• Title/Summary/Keyword: Ruptured

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Infected Abdominal Aortic Aneurysm (감염성 복부 대동맥류 -수술치험 1례 보고-)

  • 김경렬;최세영
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.342-345
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    • 1996
  • Mycotic anuerysms are uncommon but it is a fulminant infectious process frequently resulting in rupture and death if not properly treated. Commonly known it as infected aneurysm caused by noncardiogenic bacteremia. We experienced a case of infected aneurysm of the abdominal aorta that ruptured into the retroperitoneum. A 57 year old man was admitted with lower back pain, fever and palpable mass. It was identified as an inf cted abdominal aneurysm with staphylococcal septicemia. He underwent resection of aneurysm and replacement with a prosthetic graft and prolonged postoperative organism-specific antibiotics therapy. He recovered well and discharged without complications postoperatively.

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Ruptured Posterior Tibial Tendon in Closed Ankle Fracture - A Case Report - (폐쇄성 족관절 골절에 동반된 후경골건 파열 - 1예 보고 -)

  • Choi, Joong-Geun;Woo, Seung-Han
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.1
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    • pp.92-95
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    • 2002
  • Traumatic ruptures of tibialis posterior tendon are much less common and consequently have received little attention. A tibialis posterior tendon rupture associated with a closed medial malleolar fracture occured in a 32 years old man due to slip down. The tendon rupture was not diagnosed before surgery but was recognized at the time of open operation. The treatment was open reduction and internal fixation at the bony fragments with primary repair of the tendon. This tendon injury, although rare, should be considered in the management of ankle fracture because the tendon rupture could easily have been overlooked and failure to recognize this at the time of injury may result in poor long - term ankle function despite a well- healed fracture.

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Solid and Papillary Epithelial Neoplasm of the Pancreas in Children (소아에서의 췌장의 고형유두상 상피성 종양)

  • Yoon, Hyuk-Jin;Park, Jin-Young
    • Advances in pediatric surgery
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    • v.12 no.1
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    • pp.32-40
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    • 2006
  • Four children with solid and papillary epithelial neoplasm of the pancreas are reported. Three were girls. Mean age at operation was 12 years and 7 months (10-13 years). Clinical presentation included nausea, vomiting, and apalpable mass. One had hemoperitoneum due to tumor rupture. In two cases, tumors were in the body of the pancreas, and one the body and tail, and in one,the tail. Mean diameter of the tumors was 10.8 cm (8-15cm). Surgical procedures were distal pancreatectomy and splenectomy in 2 cases, distal pancreatectomy in one, and subtotal pancreatectomy and splenectomy in one. Mean follow-up period was 61 months (6-121 months). Three patients are still alive without any recurrence. However, in the one case of ruptured tumor, portal vein thrombosis and liver metastasis developed after subtotal pancreatectomy and splenectomy during the course of postoperative adjuvant chemotherapy.

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Successful Surgical Treatments of Scleral Rupture with Hyphema in a Young Cat (어린 고양이에서 발생한 안구내출혈을 동반한 공막 파열의 수술적 치료)

  • Park, Youngwoo;Jung, Yechan;Lim, Jae Hyun
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.127-129
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    • 2015
  • A 3-month-old, female Persian cat was presented with sclera mass. The mass was detected after cat's squeals during the playing with a dog before 2 days. On ophthalmic examination, a $2{\times}5mm$ dark purple colored raised mass was observed 1 mm behind the limbus in the right eye. Anterior chamber was filled with blood and epithelial defect was detected at 2 o'clock in the right central cornea. After general anesthesia, resection of the protruded iris was performed with iris scissors and bipolar cautery. Ruptured sclera and conjunctiva were closed with simple interrupted and simple continuous suture, respectively. Also, irrigation and aspiration (I/A) of the anterior chamber was performed to remove blood clot with bimanual I/A handpiece in the right eye. Four months after the surgery, the right eye was recovered completely and menace response was positive in spite of the retinal lesions.

Inherited Macrothrombocytopenia in a Cavalier King Charles Spaniel

  • Kim, Hyo-jin;Choi, Seok-jin;Kim, Seung-Gon;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.34 no.4
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    • pp.272-274
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    • 2017
  • A 1-year-old intact male Cavalier King Charles Spaniel was presented with a ruptured anal sac. On routine preanesthetic screening tests for surgical resection, the thrombocytopenia was observed by an impedance-type autoanalyzer. A peripheral blood smear was used as a follow-up test and giant platelets were seen on the smear. DNA assay of this patient confirmed that the cause of the platelet abnormalities in this patient was genetic mutation. To our knowledge, this is the first case report of macrothrombocytopenia confirmed based on the DNA assay results, in a Cavalier King Charles Spaniel in Korea.

