• Title/Summary/Keyword: Diaphragm Rupture

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Hemangiosarcoma in a German Shepherd Dog (German Shepherd견의 혈관육종례)

  • 윤정희;권오경;성재기
    • Journal of Veterinary Clinics
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    • v.13 no.1
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    • pp.87-92
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    • 1996
  • A hemangiosarcoma in a 30 kg, 6-year-old German Shepherd dog showing signs of abdominal distension, anorexia and depression was diagnosed with clinicopathologic examination, abdominal radiographs and ultrasonographic assessmint. In abdominal radiographs, overall abdominal distension was seen. Stomach and some parts of small intestines were deviated caudo-ventrally by enlarged liver. The splenomegaly was also identified and descending colon was dislocated laterally by splenic mass. In ultrasonographic findings, abdominal fluid was identified. Hepatomegaly was seen and it was consisted of multiple, anechoic cysts. The spleen was enlarged and a large round mass with mixed echo pattern at the mid to tail portion of spleen was identified. Grossly, at necropsy, multi-sized cysts in which contained blood and fibrpus materials and some blood were seen in the cross section and it showed hard consistency. Also, lots of small red tumor nodules were dispersed on the serosal surface of the bladder, omentum, mesentery, diaphragm and peritoneum. In abdominal paracentesis, fluid having almost the same properties as circulating blood was identified. The hemoperitoneum was thought to be resulted from the bleeding into peritoneum owing to the rupture of cystic lesions located on the superficial liver area.

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Dynamic Response of Pneumatic Transmission Lines (공압 전달관의 동적 응답)

  • 박현우;박종호;신필권;심우건
    • Journal of KSNVE
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    • v.9 no.2
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    • pp.285-294
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    • 1999
  • Transient analysis for compressible fluid flow has been performed experimentally and analytically to study the dynamic characteristics of the end volume transmission lines following a sudden pressure change a its entrance. The numerical method was developed based on the method of characteristics. The sudden pressure at its entrance was generated by rupture of diaphragm in a shock tube. The sudden pressure was used to obtain the response, as input signal for the numerical analysis. The response to the sudden pressure at the end volume was measured using a pressure transducer. The experimental result shows good agreements with the numerical result. The effects of tube length, its diameter and end volume magnitude are evaluated on the responses of the pressure and on the damping factor. It is found that the viscous damping effects on the response through the transmission pipeline becomes larger with increasing pi;eline length and decreasing diameter of the pipe and the fluid-elastic stiffness decreases with increasing the terminal volume. The numerical approach presented in this paper can be very useful in designing the instrument and control system.

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Thoracic Splenosis after Splenic and Diaphragmatic Injury

  • Ha, You Jin;Hong, Tae Hee;Choi, Yong Soo
    • Journal of Chest Surgery
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    • v.52 no.1
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    • pp.47-50
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    • 2019
  • Thoracic splenosis is a rare disease that develops as a result of autotransplantation of splenic tissue into the thoracic cavity following splenic and diaphragmatic injury. We report the case of a 53-year-old man with a chief complaint of heartburn and cough. He had a history of traumatic diaphragmatic rupture treated with surgical repair and splenectomy 15 years ago. Imaging studies revealed a paraesophageal mass, and surgical resection was performed considering the possibility of Castleman disease or an esophageal submucosal tumor. Pathologic results showed findings of normal splenic tissue. The patient was discharged on postoperative day 5 without any complications.

A Case of Tension Viscerothorax : A Rare Complication of Diaphragmatic Rupture after Blunt Abdominal Trauma (복부둔상 후 발생한 긴장성 내장흉 1례)

  • Park, Maeng Real;Lee, Jae Ho;Ahn, Ji Yoon;Oh, Bum Jin;Kim, Won;Lim, Kyoung Soo
    • Journal of Trauma and Injury
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    • v.19 no.2
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    • pp.201-205
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    • 2006
  • Tension viscerothorax (gastrothorax) is rare life-threatening disease which is caused by air trapped in viscera. A distended viscera in the hemi-thorax shifts the mediastinal structures and causes extra-cardiac obstructive shock. A defective diaphragm is caused by abdominal trauma or a congenital anomaly. Traumatic diaphragmatic injury can be missed until herniation develops several years after blunt trauma. In our case, a 10-year old boy developed hemodynamic compromise in the emergency department. Three years earlier, he had suffered blunt abdominal trauma during a pedestrian traffic accident, but there was no evidence of diaphragmatic injury at that time. He was successfully resuscitated by gastric decompression and an emergent thoracic operation. The operation finding revealed a traumatic diaphragmatic injury. Tension viscerothorax is a rare, but catastrophic, condition, so we suggest that addition of tension viscerothorax to the Advanced Trauma and Life Support (ATLS) guidelines may be helpful.

