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A Case of Foreign Body Granuloma of the Posterior Mediastinum (후 종격동에 발생한 이물육아종 1예)

  • Choi, Eui-Hyuk;Yoo, Jong-Hoon;Lee, Jeong-Seok;Hong, Su-Hee;Gwon, Hyung-Joo;Park, Young-Woo;Lee, Moo-Yeol;Lee, Chul-Ho;Bang, Jung-Hyun;Im, Sung-Gyun;Hwang, Soon-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.3
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    • pp.609-613
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    • 1998
  • A 21-year-old male was admitted for evaluation of a mass shadow on chest film. On chest computed tomography showed 5 cm sized homogeneous low density based on the second thoracic vertebral body in the posterior mediastinum. The patient had been performed thoracic sympathectomy 6 months before admission and oxidized cellulose was used for hemostasis at that operation. Surgical resection was performed and microscopic result was foreign body granuloma caused by oxidized cellulose. Oxidized cellulose is an absorbable sterile mesh and used to control capillary or venous bleeding. Although the manufacturer recommends its removal after hemostasis is achieved, in clinical practice it is usually left in situ to reabsorb spontaneously, usually with no untoward effect.

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A Case of Spinal Epidural Emphysema Complicating in Patient with Bronchial Asthma (척추 경막외 기종이 동반된 기관지 천식 1례)

  • Lee, Cheol-Ho;Kwon, Hyung-Joo;Park, Young-Woo;Lee, Moo-Yeol;Yu, Heung-Sun;Hwang, In-Seog;Kim, Jin-Kwan;Kim, Mi-Young;Sin, Mi-Jeong;Hwang, Soon-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.3
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    • pp.372-375
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    • 2000
  • Spinal epidural emphysema is rare, and only a few cases have ever been reported. A 18 year-old man was admitted for neck and chest pain for 3 days. Before admission he experienced rhinorrhea and severe cough. Physical examination revealed wheezing on whole lung field and subcutaneous emphysema over the upper portion of the chest and neck. Chest radiograph showed pneumomediastinum and subcutaneous emphysema in the neck and chest CT images demonstrate a free air in the prevertebral fascia. With conservative management, the patient's condition and the pneumomediastinum improved. The patient was discharged to home on the fourteenth day.

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A Case of Severe Asthma Complicated with Pneumoperitoneum and Pneumomediastinum During AMBU Ventilation (AMBU(Air Mask Bag Unit) 환기로 복강기종과 종격동기흉이 합병된 중증 천식 1예)

  • Cho, Hoon;Choi, Byoung-Moon;Jung, Ho-Kyoung;Park, Ja-Young;Jang, Byoung-II;SunWoo, Mi-Ok;Seo, Chan-Hee;Sung, Han-Dong;Sin, Mi-Jeong;Hwang, Soon-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.6
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    • pp.585-589
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    • 2001
  • Pneumoperitoneum, Pneumomediastinum, subcutaneous emphysema and a pneumothorax are some of the mechanical complications of bronchial asthma. The incidence of pneumoperitoneum during an attack of acute asthma is rare. The pathogenesis is free gas track from the overdistended alveoli, through the bronchovascular sheaths to the mediastinum. If the high pressure is maintained, air can escape retroperitoneally into the abdomen and burst into the peritoneal cavity. A 43-year-old woman was admitted due to a severe asthma attack. She was required endotracheal intubation and AMBU(air mask bag unit) ventilation. Immediately after these procedures, pneumoperitonewn, pnewnomediastinwn, and subcutaneous emphysema developed. She was treated with mechanical ventilation and medical therapy. The pneumoperitonewn was resolved after 27days. Here, we report this case with the review of the relevant literature.

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A Case of Primary Pulmonary Angiocentric Lymphoma Manifested as a Mass (종괴로 발현한 원발성 폐 혈관중심성 림프종 1예)

  • Kwon, Hyung-Joo;Park, Young-Woo;Lee, Moo-Yeol;Lee, Cheol-Ho;Kim, Jin-Kwan;Kim, Mi-Young;Hwang, In-Seog;Yu, Heung-Sun;Hwang, Soon-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.3
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    • pp.426-431
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    • 1999
  • The primary pulmonary lymphomas are uncommon, accounting for 0.5% of primary lung tumor and 0.4% of all malignant lymphomas. The majority of primary pulmonary lymphomas are of B-cell originating from bronchus associated lymphoid tissue(BALT). Angiocentric lymphoma is a rare type of primary pulmonary lymphomas characterized by polymorphic lymphoid infiltrates, which make it even more difficult to differentiate from benign infiltration. The radiographic findings are variable, depending on the stage of evolution of the disease. The prognosis of angiocentric lymphoma is poor, nearly two-thirds of the patients with grade 2 or 3 angiocentric lymphomas were died within a year of diagnosis. We report a case of primary pulmonary angiocentric lymphoma manifested as a mass of right lower lobe.

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A Case of Pulmonary Cryptococcosis in Healthy Person (건강인에서 발생한 폐효모균증 1예)

  • Lyu, Su-Hyun;Lim, Jong-Seob;Yu, Dae-Sung;Shin, Won-Hyuk;Lyu, In-Yeal;Yun, Sung-Jun;Lee, Ji-Hyun;Hwang, Soon-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.1
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    • pp.102-107
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    • 1996
  • Cryptococcosis is a systemic fungal infection caused by Cryptococcus neoformans. This mycosis is best known for meningeal involvement, yet, this disease rarely can be limited to the lungs. The usual portal of entry is respiratory tract. The recently rising incidence of the disease can be attributable to wide use of steroid, immunosuppressive agents and advent of AIDS. We experienced one case of pulmonary cryptococcosis in healthy person, who was admitted to the our hospital because of cough. Cryptococcus neoformans was isolated in the sputum, and lung tissue obtained by CT guide needle aspiration biopsy. Clinical improvement was noted after 6weeks of medical therapy with fluconazole.