Effect of cake resistance by first-aggregation of in-line injection system (인라인 주입방식의 최초응집이 케이크 저항에 미치는 영향)

  • KIM, Taeyoung;PARK, Heekyung
    • Journal of Korean Society of Water and Wastewater
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    • v.22 no.3
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    • pp.281-288
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    • 2008
  • Cake resistance is influenced by floc size deposited on membrane surface. Enlarging floc size can reduce cake resistance. The small particles are enlarged by coagulation and flocculation process in conventional mixing tank at membrane filtration system. Fully-grown flocs for reducing the cake resistance, however, are ruptured while passing through a pump. In light of this fact, this study aims to experimentally look at the reaggregation phenomenon of mixing system. In addition, reaggregation phenomenon of mixing system is compared with first-aggregation of in-line injection system in which coagulant is injected just before a pump. These results suggest that first-aggregation of in-line injection system is better than reaggregation of mixing system for G-value above $3100sec^{-1}$. Since G-value in pipe of actual membrane filtration system are usually larger than $3100sec^{-1}$. The performance of in-line injection system is expected to be better than the conventional mixing tank system.

Surgical treatment of the aortic aneurysm (대동맥류의 외과적 요법)

  • 신현종
    • Journal of Chest Surgery
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    • v.22 no.1
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    • pp.90-94
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    • 1989
  • Ten patients underwent operation for aortic aneurysms from Jan. 1983 to April 1988 at the Department of Thoracic and Cardiovascular Surgery, Keimyung University Hospital. There were 7 males and 3 females in this series. The age ranged from 16 to 70 years with the mean age of 45 years. The cause of the aneurysm was atherosclerosis in 8 patients, mycosis in 1 patient and unknown in 1 patient. There were two patients with ascending aortic aneurysm treated by Dacron graft replacement, with no hospital death. One patient with aortic arch aneurysm was received Dacron graft replacement under cardiopulmonary bypass and died on the 21st postoperative day because of cerebral edema. There were three patients with descending aortic aneurysm. The aneurysm in two patients was successfully repaired by Dacron graft. One additional patient with ruptured aneurysm died at operation because of ventricular fibrillation. Four patients with abdominal aortic aneurysm were underwent Dacron graft replacement and the results were good.

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Postinfarction Left Ventricular Free Wall Rupture (급성 심근경색후 좌심실벽 파열 -2례보고-)

  • 김도균
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.834-838
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    • 2000
  • Left ventricular free wall rupture following acute myocardial infarction (AMI) is the second most common cause of death and has been reported to be responsible for 4 to 24% of all infarction deaths. The rupture occurs anywhere from a few hours to several days after AMI. The common findings of ventricular rupture are persistent chest pain bradycardia and shock. This may be often mistaken for the ruptured dissection of the ascending aorta. The different points from dissection are 1) persistent chest pain 2)persistent ST segment elevation and 3) only intramural hematoma in ascending aorta. We have sucessfully managed two patients with postinfarction myocardial rupture. Surgical management consisted of infarctectomy repairi of the ventricular rupture and coronay artery bypass grafting. We conclude that successful surgical management of ventricular free wall rupture should require prompt diagnosis and emergency operation.

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Flexural Behavior of Prestressed Concrete Beams with CFRP(Carbon Fiber Reinforced Plastic) Tendons (CFRP 긴장재를 이용한 프리스트레스트 콘크리트 보의 휨거동)

  • 조병완;태기호;최용환
    • Proceedings of the Korea Concrete Institute Conference
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    • 2000.04a
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    • pp.639-644
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    • 2000
  • Prestressing steels are susceptible to corrosion, which is considered the major reason in the deterioration of prestressed concrete structures. To solve this problem, many research have been made to utilize new type of tendons. FRP tendons have many advantages compared to steel tendons. However, FRP tendons have some disadvantages, such as no plastic behavior. This study focused on the flexural behavior of prestresssed concrete beams which is fabricated by post-tensioning method with CFRP (Carbon Fiber Reinforced Plastic) tendons. Th results drawn from the study, prestressed concrete beams with CFRP tendons have higher flexural cracking load, flexural yielding load, and flexural fracture load. While displacement at the fracture stage is lower compared to prestressed concrete beams with steel tendon. Excessive steel reinforcement lead lower ductility index. So, appropriate reinforcement guideline is needed. Further more, prestressed concrete beams with CFRP tendons can have sufficient ductility index when ruptured by crushing of concrete or used unbonded tendon. Therefore, the best design method for prestressed concrete beams with CFRP tendons is over-reinforcement, and use of unbonded tendon.

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Two Separate Aneurysms on Anterior Communicating Artery - A Case Report - (전교통 동맥에서 발생한 독립적인 2개의 동맥류)

  • Ahn, Jung Yong;Joo, Jin Yang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.12
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    • pp.1664-1667
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    • 2000
  • More than one cerebral aneurysm on the same artery is uncommon. Furthermore multiple aneurysms on the anterior communicating artery(ACoA) is very rare. We surgically experienced one case of two separate aneurysms on the ACoA ; one developed at the junction of the ACoA with the right second branch of anterior cerebral artery, and the other on inferior wall of the ACoA itself. The former, confirmed as ruptured on operation, projected superiorly and the latter directed inferiorly toward the prechiasmatic cistern. Radiographic and operative findings are presented with review of literature.

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