• 제목/요약/키워드: Thickened Wall

검색결과 89건 처리시간 0.025초

고양이 전염성 복막염에 의한 흉막폐렴 1례 (Pleuropneumonia in a Cat with Feline Infectious Peritonitis)

  • 박승조;배연호;최지혜
    • 한국임상수의학회지
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    • 제32권5호
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    • pp.454-458
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    • 2015
  • 1년령의 고양이가 호흡 곤란 주증으로 내원하여, 방사선, 초음파, CT 검사에서 우측 후엽의 폐 종괴, 다수의 흉벽 종괴를 동반한 흉막 비후, 다량의 흉수 소견이 확인되었다. 두 달 뒤 소장과 좌측 신장에서 다수의 결절들이 추가로 관찰되었고, 조직 검사와 면역 염색을 통해 고양이 전염성 복막염과 흉막 폐렴으로 진단되었다. 비삼출성 고양이 전염성 복막염에 의한 화농육아종성 폐렴이 발생한 한 마리 증례가 보고되어 있으며, 방사선 검사에서 폐엽의 경화상이 관찰되었다. 본 증례는 삼출성 고양이 전염성 복막염에서 흉막 폐렴이 다수의 종괴 양상으로 관찰된 드문 증례로 영상학적 특징을 평가한 첫 보고이다.

증상을 유발한 이두구 주변의 결절종에 대한 초음파 진단 - 증례보고 - (Ultrasonographic Diagnosis of the Symptomatic Ganglion around the Bicipital Groove - Case Report -)

  • 한석구;김석현;송하정;김률;박현우;송현석
    • 대한정형외과 초음파학회지
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    • 제8권1호
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    • pp.21-25
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    • 2015
  • 이두건 장두의 병변은 단순 방사선 검사에서 확인하기는 쉽지 않으며 외래에서의 초음파 검사가 도움이 된다. 우 견관절 통증을 주소로 내원하여 초음파 검사를 통하여 이두구 주변의 종괴를 진단하였으며 이에 대하여 관절경적 절제술을 시행한 증례를 보고하고자 한다. 병리 조직 소견상, 종괴 내막은 활액막 세포의 배열은 관찰되지 않았으며 내막은 두꺼워져 있어서 결절종으로 진단되었다.

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코리안 숏헤어 고양이의 제한성 심근병증 (Restrictive Cardiomyopathy in a Korean Domestic Short-haired Cat)

  • 남효승;한숙희;최란;이승곤;현창백
    • 한국임상수의학회지
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    • 제29권3호
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    • pp.242-246
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    • 2012
  • 3살된 코리안 숏헤어 고양이(몸무게 5.2 kg)가 복수, 흉수, 호흡곤란으로 인해 강원대학교 수의과대학병원에 진료의뢰 되었다. 진단검사상, 유미성 흉수와 출혈성 복수, 심장비대, PW 도플러 초음파와 TDI 초음파의 restrictive filling pattern, 미비하게 비대된 좌심실 자유벽이 관찰되었다. 심장초음파 진단소견을 토대로 제한성 심근병증으로 잠정진단 내리게 되었다. 본 환자는 흉수를 제거하고 furosemide, enalapril, sildenafil, clopidogrel을 포함한 약물치료를 하였다. 이것은 국내에서 처음으로 발표하는 제한성 심근병증의 증례이다.

간엽유착과 담낭염을 동반한 선천성 복막심낭 횡격막 허니아의 효과적 수술처치 (Surgical Correction of Congenital Peritoneopericardial Diaphragmatic Hernia with Adhered Hepatic Lobes and Cholecystitis)

  • 남현숙;곽호현;이세호;박경미;박인철;한정희;우흥명
    • 한국임상수의학회지
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    • 제29권1호
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    • pp.87-92
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    • 2012
  • A six months old, male Shih Tzu dog was referred to the Veterinary Medical Teaching Hospital at Kangwon National University, for lethargy, respiratory embarrassment. Survey radiography revealed enlarged cardiac silhouette due to displacement of gas-filled intestine in the pericardium. Although there were no specific clinical signs, this case was diagnosed as peritoneopericardial diaphragmatic hernia (PPDH) based on the results of positive contrast radiography and thoracic ultrasonograpic findings. In addition, the thickened gall bladder wall observed in ultrasonography, increase of alkaline phosphatase and neutrophils indicated cholecystitis. Two hepatic lobes and gall bladder were severely necrotized and adhere to the diaphragm. Direct reduction of the herniated organs might cause hepatic hemorrhage and bile juice leakage which may induce very poor prognosis. To solve the problems, the adhered organs were dissected with part of diaphragm, and lobectomy with cholecystectomy was performed for prevention of some possible complications including peritonitis. This is case report describing resection of part of diaphragm adhered to herniated organ reduce the risk of possible hepatic hemorrhage during surgical correction of PPDH followed bycholecystectomy and lobectomy.

