• Title/Summary/Keyword: abdominal cavity

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Intrathoracic Desmoid Tumor Mimicking Pleural Mass: A Case Report

  • Kim, Na Rae;Chung, Dong-Hae;Lee, Jae-Ik;Jeong, Sung Hwan;Ha, Seung-Yeon
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.5
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    • pp.449-453
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    • 2009
  • Desmoid tumor (fibromatosis) is a histologically benign fibrous neoplasm showing locally infiltrating growth. This type of tumor commonly occurs in the abdomen, but intrathoracic desmoid tumor is uncommon. To date, 12 cases of intrathoracic desmoid tumor protruding into the pleural cavity, radiologically mimicking pleural masses, have been reported. Here, we report on a case of intrathoracic desmoid tumor protruding into the pleural cavity, and partially covered by parietal pleura. The main preoperative differential diagnoses included pleural solitary fibrous tumor, inflammatory pseudotumor or malignant mesothelioma. A near-total mass excision was performed. Pathologically, the tumor was composed of a paucicellular arrangement of spindle-shaped cells with fibromyxoid stroma. The resection margin was partially involved with spindle cells present. On histochemical staining, the spindle cells were strongly positive for vimentin and negative for CD34, consistent with a desmoid tumor. The patient was stable without further adjuvant treatment during 6-years of follow-up.

Primary Pneumococcal Peritonitis in a Healthy Child (건강한 소아에서 발생한 원발성 폐렴구균성 복막염 1례)

  • Yang, Jeong-Soo;Lee, Min-Hae;Choi, Myoung-Bum;Park, Chan-Hoo;Woo, Hyang-Ok;Youn, Hee-Shang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.5 no.1
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    • pp.83-87
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    • 2002
  • Primary peritonitis usually refers to a bacterial infection of the peritoneal cavity without a demonstrable intra-abdominal source. Most cases occur in children with ascites resulting from nephrotic syndrome or cirrhosis. Rarely, it may occur in previously healthy children less than 7years of age, usually a girl. Distinguishing primary peritonitis from appendicitis may be impossible in patients without a history of nephrotic syndrome or cirrhosis. Accordingly, the diagnosis of primary peritonitis is made only at laparotomy. We report one case of primary pneumococcal peritonitis in a 27-month-old female who underwent explorative laparotomy to discover the cause of suspicious intestinal perforation and mechanical ileus. Later, pneumococci were cultured in blood and gram-positive diplococci were isolated from the pus of peritoneal cavity.

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Incarcerated Hiatal Hernia with Perforation after Laparoscopic Total Gastrectomy with Roux-en-Y Reconstruction: a Case Report

  • Wang, Nai-Yu;Tsai, Chung-Yu;Liu, Yuan-Yuarn;Chen, I-Shu;Ho, Kai-Hung
    • Journal of Gastric Cancer
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    • v.19 no.1
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    • pp.132-137
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    • 2019
  • The occurrence of hiatal hernia after total gastrectomy with Roux-en-Y reconstruction is rare. We report the case of a 76-year-old man who presented with dyspnea, vomiting, and fever around 8 days after total gastrectomy with Roux-en-Y reconstruction. Abdominal computed tomography revealed a hiatal hernia containing part of the small intestine in the left thoracic cavity. Emergent reduction and repair of the hiatal hernia were performed later. Operative findings revealed that the Roux limb was incarcerated in the left pleural cavity. Esophagojejunostomy leakage, perforation of the small intestine with transient ischemic change, and pyothorax were also found. Thus, feeding jejunostomy, thoracoscopic decortication, and diversion T-tube esophagostomy were performed. Considering that the main cause of hiatal hernia is blunt dissection with division of the phrenoesophageal membrane, approximating the crus with 1 or 2 figure-8 sutures, according to the size of the defect, to prevent the incidence of hiatal hernia after total gastrectomy may be performed.

