• Title/Summary/Keyword: Distension

Search Result 308, Processing Time 0.03 seconds

A Case of Chylous Mesenteric Cyst in a Neonate (신생아에서 발견된 유미성 장간막 낭종 1례)

  • Lim, Hyun Taek;Lee, Jung Hwa;Lee, So Hee;Kim, Jeong Eun;Hong, Seong Jin;Choi, Young Chil;Kim, Sang Yun
    • Clinical and Experimental Pediatrics
    • /
    • v.48 no.5
    • /
    • pp.569-571
    • /
    • 2005
  • Mesenteric cysts are one of the least common intraabdominal lesions, which are very rare in neonates. Among mesenteric cysts, a chylous cyst is the rarest one of all. This entity can be found anywhere in the gastrointestinal tract from the duodenum to the rectum. Mesenteric cysts may be asymptomatic and found on routine examinations, or can present with symptoms such as abdominal pain, palpable mass, abdominal distension and intestinal obstruction. We report a rare case of chylous mesenteric cyst in a neonate, who presented with symptoms of the intestinal obstruction along with the review of the literature.

Chronic Intestinal Pseudo-Obstruction Caused by Intestinal Adenocarcinoma in a Mixed-Breed Dog

  • Moon, Heesup;Hong, Subin;Kim, Sangyeoun;Park, Sungguon;Kim, Taehwan;Kim, Nahyun;Lee, Jae-Hoon
    • Journal of Veterinary Clinics
    • /
    • v.33 no.4
    • /
    • pp.210-213
    • /
    • 2016
  • A 9-year-old, mixed-breed, castrated male dog presented with a one-week history of severe vomiting. Abdominal radiography showed a dilated small intestine loop. Abdominal ultrasonography showed small-intestine distension up to 5 cm in diameter without mechanical obstruction. During exploratory laparotomy, an aperistaltic ileal segment was resected. There was no narrowed cavity in the resected plane. Histopathologic and immunohistochemical findings confirmed visceral myopathy due to intestinal adenocarcinoma in the ileum and revealed partial destruction of the longitudinal and circular muscles with fibrosis. Chronic intestinal pseudo-obstruction caused by adenocarcinoma was diagnosed after considering the above investigative results.

Banked Vena Caval Homograft Replacement of the Inferior Vena Cava for Primary Leiomyocsarcoma

  • Lim, Jae Hong;Sohn, Suk Ho;Sung, Yong Won;Moon, Hyeon Jong;Choi, Jae-Sung;Oh, Se Jin
    • Journal of Chest Surgery
    • /
    • v.47 no.5
    • /
    • pp.473-477
    • /
    • 2014
  • Primary leiomyosarcoma of the inferior vena cava (IVC) is a rare malignant tumor. Herein, we report the case of a 52-year-old male patient who had postprandial abdominal distension and right upper quadrant abdominal pain. The abdominal computed tomography (CT) angiogram showed an IVC mass extending from the infrahepatic to the suprarenal inferior vena cava. The radiologic findings were suggestive of an IVC leiomyosarcoma. Surgical resection and reconstruction with a cryopreserved homograft were performed. The follow-up abdominal CT angiogram revealed the patient to be disease-free 6 months after surgery with patency of the IVC and renal vein.

Studies on the overinflation of the Cardiac Stomach in Sterlet Sturgeon Acipenser ruthenus, fingerlings (양식 스털렛 철갑상어, Acipenser ruthenus 치어의 위 팽창 증후군에 관한 연구)

  • Park, Sung-Woo;Yu, Jin-Ha;Han, Jung-Jo
    • Journal of fish pathology
    • /
    • v.25 no.1
    • /
    • pp.59-65
    • /
    • 2012
  • Overinflation of cardiac stomach occurred in farmed sterlet sturgeon (Acipenser ruthenus) fingerlings. Affected fish congregated and swam upside-down near the edges of the tanks with abdominal distension. When pressed the dilated abdomen, the fish often exhibited a normal swimming pattern for some time, then resumed their characteristic upside-down swimming patterns. Internally, the fish showed abdominal dropsy and dilated stomach filled with yellowish granular contents. When the contents in the stomach, fish feed, water and excrement in the farm inoculated on Sabouraud destrose agar (SDA) at $25^{\circ}C$ for 48 hr. Candida sp. were isolated except from the feed. Candida sp. in excrement or water in the farm may enter into the stomach with feed and then produce gases in the metabolic process, which in turn may cause the stomach overinflation.

