• Title/Summary/Keyword: Cloaca

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Anterior Sagittal Transrectal Approach (ASTRA) for Urethrovaginal Fistula after Total Repair of Persistent Cloaca - 1 Case Report - (잔존 총배설강 기형 수술 후 발생한 요도-질 누공에 대한 전방 시상 경직장적 접근 술식 (Anterior Sagittal Transrectal Approach, ASTRA) 1 례보고)

  • Kim, Seong-Min;Kim, Chang-Woo;Kim, Byoung-Kyu;Oh, Jung-Tak;Han, Seok-Joo
    • Advances in pediatric surgery
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    • v.13 no.1
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    • pp.76-80
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    • 2007
  • The authors applied anterior sagittal transrectal apporach (ASTRA) for the repair of urethrovaginal fistula which developed after total repair of persistent cloaca. The patient had been diagnosed to have persistent cloaca, double uterus and double vagina, and received PSARP, excision of right-side uterus and vagina, and left vaginal switch operation at 22 months old. After operation, the patient admitted several times due to frequent urinary tract infection and ectopic stone formation in bladder and neovagina. Urethro-neovaginal fistula was confirmed by cystoscopy and corrected with ASTRA. Postoperative voiding cystourethrogram showed no fistula tract. ASTRA showed improved surgical field, minimized ureterocystic damage, and preserved perirectal nerve due to limited incision of rectum.

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Aerobic bacteria from oral cavities and cloaca of snakes in a petting zoo

  • Jho, Yeon-Sook;Park, Dae-Hun;Lee, Jong-Hwa;Lyoo, Young S.
    • Korean Journal of Veterinary Research
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    • v.51 no.3
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    • pp.243-247
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    • 2011
  • It is important to identify the bacteria in snakes because they can cause disease; importantly, bacteria such as Stenotrophomonas maltophilia, Escherichia coli, Proteus vulgaris etc. could be pathogens especially in hospitalized, debilitated hosts, and immunocompromised patients. To analyze the distribution of snakes' bacteria in petting zoo, samples from 20 snakes were collected from 2002 to 2008. Nine bacteria species were isolated from both oral and cloaca while four and six species were identified only from oral and cloaca, respectively. Except for Actinobacter sp., all of the identified strains are opportunistic pathogens, and most of them can cause nosocomial infections in humans. Present results indicate that prevalence of various zoonotic bacterial strains in snakes could be involved in potential transfer of these bacteria into caretakers and other animals. Therefore, it needs to examine the antibiotic resistance of these pathogens to prevent outbreaks.

Repair of Cloacal Anomaly Using "Total Urogenital Mobilization Method of Pe$\tilde{n}$a" (Pe$\tilde{n}$a 씨 'Total Urogenital Mobilization" 법을 이용한 총 배설강 기형 교정 경험)

  • Jung, Jae-Hee;Song, Young-Tack
    • Advances in pediatric surgery
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    • v.6 no.2
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    • pp.128-133
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    • 2000
  • Persistent cloaca in a female newborn is one of the most complex and challenging anorectal malformation. The incidence is about 10% of all anorectal anomalies. Treatment of cloacal malformations has evolved during the past 40 years. However, it still remains one of the most difficult operations. In 1997, Pena reported a new procedure called "Total urogenital mobilization". We have repaired 3 cases of cloacal anomaly using "Total urogenital mobilization". The operations were performed between age 15 and 28 months. The length of the common channels was 2.5 - 3.0 cm. Two cases had double vaginas and one of them also had double uterus. The operation time was 4-5 hours and no major complications occurred. Functional and cosmetic results were satisfactory.