Indochinamon ou (Crustacea: Potamidae) as a New Second Intermediate Host for Paragonimus harinasutai in Luang Prabang Province, Lao PDR

  • Sohn, Woon-Mok;Ryu, Jae-Sook;Min, Duk-Young;Song, Hyun-Ouk;Rim, Han-Jong;Vonghachack, Youthanavanh;Bouakhasith, Daluny;Banouvong, Virasack
    • Parasites, Hosts and Diseases
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    • 제47권1호
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    • pp.25-29
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    • 2009
  • Paragonimus harinasutai metacercariae were found in a species of freshwater crab, Indochinamon ou, collected in a small stream of Namback District, Luang Prabang Province, Lao PDR. Adult flukes were recovered after experimental infection of the metacercariae to dogs. Metacercariae were round or slightly elliptical, $0.666{\times}0.626\;mm$ in average size, and had a thin cyst wall of about $20{\mu}m$ in thickness, a black excretory bladder, convoluted ceca, and some pinkish materials in the body. Adults were somewhat elongated, $95.2{\times}36.5\;mm$ in average size, covered with single-tipped tegumental spines, had a smaller oral sucker than the ventral sucker, a moderately branched ovary, and 5-6 lobulated testes. Eggs were ovoid and bilaterally symmetrical in shape, $79{\times}45{\mu}m$ in average size, and had a uniformly thickened shell. By the present study, it has been confirmed that I. ou is a new second intermediate host for P. harinasutai.

Heterophyopsis continua에 대한 praziquantel의 시험관내 효과의 광학현미경적 관찰 (Light microscopic observations on the in vitro effects of praziquantel on Heterophyopsis continua)

  • 우호춘;서명득;홍성종
    • 대한수의학회지
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    • 제30권4호
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    • pp.479-485
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    • 1990
  • This study was carried out to observe in vitro effect of praziquantel on the viability and internal organ changes of Heterophyopsis continua with light microscopy. Metacercariae were collected from the perch, Lateolabrax japonicus, by artificial digestion technique and fed to 2-week old chickens. Adult worms were recovered from the small intestines of chickens 8 days after infection. For working solutions, praziquantel was diluted with TC199 medium at the concentration of 0.01, 0.1, 1 and $10{\mu}g/ml$. To each petri dish containing 10ml of solution, 5~10 worms were introduced and incubated at $37^{\circ}C$. Motlity of worms was observed at 5, 15, 30, 60 minutes, 1, 2, 4 and 6 hours after incubation. For light microscopy, worms were fixed in 10% formalin under cover glass pressure and stained with Semichon's acetocarmine. The results were as follows: 1. In $0.01{\mu}g/ml$ praziquantel, the worms had their mobility until 6 hours post treatment. However, worms in over $0.1{\mu}g/ml$ of praziquantel contracted within 5 minutes and immobilized. 2. Intestine of the worm incubated in $0.001{\mu}g/ml$ praziquantel for 5 minutes was dilated and intestinal wall was thickened. 3. In incubated over $0.1{\mu}g/ml$ praziquantel, pharynx of the worm protruded out from oral sucker. 4. The lowest effective lethal concentration of praziquantel on H. continua was $0.1{\mu}g/ml$. The worms exposed to the drug were observed to be immobilized immediately after incubation in solutions of over $0.1{\mu}g/ml$ concentration. All of the worms in early period showed severe contraction and those in late period showed severe dilation.

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A Rare Case of Primary Squamous Cell Carcinoma of the Stomach and a Review of the 56 Cases Reported in Japan

  • Wakabayashi, Hideyuki;Matsutani, Takeshi;Fujita, Itsurou;Kanazawa, Yoshikazu;Nomura, Tsutomu;Hagiwara, Nobutoshi;Hosone, Masaru;Katayama, Hironori;Uchida, Eiji
    • Journal of Gastric Cancer
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    • 제14권1호
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    • pp.58-62
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    • 2014
  • We report an extremely rare case of primary squamous cell carcinoma of the stomach. A 69-year-old man was admitted to our hospital with a 2-month history of dysphagia and tarry stools. Endoscopic examination revealed a cauliflower-shaped protruding mass along the lesser curvature of the gastric cardia. Biopsy of the lesion revealed squamous cell carcinoma of the stomach. Computed tomography revealed a thickened stomach wall and a mass protruding into the gastric lumen. Total gastrectomy with splenectomy, distal pancreatectomy, and Roux-en-Y reconstruction was performed, together with a lower thoracic esophagectomy via a left thoracotomy. Histopathological examination of the specimen revealed well-differentiated squamous cell carcinoma of the stomach. Postoperative follow-up was uneventful for the first 18 months. However, multiple liver metastases and para-aortic lymph node metastasis developed subsequently. Despite systemic combination chemotherapy, the patient died because of progression of the recurrent tumors. Here, we review the characteristics of 56 cases of gastric squamous cell carcinoma reported in Japan.