Asymmetry Actions of Tymbals & Resonance Condition in Air Sac of the Cicada Cryptotympana Atrata (말매미의 진동막 비대칭 운동과 복부에서의 공명 조건)

  • Yoon, Ki-Sang;Suh, Sang-Joon;Suh, Jae-Gap
    • The Journal of the Acoustical Society of Korea
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    • v.26 no.1
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    • pp.1-7
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    • 2007
  • This paper presents a study on acoustic characteristics and sound generation mechanism of Cryptotympana atratas' songs which cause noise problems in summer days. The waveforms & FFT of Cryptotympana atratas' songs in nature were analyzed, and the actions of tymbals were visualized by the high speed camera. In order to know resonance frequency of the abdominal cavity of male Cryptotympana atrata, the sine sweep test was done. It was observed from the experimental results that Cryptotympana atrata's two tymbals act asymmetrically with respect to time & shape, and make a variety of frequencies every time it vibrates. It was also shown that Cryptotympana atratas' have a structure that cause resonances sounds only in a $7{\sim}7.5 kHz$ bandwidth.

Proposal of Urinary Incontinence Treatment Program Using Moosim Gi-Gong Riding stance. (무심 기공 선자세를 활용한 요실금 치료 프로그램 제안)

  • Lee, Se Won;Lee, Jae Heung;Bae, Jae Ryong;Chui, Eun Geung;Park, Jung Eun;Kang, Han Joo
    • Journal of Korean Medical Ki-Gong Academy
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    • v.17 no.1
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    • pp.83-108
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    • 2017
  • Objects : The purpose of this study was to investigate Urinary Incontinence improvement effect of Moosim Gi-Gong Riding stance and to propose urinary incontinence treatment Program. Methods : We analyzed the effect of Moosim Gi-Gong Riding stance, and compared to Behavior theraphy which includes Kegel Exercise, Riding Stance of Ki-chum, Zhan-Zhuang-Gong. Results : 1. Moosim Gi-Gong Riding stance can correct the pelvic strain with principles such as horseback riding and help restore organs in the abdominal cavity. 2. Moosim Gi-Gong Riding stance can restore the ability to recover bladder and proximal urethra in right place through changes in the abdominal pressure by breathing and posture 3. Moosim Gi-Gong Riding stance can help restoring the ability to control the urination by increasing the intensity of the abdominal pressure and reinforcing Kidney, Liver, Spleen Meridian muscles. 4. Reinforcing Kidney, Liver, Spleen Meridian muscles can help to treat urinary incontinence through strengthening the tension between organs and activating the intestinal tract. Conclusions : This study shows that treatment program for Urinary Incontinence using Moosim Gi-Gong Riding stance can be useful to patient.

Abdominal Maduromycosis in a dog (개의 복강(腹腔) Maduromycosis)

  • Bak, Ung-Bok;Cheong, Chang-Kook;Lim, Chang-Hyeong
    • Korean Journal of Veterinary Research
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    • v.22 no.1
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    • pp.67-74
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    • 1982
  • A massive mycetoma was observed in the abdominal cavity of a 3-year-old spayed female Labrador Retriever dog originated from France. The mycetoma lesion involved adhesion with one-half of the spleen, several portions of the small and large intestine, and the diaphragem. Histologically the distinct hypertrophy of the intestinal muscle layer, wide-spread deposition of the hemosiderin through the affected abdominal organs and thrombosis of splenic arterioles with atheromatous change were recognized as persistant, debilitating changes of the affected organs. From the histological appearance of the fungal colonies it was presumed that the causative fungus to be identified as Allescheria boydii.

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Ovarian Papillary Adenocarcinoma in a Yorkshire Terrier Dog (요크셔테리어에서 발생한 난소 유두모양샘암종)

  • Cho, Sue-Kyung;Kang, Byeong-Teck;Park, Chul;Yoo, Jong-Hyun;Jung, Dong-In;Lim, Chae-Young;Lee, Jong-Hwan;Woo, Eung-Je;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.251-254
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    • 2007
  • A 10-year-old intact female Yorkshire terrier dog was referred for evaluation of marked abdominal distension and hemorrhagic effusion. Abdominal radiography and ultrasonography demonstrated abdominal effusion and intraabdominal mass with anechoic cystic components. On ascites cytology, neoplastic epithelial cells with vacuolated cytoplasm and prominent nucleoli were identified. Magnetic resonance imaging (MRI) showed the well-defined, heterogeneous, and large mass filled the intraabdominal cavity. At necropsy, a large mass arising from the right ovary was observed. Histopathologically, the mass was composed of papillary structures lined by neoplastic epithelial cells. The dog was definitively diagnosed as malignant ovarian adenocarcinoma with papillary pattern based on clinical and histopathological findings.