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Impact of quorum quenching bacteria on biofouling retardation in submerged membrane bioreactor (SMBR)

  • Pervez, Saimar;Khan, Sher Jamal;Waheed, Hira;Hashmi, Imran;Lee, Chung-Hak
    • Membrane and Water Treatment
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    • v.9 no.4
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    • pp.279-284
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    • 2018
  • Membrane biofouling is a critical operational problem that hinders the rapid commercialization of MBRs. Quorum quenching (QQ) has been investigated widely to control membrane biofouling and is accepted as a promising anti-fouling strategy. Various QQ strategies based on bacterial and enzymatic agents have been identified and applied successfully. Whereas, this study aimed to compare indigenously isolated QQ strain i.e., Enterobacter cloaca with well reported Rhodococcus sp. BH4. Both bacterial species were immobilized in polymeric beads and introduced to two different MBRs keeping the overall beads to volume ratio as 1%. Efficiencies of these strains were monitored in terms of prolonging the membrane filtration cycle of MBR, release of extra-cellular polymeric substances, membrane resistivity measurements and mineralization of signal molecules and permeate quality. Indigenous strain (Enterobacter cloaca) was added to $QQ-MBR_E$ while Rhodococcus sp. BH4 was introduced to $QQ-MBR_R$. QQ bacterial embedded beads showed enhanced filtration cycles up to 1.4 and 2.3 times for $QQ-MBR_E$ and $QQ-MBR_R$ respectively as compared to control MBR (C-MBR). Soluble EPS concentration of 52 mg/L was observed in C-MBR while significantly lower EPS concentration of 20 and 10 mg/L was witnessed in $QQ-MBR_E$ and $QQ-MBR_R$, respectively. Therefore, substantial reduction in biofouling showed the effectiveness of indigenous strain.

A Cloacal Exstrophy Variant Associated with Hindgut Duplication (후장중복증을 동반한 변형 총배설강외반증)

  • Lee, Tae-Seok;Oh, Soo-Myung
    • Advances in pediatric surgery
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    • v.1 no.2
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    • pp.190-194
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    • 1995
  • Diphallus is a rare congenital anomaly and is frequently associated with duplication of the urinary tract and rectosigmoid, and commonly associated with vertebral anomalies. Remzi reported less than 100 cases of duplication of all or a portion of the penis, but about 10 cases of complete diphallus with exstrophy of cloaca was reported, and a case of complete diphallus associated with hindgut duplication was reported, and complete diphallus with displacement of bladder associated hindgut duplication and imperforate anus was not reported in Korea. We experienced a case of the complete diphallus associated with displacement of bladder, hindgut duplication, and imperforate anus as a variant of cloacal exstrophy. A review of published cases suggests that this may be the first example of a complete diphallus with displacement of bladder coexisting with the hindgut duplication and imperforate anus.

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Congenital defects in a fowl II. A three-legged fowl-Polymelus with an extra hindlimb at the pelvic region (닭의 선천성결함(先天性缺陷) II. 1개(個)의 여분의 후지(後肢)가 신부(腎部)에 부착된 다지기형(多肢畸形))

  • Kim, Chong Sup
    • Korean Journal of Veterinary Research
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    • v.31 no.3
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    • pp.235-240
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    • 1991
  • The abnormal male Newhampshire of five months age with three hindlimbs was examined macroscopically and radiographically The external feature included two normal wings, two normal hindlimbs and an underdeveloped extra hindlimb, which was attached to the pelvic region. The extra hindlimb consisted of an underdeveloped femur like bone, tibiotarsus likebone, tarsometatarsus like bone and three rows of digits with claw. The femur like bone was fused with pelvic girdle like bone. The bones of extra hindlimb were fused into one except one row of digit, which was attached to the tibiotarsus like bone. Three ceca and one cloaca with two vents were also observed.

