudocontractive mappings.

Development and Implementation of Algebraic Elimination Algorithm for the Synthesis of 5-SS Spatial Seven-bar Motion Generator (5-SS 공간 7절 운동생성기 합성을 위한 대수적 소거 알고리듬의 개발과 구현)

  • Lee, Tae-Yeong;Sim, Jae-Gyeong
    • Transactions of the Korean Society of Mechanical Engineers A
    • /
    • v.24 no.1 s.173
    • /
    • pp.225-231
    • /
    • 2000
  • Dimensional synthesis of planar and spatial mechanisms mostly requires solution-finding, procedure for a system of polynomial equations. In case the system is nonlinear, numerical techniques like Newton-Raphson are often used. But there are no logical ways for finding all possible solutions in such iterative methods. In this paper, algebraic elimination is used to get all solutions for the synthesis of 5-SS spatial mechanism with seven prescribed positions. The proposed algorithm is more suitable for computer implementation and takes less time than existing one. Two numerical examples are given to demonstrate the implemented algorithm.

On a Stability Region of Liner Time-Varying Systems (선형시변 시스템의 안정도 영역에 관하여)

  • 최종호;장태정
    • The Transactions of the Korean Institute of Electrical Engineers
    • /
    • v.37 no.7
    • /
    • pp.484-489
    • /
    • 1988
  • Sufficient conditions concerning the perturbation region of system parameters, which guarantee the asymptotic stability of linear time- varying systems, are presented. These conditions are obtained by Lyapunov function approach for continuous-time and discrete-time systems. Also, a computational algorithm using nonlinear programming is proposed for finding the maximum perturbation region which satisfies the sufficient condition for the continuous-time systems. The technique of finding the solution for the continuous-time systems can also be applied to the discrete-time systems. In the continuous-time case, it is shown by an example that the method proposed in this paper yields much larger perturbation region of parameters than other previously reported results. An example of the perturbation region of system paramters for the discrete-time system is also given.

  • PDF

Leiomyoma in the Esophagus (Report of A Case) (식도(食道) 평활근종(平滑筋腫)의 수술치험(手術治驗) 1례(例))

  • Oh, Chul Soo;Kim, Kun Ho
    • Journal of Chest Surgery
    • /
    • v.9 no.2
    • /
    • pp.311-314
    • /
    • 1976
  • This is a report of leiomyoma in the esophagus. patient had suffered from mild intermittent dysphagia on eating without any other complaints. This complaint had been going for 45 days, but was not progressed. The esophagogram revealed an ovoid walnut-sized smooth filling defect in the midportion of the esophagus. The mucosal folds of the esophagus were not destroyed. A benign intramural tumor of the esophagus, such as leiomyoma, was suspected with X-ray finding and clinical features. On Aug. 13, 1976 a thoracotomy was performed at right 4th intercostal space. A firm, irregular shaped mass in the wall of the esophagus was enucleated by blunt dissection without any injury of the mucosa of the esophagus. The diagnosis of leiomyoma was confirmed with histopathological finding. Postoperative course was uneventful.

  • PDF

A Case Study:A Learning System for Finding the Ranges of Transcendental Functions (초월함수 치역을 구하는 문제를 통한 학습시스템 모델에 관한 연구)

  • 김일곤;유석인
    • Korean Journal of Cognitive Science
    • /
    • v.1 no.1
    • /
    • pp.103-127
    • /
    • 1989
  • Learning systems by using examples have been developed which include ALEX, LP, and LEX.Specially Silver's LP systems suggerts the method to use a seyuence of operators, which was applied to the worked example, to sove a symbolic equation.This paper presents the new learning system, called LRD, in which generalization and discrimination steps are suggerted to solv all the problems similar to the worked example.The system LRD is illustrated by the problem of finding the ranges of transcendentral functions and compared to LP and LEX by the problems discussed in them.

Anomalous Origin of Right Coronary Artery from Pulmonary Artery (폐동맥에서의 우관상동맥 기시이상증 -1례 치험-)

  • Park, Seong-Hyeok;Kim, Yong-Jin
    • Journal of Chest Surgery
    • /
    • v.21 no.3
    • /
    • pp.553-557
    • /
    • 1988
  • Anomalous origin of right coronary artery from pulmonary artery is a rare congenital cardiac anomaly. Anomalous right coronary artery often be a incidental finding without serious cardiovascular sequale. The only characteristic physical finding is a continuous murmur with diastolic accentuation. There are no diagnostic EKG or chest X-ray changes. Diagnosis is made best by selective left coronary arteriography showing retrograde filling of right coronary artery from collateral vessels. Here, we present a case of twenty-four months old aged girl with anomalous origin of right coronary artery combined with pulmonary stenosis. This is the first pediatric patient with anomalous right coronary artery and the first patient to have surgical correction for this malformation.

  • PDF