Non-infected and Infected Bronchogenic Cyst: The Correlation of Image Findings with Cyst Content

  • Jeon, Hong Gil;Park, Ju Hwan;Park, Hye Min;Kwon, Woon Jung;Cha, Hee Jeong;Lee, Young Jik;Park, Chang Ryul;Jegal, Yangjin;Ahn, Jong-Joon;Ra, Seung Won
    • Tuberculosis and Respiratory Diseases
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    • 제76권2호
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    • pp.88-92
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    • 2014
  • We hereby report a case on bronchogenic cyst which is initially non-infected, then becomes infected after bronchoscopic ultrasound (US)-guided transesophageal fine-needle aspiration (FNA). The non-infected bronchogenic cyst appears to be filled with relatively echogenic materials on US, and the aspirate is a whitish jelly-like fluid. Upon contrast-enhanced MRI of the infected bronchogenic cyst, a T1-weighted image shows low signal intensity and a T2-weighted image shows high signal intensity, with no enhancements of the cyst contents, but enhancements of the thickened cystic wall. The patient then undergo video-assisted thoracic surgery 14 days after the FNA. The cystic mass is known to be completely removed, and the aspirate is yellowish and purulent. To understand the image findings that pertain to the gross appearance of the cyst contents will help to diagnose bronchogenic cysts in the future.

Mechanisms of Motility Change on Trinitrobenzenesulfonic Acid-Induced Colonic Inflammation in Mice

  • Cheon, Gab Jin;Cui, Yuan;Yeon, Dong-Soo;Kwon, Seong-Chun;Park, Byong-Gon
    • The Korean Journal of Physiology and Pharmacology
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    • 제16권6호
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    • pp.437-446
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    • 2012
  • Ulcerative colitis is an inflammatory bowel disease (IBD) characterized by recurrent episodes of colonic inflammation and tissue degeneration in human or animal models. The contractile force generated by the smooth muscle is significantly attenuated, resulting in altered motility leading to diarrhea or constipation in IBD. The aim of this study is to clarify the altered contractility of circular and longitudinal smooth muscle layers in proximal colon of trinitrobenzen sulfonic acid (TNBS)-induced colitis mouse. Colitis was induced by direct injection of TNBS (120 mg/kg, 50% ethanol) in proximal colon of ICR mouse using a 30 G needle anesthetized with ketamin (50 mg/kg), whereas animals in the control group were injected of 50% ethanol alone. In TNBS-induced colitis, the wall of the proximal colon is diffusely thickened with loss of haustration, and showed mucosal and mucular edema with inflammatory infiltration. The colonic inflammation is significantly induced the reduction of colonic contractile activity including spontaneous contractile activity, depolarization-induced contractility, and muscarinic acetylcholine receptor-mediated contractile response in circular muscle layer compared to the longitudinal muscle layer. The inward rectification of currents, especially, important to $Ca^{2+}$ and $Na^+$ influx-induced depolarization and contraction, was markedly reduced in the TNBS-induced colitis compared to the control. The muscarinic acetylcholine-mediated contractile responses were significantly attenuated in the circular and longitudinal smooth muscle strips induced by the reduction of membrane expression of canonical transient receptor potential (TRPC) channel isoforms from the proximal colon of the TNBS-induced colitis mouse than the control.

말의 그물막구멍포착 교정을 위한 소장 절제 및 문합 1례 (Small Intestine Resection and Anastomosis for Epiploic Foramen Entrapment of a Horse)

  • 황혜신;박철규;황준석;천용우;;이인형
    • 한국임상수의학회지
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    • 제32권4호
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    • pp.374-379
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    • 2015
  • A 10-year-old gelding Warmblood weighing 560 kg was referred to J&C Equine Hospital with the history of hyperpnea, depression, pawing, and rolling for 7 hours. According to the results of clinical and ultrasound examination, it was considered that intestines were distended with thickened wall. The horse had been treated with lactated Ringers' solution (14 L, IV), flunixin meglumine (1.1 mg/kg, IV), and mineral oil (1 L, PO), but he did not show any responses to those treatments. Exploratory laparotomy was performed and identified incarcerated small intestine through the epiploic foramen. The horse received resection and anastomosis of the entrapped small intestine. After surgery, the horse was treated with intensive postoperative care of fluid therapy (5 L with 20 mEq/L KCl, every 2 hours), flunixin meglumine (1.1 mg/kg, IV, sid), antibiotics (penicillin 22,000 IU/kg, IV, qid and gentamicin 6.6 mg/kg, IV, sid), lidocaine constant rate infusion (bolus 1.3 mg/kg over 15 minutes then 0.05 mg/kg/minute), common nutritional supplements, nasogastric intubation every 2 hours and trunk bandage. Postoperative feeding program had started with small amount of hay every 4 hours and gradually increased to normal amount till 5 days. At 77 days after surgery, he showed sudden outbreak of colic and was euthanized. The causes of colic were small intestinal strangulation by passing through the mesenteric rents and postoperative adhesion between small intestines. According to the results, it is recommended to perform perioperative intensive care of horse with colic and to use several methods to prevent adhesions during abdominal surgery of horses.