• Title/Summary/Keyword: Diverticulosis

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Congenital Left Ventricular Diverticulum (선천성 좌심실 게실 1례)

  • Kim, Jong-Young;Kim, Jung-Ho;Jun, Jin-Gon
    • Journal of Yeungnam Medical Science
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    • v.7 no.2
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    • pp.181-187
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    • 1990
  • Congenital diverticulosis of the left ventricle is an extremely rare maldevelopment. We report a 9 year old girl with probable isolated left ventricular diverticulum in whom the diagnosis was made by cross sectional echocardiography and by angiography.

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A Case of Jejunal Diverticulitis with Perforation Combined with Intussusception Caused by Inflammatory Fibroid Polyp (천공을 동반한 공장게실염과 염증성 섬유양 용종으로 인한 장중첩증이 동반된 1예)

  • Choi, Jae-Won;Kim, Kook-Hyun;Lee, Ji-Eun;Kim, Jun-Hwan;Jang, Byung-Ik;Kim, Tae-Nyeun;Chung, Moon-Kwan;Kim, Jae-Whang
    • Journal of Yeungnam Medical Science
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    • v.22 no.1
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    • pp.113-118
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    • 2005
  • Diverticulosis of the small intestine is a rare entity, compared with that of duodenum or colon, and is found in only 1% of autopsied patients. The main complications are diverticulitis with or without a perforation, obstruction and hemorrhage, which are associated with a high mortality. Intussusception is primarily a disease of childhood; with only 5 to 10% of cases occurring in adults. In contrast to childhood intussusception, 90% of adult intussusception cases are had an associated pathologic processes. An inflammatory fibroid polyp is an uncommonly localized non-neoplastic lesion of the gastrointestinal tract. It occurs most often in the stomach and secondly in the ileum. It rarely occurs in other organs such as the colon, jejunum, duodenum and esophagus. We report a case of jejunal diverticulitis with a perforation combined with intussusception caused by an inflammatory fibroid polyp. A 78-year-old female presented with abdominal pain, fever and chill. Contrast CT scan showed intussusception of the ileum. The patient was treated with a small bowel segmental resection. After surgery, the specimen showed jejunal diverticulitis with perforation.

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A Case of Tracheobronchomegaly with Pneumonia (폐렴을 동반한 기관 및 주기관지의 확장 소견)

  • Joo, Kyu Re;Oak, Ju Hyun;Lee, Sung Eun;Jang, Suk Tae;Kim, Sung Kyoung;Lee, Sang Haak;Song, Jeong Sup;Park, Sung Hak;Moon, Hwa Sik;Lee, Bae Young;Kim, Hyeon Sook
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.4
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    • pp.403-406
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    • 2006
  • A 66-years-old man was refered to our hospital because of cough, sputum, chill and fever. Enlargement of the trachea and main bronchi on radiography and bronchoscopy is compatible with Mounier-Kuhn syndrome. Mounier-Kuhn syndrome or tracheobronchomegaly is a rare disorder of uncertain etiology, characterized by marked dilatation of the trachea and major bronchi. This syndrome is associated with tracheal diverticulosis, bronchiectasis and recurrent respiratory tract infection. We report a rare case of Mounier-Kuhn syndrome with pneumonia and literature reviews.

Gastric Reflux on Routine Tc-99m DISIDA Hepatobiliary Scintigraphy (Tc-99m DISIDA 간담도 Scintigraphy상 우연히 발견된 위장역류의 임상적 의의)

  • Lee, Kang-Wook;Lee, Heon-Young
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.3
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    • pp.313-318
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    • 1995
  • Reflux of bile and digestive enzymes from the small bowel and duodenum into stomach has been observed in patients with various gastroduodenal diseases. Tc-99m iminodiacetic acid delivatives hepatobiliary scan has been used as a noninvasive method to detect duodenogastric reflux. Sometimes, gastric reflux can be observed incidentally on routine Tc-99m DISIDA hepatobiliary scintigraphy. To evaluate the clinical meaning of gastric reflux on routine Tc-99m DISIDA hepatobiliary scan, we analyzed 36 patients showed gastric reflux incidentally on the routine Tc-99m DISIDA hepatobiliary scintigraphy from December 1991 to June 1995 in Chungnam National University Hospital. The results were as follows : 1) The gastric reflux was observed in 2.3% of 1,553 cases of routine Tc-99m DISIDA Hepatobiliary scintigraphy for 43 months. 2) Nineteen percent of patients with gastric reflux had the past medical history of operations on stomach or biliary system. And that history was more prevalent in patients with reflux than those without reflux, significantly (p<0.01). 3) On fiberoptic gastroduodenoscopic examination, 87% of the patients with gastric reflux had the gastroduodenal diseases such as gastritis, gastric ulcer, duodenal ulcer, gastric cancer, duodenal cancer and ampullary diverticulosis. We thought that the gastric reflux can be observed considerably in patients without any operation history on stomach or duodenum, although the operation history is more prevalent in patients with gastric reflux than those without reflux, significantly and most of patients with gastric reflux on routine Tc-99m DISIDA scan has various gastroduodenal diseases.

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