• 제목/요약/키워드: Chest computed tomography

검색결과 746건 처리시간 0.026초

Diaphragmatic Hernia after Transhiatal Esophagectomy for Esophageal Cancer

  • Kim, Dohun;Kim, Si-Wook;Hong, Jong-Myeon
    • Journal of Chest Surgery
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    • 제49권4호
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    • pp.306-308
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    • 2016
  • Diaphragmatic hernia was found in a patient who had undergone transhiatal esophagectomy for early esophageal cancer. Chest X-ray was not helpful, but abdominal or chest computed tomography was useful for accurate diagnosis. Primary repair through thoracotomy was performed and was found to be feasible and effective. However, long-term follow-up is required because hernia recurrence is common.

Aortic Valve Replacement Using Balloon Catheter for Thoracic Endovascular Aortic Repair to Patient with Calcified Aorta

  • Kim, In Sook;Byun, Joung Hun;Yoo, Byung Ha;Kim, Han Yong;Hwang, Sang Won;Song, Yun Gyu
    • Journal of Chest Surgery
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    • 제46권3호
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    • pp.212-215
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    • 2013
  • A 79-year-old man was admitted to Samsung Changwon Hospital due to chest pain and dyspnea. The ejection fraction was 31% and mean pressure gradient between the left ventricle and aorta was 69.4 mmHg on echocardiography. Chest computed tomography showed severe calcification of the ascending aorta. Aortic valve replacement was successfully performed using a thoracic endovascular aortic repair balloon catheter without classic aortic cross clamping. The patient was discharged on the eleventh postoperative day.

요골동맥을 통한 관상동맥촬영 중 진단된 편위된 우측쇄골하동맥 1예 (A Case of Aberrant Right Subclavian Artery (Arteria Lusoria) with Chest Tightness and Coughing)

  • 한승희;김수영;박혜경;박종성
    • Journal of Yeungnam Medical Science
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    • 제29권1호
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    • pp.61-64
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    • 2012
  • The left aortic arch with an aberrant right subclavian artery, or arteria lusoria, is the most common aortic arch anomaly, occurring in 0.5-2.5% of individuals. In such cases, the angular course of the arteria lusoria to the ascending aorta imposes difficulty in passing a guide wire to the ascending aorta during right transradial catheterization. Here, the case of a 53-year-old woman with intermittent chest tightness and coughing is reported. Aberrant right subclavian artery (arteria lusoria) was diagnosed via aortogram during right transradial coronary angiography. Compression of the esophagus and trachea by the aberrant right subclavian artery was demonstrated by chest computed tomography (CT).

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Improvement of Pneumonia in a Patient with Non-Small Cell Lung Cancer Treated with Herbal Medicine after Cessation of Antibiotics - a Case Report

  • Song, Si Yeon;Jeon, Hyeonjin;Lee, Sookyung
    • 대한한의학회지
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    • 제38권2호
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    • pp.78-84
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    • 2017
  • A 73-year-old non-small cell lung cancer (NSCLC) patient admitted due to cough, sputum, and dyspnea, aggravated a week ago. She was diagnosed as pneumonia based on the assessment of inflammation markers, chest X-ray and sputum culture. Computed tomography (CT) scan was conducted to exclude malignant tumor metastasis. At the initiation of treatment, considering underlying disease and inflammation marker level, herbal medicine and antibiotics were concurrently used and antibiotics had been discontinued after 10days. Using the monotherapy of herbal medicine in the next 6 days, chest X-ray showed remarkably decreased infiltration in right middle lung and right lower lung. This case represented additional improvement of chest X-ray when treated only with herb medicine after termination of antibiotic therapy and demonstrated the possibility of applying herbal medicine in patients with limited use of antibiotics.

Ectopic Pancreas with Hemorrhagic Cystic Change in the Anterior Mediastinum

  • Byun, Chun-Sung;Park, In-Kyu;Kim, Hyun-Ki;Yu, Woo-Sik
    • Journal of Chest Surgery
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    • 제45권2호
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    • pp.131-133
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    • 2012
  • A 31-year-old female was referred from other hospital due to migrating chest pain, mild cough, and blood-tinged sputum for three days before admission. Laboratory tests were unremarkable. Chest computed tomography revealed an elliptical necrotic mass at the left anterior mediastinum, measuring $7{\times}3{\times}4cm$. With the impression of mediastinal abscess or loculated empyema, thoracoscopic resection was performed. There was severe pleural adhesion around the mass. The mass could be resected by the wedge resection of the adhesed upper lobe tissue of left lung around the mass. Final pathologic diagnosis was ectopic pancreas.