Experimental Study of the Shock Wave Dynamics in Micro Shock Tube (Micro Shock Tube에서 발생하는 충격파 실험)

  • Park, Jinouk;Kim, Gyuwan;Kim, Heuydong
    • Journal of the Korean Society of Propulsion Engineers
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    • v.17 no.5
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    • pp.54-59
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    • 2013
  • Micro shock tubes are now-a-days used for a variety engineering applications such as in the field of aerospace, combustion technology and drug delivery systems. But the flow characteristics of micro shock tube will be different from that of well established conventional macro shock tube under the influence of very low Reynolds number and high Knudsen number formed due to smaller diameter. In present study, experimental studies were carried out to a closed end (downstream) Micro Shock Tube with two different diameters were investigated to understand the flow characteristics. Pressure values were measured at different locations inside the driver and driven section. The results obtained show that with the increase in diameter the shock propagation velocity increases as well as the effect of reflected shock wave will be more significant under the same diaphragm rupture pressure.

Experimental Study on a Two-Stage Light-Gas Gun (2단 경가스총에 대한 실험적 연구)

  • Lee, Jung-Keun;Kim, Heuy-Dong;Koo, Ja-Ye
    • Journal of the Korean Society of Propulsion Engineers
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    • v.14 no.4
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    • pp.10-15
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    • 2010
  • Light gas guns have a large number of applications in various fields of engineering. A two-stage light-gas gun can produce an extremely high pressure in a very short interval of time. In general, the two-stage light-gas gun is made up of a high pressure tube, a compression tube and a launch tube, each stage being separated by diaphragms. This can be employed efficiently in the application of ultra-high pressure liquid jets. In the present study, experiments are carried out to investigate the projectile velocity and pressure behavior in the tubes according to the pressure changes at the frist diaphragm opening. In the present study result was found that the rupture pressure of the first diaphragm has a dominant influence on piston acceleration.

Delayed Diagnosis of a Traumatic Diaphragmatic Injury (지연 진단된 외상성 횡격막 손상 1예)

  • Park, Seon-Wook;Kim, Cheol-Hong;Kim, Ji-Youn;Lee, Seung-Hwa;Kim, Young-Wook;Hyun, In-Gyu;Shin, Ho-Seung
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.3
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    • pp.241-245
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    • 2009
  • Traumatic diaphragmatic rupture is uncommon, but requires a prompt diagnosis and repair. Diaphragmatic injury is most commonly associated with automobile accidents. The diagnosis is difficult and may be delayed because there are no specific symptoms, signs, or radiographic studies that are pathognomic for diaphragmatic injury. The most important factor in the diagnosis is a high suspicion and the use of proper diagnostic studies. We report a case involving the delayed presentation of diaphragmatic rupture in a 54 year old man, requiring surgical repair 12 days following multiple blunt trauma. It should be noted that early recognition for diaphragmatic injury is important in patients with multiple trauma to avoid the potential fatal complications.

Clinical analysis of gunshot wound of the chest (흉부총상에 대한 임상적 고찰)

  • Kim, Jong-Ho;Kim, Yong-Jin;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.15 no.4
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    • pp.422-427
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    • 1982
  • A clinical analysis of 82 cases who were sustained the penetrating gun-shot wound in the chest by 8 bullets was done during 4~ year-period from January 1978 to August 1982 in the department of thoracic surgery, CA FGH. Among 82 cases, 61 cases [74.4%] of them were brought to the Hospital by ambulance, 21 cases [25.6%] were by Helicopter and 76 cases [92.7%] of them were admitted within 4 hours after wounding. Thirty eight [46.3%] patients were treated by closed thoracotomy only, 19 cases [23.2%]by open thoracotomy, 18 cases [22.0%] by primary closure with debridement, and 7 cases [8.5%] by vascular surgery. Causes of open thoracotomy were due to massive intrapleural bleeding in 16 cases, rupture of diaphragm in 2 Gases, and heart injury in one case. Among 25 cases of surgical complications, wound infection was most common in 16 cases [53.5%] and recurrent pneumothorax in 3 cases [10%], empyema in 3 cases [10%], and BPF in one case [3.3%]. Hospital mortality was seen in 6 cases due to hypovolemic shock and respiratory insufficiency in 4 cases, spinal shock in 2 cases due to spinal injury.

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A Gastrobronchial Fistula Secondary to Endoscopic Internal Drainage of a Post-Sleeve Gastrectomy Fluid Collection

  • Paraskevas Gkolfakis;Marc-Andre Bureau;Marianna Arvanitakis;Jacques Deviere;Daniel Blero
    • Clinical Endoscopy
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    • v.55 no.1
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    • pp.141-145
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    • 2022
  • A 44-year-old woman underwent sleeve gastrectomy, which was complicated by a leak. She was treated with two sessions of endoscopic internal drainage using plastic double-pigtail stents. Her clinical evolution was favorable, but four months after the initial stent placement, she became symptomatic, and a gastrobronchial fistula with the proximal end of the stents invading the diaphragm was diagnosed. She was treated with antibiotics, plastic stents were removed, and a partially covered metallic esophageal stent was placed. Eleven weeks later, the esophageal stent was removed with no evidence of fistula. Inappropriate stent size, position, stenting duration, and persistence of low-grade inflammation could explain the patient's symptoms and provide a mechanism for gradual muscle rupture and fistula formation. Although endoscopic internal drainage is usually safe and effective for the management of post-laparoscopic sleeve gastrectomy leaks, close clinical and radiological follow-up is mandatory.