Omental Torsion and Infarction Secondary to Omental Hernia in the Right Inguinal Canal (오른쪽 서혜부 탈장에 의해 이차적으로 발생한 대망의 염전 및 경색)

  • Yu Hyun Lee;Jae Hoon Lim;Heon-Kyun Ha
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.1003-1007
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    • 2020
  • Omental torsion secondary to inguinal hernia has rarely been reported as a cause of acute abdominal pain. However, in our case, omental infarction due to prolonged inguinal hernia-associated omental torsion led to the formation of a large omental mass with marginal fibrosis, and the patient presented with chronic abdominal pain. A 74-year-old man presented with complaints of lower abdominal pain for 1 month; subsequently, bilateral inguinal hernias were identified through inguinal ultrasonography. CT scans revealed that the greater omentum was trapped within the right inguinal canal, leading to omental torsion. The greater omentum, distal to the pedicle, appeared as a 30 cm-sized oblong fibrofatty mass in the right lower abdomen and pelvic cavity. Laparoscopic omentectomy with hernia repair was successfully performed.

Retinoic Acid Induces Abnormal Palate During Embryogenesis in Rat

  • Shin, Jeong-Oh;Park, Hyoung-Woo;Bok, Jin-Woong;Kim, Myoung-Hee
    • Biomedical Science Letters
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    • v.16 no.1
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    • pp.1-9
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    • 2010
  • In order to understand the effects of all-trans-RA on palate development, RA was injected into the abdominal cavity of pregnant mice and then the embryos were taken in the following days and analyzed morphologically as well as molecular biologically. When RA was administered at the stage of E11 or E15, the overall craniofacial development was retarded. The length from jaw to eye was shortened, compared to that of normal group. When the E11 embryos were exposed to RA, cleft lip was also found along with the cleft palate. In vitro palate culture experiment also revealed that RA caused cleft palate. When RT-PCR was performed, early stage administration of RA at E11 inhibited the upregulation of Hoxa7 expression at E15 through E17. Whereas in control group, high level of Hoxa7 expression was detected in the palate of E15 to E17. In the case of Bax, the expression was decreased from E16, while remaining constant in control group. When TUNEL analysis was performed following the RA treatment at E15, TUNEL positive cells were detected in the mesenchymal cells as well as epithelial cells of palatal shelves of E16 and in E17 embryos. Whereas in normal control, TUNEL positive cells were observed mostly at the epithelium around the nasal cavity and oral cavity where rugae is made. These results altogether indicate that exposure to RA during palate development causes facial deformity including cleft palate and cleft lip by modulating the expression of homeotic genes such as Hoxa7 as well as an apoptosis-related gene, Bax, and thus malregulating the apoptosis.

A Case of Pulmonary Carcinosarcoma which Metastasize to Pelvic Cavity After Left Pneumonectomy (골반강내로 전이되어 발견된 수술적 치료후 재발한 폐암육종 1예)

  • Jung, In-Su;Kim, Young-Jee;Kim, Chung-Hyeon;Kim, Si-Min;Lee, Sang-Moo;Ahn, Young-Soo
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.5
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    • pp.453-461
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    • 2001
  • Pulmonary carcinosarcoma(Sarcomatoid carcinoma of the lung) is a rare pulmonary malignancy, which is defined as having an admixture of both carcinomatous and sarcomatous components. Pulmonary carcinosarcoma occurs most frequently in males between 50 and 80 years of age. It predominantly affects the upper lobe and/or the principal bronchi, and is associated with a history of smoking. Here, we report a case of pulmonary carcinosarcoma with a left lobe atelectasis due to an endobronchial mass in a 56-year-old male. After a left pneumonectomy, the pathologic stage was IIb ($T_3N_0M_0$). Four months later, an abdominal mass was observed and exploratory laparotomy revealed metastases of the pulmonary carcinosarcoma to the pelvic cavity.

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