Fixation of Traumatic Sternal Fractures Using SternaLock Plating System

  • Park, Jong Bin;Lee, Han Pil;Yoo, Dong Gon;Kim, Jong Wook;Cho, Won Chul
    • Journal of Chest Surgery
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    • 제46권4호
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    • pp.309-311
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    • 2013
  • A 43-year-old man experienced chest trauma due to a car accident. Compound sternal fractures with severe dislocation were seen on computed tomography of the chest. Using a SternaLock plating system with manual reduction, fixation of the sternal fracture was successfully performed. There were no complications related to the operation.

A Case of Pulmonary Mycobacterium kansasii Disease Complicated with Tension Pneumothorax

  • Boo, Ki Yung;Lee, Jong Hoo
    • Tuberculosis and Respiratory Diseases
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    • 제78권4호
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    • pp.356-359
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    • 2015
  • Pneumothorax is an extremely rare complication of non-tuberculous mycobacterial infection. A 52-year-old man presenting with difficulty breathing and chest pain was admitted to our hospital. A right-sided pneumothorax was observed on chest radiography and chest computed tomography showed multiple cavitating and non-cavitating nodules with consolidation in the upper to middle lung zones bilaterally. Serial sputum cultures were positive for Mycobacterium kansasii, and he was diagnosed with pulmonary M. kansasii disease complicated by tension pneumothorax. After initiation of treatment including decortications and pleurodesis, the patient made a full recovery. We herein describe this patient's course in detail and review the current relevant literature.

소음인(少陰人)으로 오진(誤診)한 소양인(少陽人) 결흉(結胸) 치험례(治驗例) (A case of patient diagnosed as and treated with Hyeongbangdojeoksan)

  • 박혜선;김형순;주종천
    • 사상체질의학회지
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    • 제14권2호
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    • pp.147-152
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    • 2002
  • One woman, Sixty three years old, suffered from chest pain, abdominal pain, nausea and vomiting for about three months. Although many examinations, brain magnetic resonance imaging(MRI), chest computed tomography(CT), abdominal CT, gastric endoscope, abdominal ultrasonography, and so forth, was performed from every point of view, those were non-significant. At first, I wrongly diagnosed her case as disease of Soumin and gave Soumin Gwakhyangjeongkisan. But she complained of diarrhea and chest discomfort. I re-diagnosed her case as Soyangin Gyeolhyung and treated with Hyeongbangdojeoksan, herbal medicine, consisted of Rhizoma Rehmanniae(生地黃), Lignum Akebiae(木通), Radix Scrophulariae(玄蔘), Semen Trichosanthis(瓜蔞仁), etc. Three weeks have passed from first visit and she did not suffered from pain. I experienced the excellent effect of Hyeongbangdojeoksan to Soyangin Gyeonlhyung.

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Multiple Cavernous Hemangiomas of the Posterior Mediastinum, Lung, and Liver: A Case Report

  • Lee, Jang Hoon;Lee, Young Uk;Kang, Hee Joon
    • Journal of Chest Surgery
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    • 제54권6호
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    • pp.547-550
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    • 2021
  • A 71-year-old male patient visited Yeungnam University Hospital with abnormal chest computed tomography (CT) findings. Chest CT revealed multiple lung nodules and a posterior mediastinal tumor, the diagnosis of which was confirmed surgically. Magnetic resonance imaging (MRI) of the abdomen showed multiple small nodules, which were diagnosed as cavernous hemangioma in the liver based on the pathology results of the mediastinal and lung masses in combination with MRI findings. Cavernous hemangiomas are benign tumors that can occur throughout the body, mainly in the skin and subcutaneous tissue. The liver is the most common internal organ containing hemangiomas, whereas they are very rarely found in the lungs or mediastinum.

Cardiac Lipoma Extirpation with Chronic Lung Abscess Excision: A Case Report of Simultaneous Video-Assisted Thoracoscopic Surgery Procedures

  • Kryvetskyi, Volodymyr Fedorovych;Lysak, Pavlo Serhiiovych;Kaminska, Svitlana Hryhorivna;Mitiuk, Bohdan Oleksiiovych
    • Journal of Chest Surgery
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    • 제54권6호
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    • pp.532-534
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    • 2021
  • This study examined a rarely seen benign heart tumor that was found incidentally on a chest X-ray. Radiological images were taken of a 42-year-old patient with no symptoms of a heart condition, showing a thick-walled left lung cavity that appeared after prior inflammation and concomitant enlargement of the cardiac shadow. A large subepicardial lipoma in combination with a chronic abscess on the left lung was revealed on chest computed tomography. The treatment consisted of simultaneous surgical removal of both the lung and heart lesions using video-assisted thoracoscopic surgery.