Generalized Meconium Peritonitis Diagnosed with Antenatal Ultrasonography (산전 초음파검사로 진단된 범발성 태변성 복막염 2예보고)

  • Kim, Soong-Chul;Hwang, Shin;Yoo, Shi-Joon;Kim, In-Koo
    • Advances in pediatric surgery
    • /
    • v.1 no.1
    • /
    • pp.59-62
    • /
    • 1995
  • Meconium peritonitis is defined as an aseptic, chemical or foreign-body peritonitis caused by spill of meconium in the abdominal cavity related to the prenatal perforation of the intestine. Perforation is usually caused by obstruction from meconium ileus, intestinal atresia, stenosis, volvulus, internal hernia, congenital peritoneal bands, intussusception, or gastroschisis. Less commonly, no evidence of distal obstruction exists. Here, we present two cases of generalized meconium peritonitis of antenatal diagnosis. The first case, detected at 8 months of gestational age, had a perforation of the proximal blind pouch of jejunal atresia, associated with respiratory distress due to severe abdominal distension. This case was successfully treated with resection and anastomosis and brief period of postoperative ventilatory support. The second case had a distal ileal perforation with thick meconium in the terminal ileum. In this case, there was no dilatation of ileum proximal to the perforation site. Resection and anastomosis was performed and postoperative course was uneventful.

  • PDF

A Review on "Kimoonbirok" II ("기문비록(岐門秘錄)" 에 대(對)한 고찰(考察) (하(下)))

  • Choi, Kyung-Suk;Kim, Sang-Un;Song, Ji-Chung;Lee, Si-Hyeong
    • Journal of the Korean Institute of Oriental Medical Informatics
    • /
    • v.16 no.2
    • /
    • pp.51-88
    • /
    • 2010
  • An empirical formula that has been empirically shown to be effective for a particular condition can be said to add medical materials to an exciting formula or to make a new prescription by Korean medical doctors' empirical clinic. This dissertation aims to study the prescriptions according to A Confidential Document of A Distinguished Medical Family and to contribute to the development of Korean medicine. A Confidential Document of A Distinguished Medical Family is a medicinal recipe that is an heirloom of the Gyeongju Kim family for the eighth generation. And the date and the writer of the book are unknown. The contents of the book consist of 18 parts and are made up of about 300 medical recipes. Of these, 153 formulas and indications of roundworm, cholera, puffy swelling, abdominal distension, phlegm-rheum, woman, child, summerheat, dryness-heat, eye, and blood are found in the book. From among these, 26 formulas are directly quoted out of The Precious Mirror of Oriental Medicine, 93 formulas are adjusted in proportion or combined and 34 formulas are empirical ones. By the parity of reasoning of the above, I think that this book was published after The Precious Mirror of Oriental Medicine.

  • PDF

A summary on the recent studies on the nature of deficiency of Pi (비허증(脾虛證)의 본질(本質)에 대(對)한 최근(最近) 연구(硏究) 개황(槪況))

  • Won, Jin-Hee;Mun, Gu
    • The Journal of Internal Korean Medicine
    • /
    • v.13 no.1
    • /
    • pp.135-142
    • /
    • 1992
  • Pi(Spleen, 脾) corresponds to central earth and is called as the basis of acquired essence as it has the function of transforting and transforming the nutrients, keeping the blood circulating, and nourishing the muscle and limbs. Recently many studies to research the nature and deficiency of Pi are actively carried out. Especially functional deficiency of Pi(脾虛證) which occupies 60 to 70% or 88% in miscell aneous disease is divided into deficiency of Qi(脾氣虛), Yang(脾陽許), and Yin(脾陰虛), and tought to be positive when three or more such symptoms as anorexia, abdominal distension, loose bowels, pale face and weakness are present. Investigating the resent studies on the nature of the deficiency of Pi shows that Pi has the function of digestive system and also should be considered as functional unit of mult system related immune, metabolic, hematic, muscular, rnddocrine and nervus system. Various experiments as ptyaline activity test and xylose absorption test are used as an indication to deficiency of Pi and would be helpful to understand its nature. As deficiency of Pi appears in many disease and has various manifestations, further studies to diagnose the symptom of Pi using various experiments and oriental medical diagnostic method should be ensued.