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Avulsion Fracture of Medial Cuneiform by Tibialis Anterior Tendon (A Case Report) (내측 설상골에 발생한 전 경골건에 의한 견열 골절 (1예 보고))

  • Ahn, Su-Han;Kim, Hyung-Chun;Kim, Kwang-Yeol;Yoon, Hyeong-Jo;Kim, In-Yeol
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.2
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    • pp.194-196
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    • 2010
  • Avulsion fracture of medial cuneiform by tibialis anterior tendon is quite rare. It has been reported about the avulsion fracture and surgical repair of tibialis anterior tendon rupture at distal insertion site of medial cuneiform in Korea. We report a case of right foot medial cuneiform avulsion fracture by tibialis anterior tendon after autobike accident and describe this case with a review of literature.

Peroneus Longus Dislocation associated with Trimalleolar Fracture (A Case Report) (족관절 삼과 골절과 동반된 장 비골건 탈구(1예 보고))

  • Hwang, In-Hwan;Kim, Kwang-Yul;Kim, Hyung-Chun;Lim, Moon-Sup;Lee, Ji-Hoon;Cho, Sung-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.13 no.2
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    • pp.227-229
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    • 2009
  • Traumatic dislocation of the peroneus longus tendon is an often unrecognized injury which has been reported to occur most commonly during sports activity. Most acute cases with early detection can be treated by simple repair of the tendon or retinaculum using one of several procedures available. Accurate treatment through a comprehensive evaluation of the ankle injury prevents suboptimal and sometimes unrecorrectable outcomes. The authors experienced concomitantly the peroneus longus tendon dislocation associated with a trimalleolar fracture of the ankle. We report this case a brief review of the literature.

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Thoracic Myelopathy and Radiculomyelopathy due to Ossification of the Ligamentum Flavum - A Cases Report - (황색인대 골화에 의한 흉추부 척수증 및 신경근척수증 - 증례보고 -)

  • Lee, Sang Dae;Rhee, Dong Youl;Jeong, Young Gyun;Park, Hyuck;Cho, Bong Soo;Kim, Soo Young
    • Journal of Korean Neurosurgical Society
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    • v.29 no.10
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    • pp.1377-1382
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    • 2000
  • Ossification of ligamentum flavum(OLF) is a type of ectopic bone formation developed within the spinal ligament. Thoracic myelopathy is common symptom of OLF but radiculopathy is uncommon. We present 3 operated cases of OLF. Two showed myelopathy and one radiculomyelopathy. Main symptoms were motor weakness, sensory disturbance, incoordination of both legs, and back pain. One patient complained of left girdle pain in T4 dermatome. Deep tendon reflex(DTR) was increased in all cases. The diagnosis was made from myelogram, CT and MRI. Sufficient posterior decompressive laminectomy and medial facetectomy were performed. Postoperative diagnosis was comfirmed by histopathological examination. One patient could return to work 3 months after operation and two patients showed satisfactory improvement 2-3 months after operation. Early diagnosis and appropriate surgical treatment were prerequisite of good outcome.

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A Case of Huge Gastric Bezoar Removed by Endoscopic Combination Therapy with Coca-Cola Injection (코카콜라 주입 치료를 병용하여 내시경으로 분쇄 치료한 거대 위석 1예)

  • Jung, Min Suk;Lee, Jang Won;Lee, Seung Hyun;Kim, Dong Hyun;Byun, Sang Hwan;Kim, Yeong Muk
    • Journal of Yeungnam Medical Science
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    • v.30 no.1
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    • pp.62-65
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    • 2013
  • Gastric bezoars are concretion of undigested material in the gastrointestinal tract. In the past, gastric bezoars were generally treated with surgical management. Recently, the efficacy of oral intake or endoscopic injection therapy with Coca-Cola has been reported. We report a case of a 47-year-old-man with huge gastric bezoar ($4{\times}2.5$ cm) that was successfully removed by endoscopic fragmentation with Coca-Cola injection. Compared with a single endoscopic fragmentation therapy, the combination therapy with Coca-Cola injection shortened the procedure time and reduced the complication associated with fragmented bezoar.

Treatment of syndesmotic injury of ankle with bioabsorbable screw (생체흡수성 나사못을 이용한 원위경비관절 이개의 치료)

  • Kang, Jae-Do;Kim, Kwang-Ryul;Kim, Hyung-Chun;Lim, Moon-Sup;Kim, Jin-Hyung;Kim, Seong-Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.1
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    • pp.88-94
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    • 2003
  • Purpose: Bioabsorbable screws are used to fix the syndesmotic injury of ankle because of no need for additional operation to remove it. The purpose of this study is to assess the efficacy of polylevolactic acid (PLLA) screws of in the treatment of the syndesmotic injury of ankle. Materials and Methods: Eight patients of the syndesmotic injury of ankle with malleolar fracture were evaluated in this study. They were managed with plate and screw fixation for malleolar fracture and polylevolactic acid screw fixation for syndesmotic injury, followed by plaster splinting for 6 weeks. Clinical and radiographic evaluation were done and functional scores were assessed. Results: In all cases, malleolar fractures were healed without problematic widening of syndesmosis. There were no sinus tract formation and no wound complication. Of eight patients, five had excellent results and three had good results. Conclusion: We conclude that polylevolactic acid screw is good material for fixation of the syndesmotic injury of ankle.

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