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A case of congenital cloacal exstrophy/omphalocele-exstrophy-imperforate anus-spinal defects syndrome and a successful pregnancy

  • Seat, Mara;Boxwalla, Munira;Hough, Arielle;Goodwin, Glenn
    • Clinical and Experimental Reproductive Medicine
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    • v.49 no.3
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    • pp.215-218
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    • 2022
  • Herein, we report an exceptionally rare case of a 25-year-old woman with cloacal exstrophy/omphalocele-exstrophy-imperforate anus-spinal defects (OEIS) syndrome achieving a viable pregnancy despite many gastrointestinal and genitourinary malformations and multiple respective corrective operations. The patient was born with two vaginas, two uteruses, four ovaries, an imperforate anus, a large omphalocele including bowel and bladder exstrophy, and diaphysis of the pubic rami. This patient is the only documented OEIS patient not to have tethered spinal cord as an anomaly, perhaps contributing to her successful pregnancy. After experiencing preeclampsia with severe features at 35 weeks, the baby was born via cesarean section.

Parachordodes megareolatus, a New Species of Horsehair Worm(Nematomorpha: Gordioida: Gordea) from Korea (한국산 철선충류 (유선형동물문: 연가시강: 연가시목)의 1신종, 진주철선충)

  • Andreas Schmidt-Rhaesa;Pyung-Rim Chung;Woon-Mok Sohn
    • Animal Systematics, Evolution and Diversity
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    • v.19 no.2
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    • pp.161-166
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    • 2003
  • One new species of horsehair worms (Nematomorpha) from Korea, Poruchordodes megareolatus, is described. The specimen is reported from the human urinary system. The significance of this and other reports from the urinary system is discussed. The characteristics of the new species are clusters of a small type of cuticular structures, the areoles, which are associated with a second type of areoles, the large megareoles. Another character unique for the genus Parachordodes is the fusion of rows of cuticular bristles on the ventral side anterior of the cloacal opening.

A Technique for Caecostomy in the Chicken (닭에 있어서의 Caecostomy (맹장으로 튜브를 삽입하는) 기술)

  • Son, Jang-Ho
    • Journal of Life Science
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    • v.14 no.4
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    • pp.537-540
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    • 2004
  • A caecostomy technique (surgery for inserting tube into caeca) was developed to quantify urine backflow into the caeca. Two days post-surgery, caecostomised chickens were flushed with 20 ml of warm saline solution every other day for 10 days. After surgery birds temporarily lost appetite and activity, but they were restored gradually in a few days. The incision healed within 10 days post-surgery. Excreta were collected daily from caecal tubing and cloaca by surgical attachment of polyethylene collection vessels to the chickens. Post-mortem examinations ascertained that the caeca were intact around the Latex tubing.

Pathological changes on naturally occuring necrotic enteritis in chicken (닭의 괴사성 장염에 대한 병리학적 연구)

  • Kim, Hong-jib;Kang, Mun-il;Chung, Un-ik
    • Korean Journal of Veterinary Research
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    • v.37 no.1
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    • pp.161-166
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    • 1997
  • From January of 1991 to December of 1992, 42 chickens collected from 21 poultry farms and also diagnosed as necrotic enteritis(NE) was examined clinical signs, gross and histopathological findings. Main clinical signs were characterized by decreased appetite, mild to severe depression, reductance to move, ruffled feathers, greenish to yellow-browinish diarrhea sometimes including blood. As progressed, diseased chickens showed feces mixed with necrotic debris which detached from the intestinal mucosa and mostly resulted in the death. In chronic cases, there were dirty feathers around cloaca due to diarrhea and notably retarded growth. Principle gross lesions were usually confined to the jejunum and ileum, especially toward the lower part of Meckel's diverticulum. The part of small intestine was frequently distended with gas, and also showed mucosal congestion and hemorrhages with varying degrees. Sometimes, the intestinal mucosa was thickened, and also covered with fibronecrotic psuedomembrane. In addition, there were focal necrosis and severely multifocal ulcreation in the mucosa of small intestine. Major histopathological findings included villous necrosis and erosion of the small intestine covering with lots of bacterial colonies, inflammatory cell infiltration in the lamina propria, and dilatation and hyperplasia of crypts. Luminal exudate contained bacterial colonies, fibrin, erythrocytes, and desquamated epithelium. Thirteen(61.9%) out of 21 NE-occurring farms were complicated with intestinal coccidiosis.

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