  • PDF

Four Human Cases of Diphyllobothrium latum Infection

  • Choi, Hee-Jung;Lee, Jung-Hye;Yang, Hyun-Jong
    • Parasites, Hosts and Diseases
    • /
    • v.50 no.2
    • /
    • pp.143-146
    • /
    • 2012
  • Diphyllobothrium latum infections in 4 young Korean men detected from 2008 to 2012 are presented. Three were diagnosed based on spontaneously discharged strobila of the adult worm in their feces, and 1 case was diagnosed by finding the worm at colonoscopy examination in a local clinic. The morphologic characteristics of the gravid proglottid and eggs were consistent with D. latum. All patients were treated with praziquantel 15 mg/kg, and follow-up stool examinations were done at 2 months after the medication. The main clinical complaints were intermittent gastrointestinal troubles such as indigestion, abdominal distension, and spontaneous discharge of tapeworm's segments in their feces. The most probable source of infection was the flesh of salmon or trout according to a patient's past history. These are the 45th to 48th recorded cases diagnosed by the adult worm in the Republic of Korea since 1971.

Congenital Antral Web in Premature Baby

  • Nam, So-Hyun;Koo, Soo Hyun;Chung, Mi Lim;Jung, Yu Jin;Lim, Yun-Jung
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.16 no.1
    • /
    • pp.49-52
    • /
    • 2013
  • Antral web is a rare cause of gastric outlet obstruction in neonate. It is a 2-4 mm thin mucous membrane that can be found anywhere from 1 to 7 cm proximal to the pylorus. The baby was born at gestational age of $32^{+1}$ weeks with 1,880 g as 2nd baby of dizygotic twin. After birth, the baby had constant non-bilious vomiting without feeding while he didn't show abdominal distension or discoloration. The infantogram showed distended stomach with distal small bowel gas. Upper gastrointestinal series revealed that the antrum was abruptly narrowed at 1 cm proximal to pylorus. We performed laparotomy at the 10th day after birth and excised the 2 mm-thick web circumferentially. He began milk feeding after 6 days and discharged uneventfully at postoperative 35 days with corrected age of $38^{+4}$ weeks with body weight 2,420 g. The antral web should be considered in the case of non-bilious vomiting in neonate.

A Case of Intraperitoneal Bladder Rupture after Isotope Voiding Cystourethrography in a Child with Urinary Tract Infection (요로감염 소아에서 동위원소 배뇨성 방광요도조영술 후 발생한 방광파열 1례)

  • Nham Seung-Yeon;Kim Jin-Ah;Hwang Soo-Ja;Park Eun-Ae;Lee Seung-Joo;Lee Sun-Wha;Chung Woo-Sik
    • Childhood Kidney Diseases
    • /
    • v.1 no.1
    • /
    • pp.97-100
    • /
    • 1997
  • Rupture or contrast extravasation of urinary bladder after voiding cystourethrography(VCUG) was a very rare complication which occurred in neurogenic or unused bladder. Only one case of bladder extravasation was reported in a girl with normal bladder function. Case: A 18 month-old boy presented with recurrent E. Coli urinary tract infection and was evaluated with isotope VCUG, which was failed to catheter insertion. Two days later, isotope VCUG was repeated with difficult catheter insertion. Two hours after isotope VCUG, gross hematuria and anuria developed, and abdominal distension was followed. Bladder rupture was diagnosed by abdominal sonography and computerized tomography. He was treated with simple closure and suprapubic catheter drainage.

  • PDF