• Title/Summary/Keyword: cases report

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Surgical Resection of the Extracranial Internal Carotid Arterial Aneurysm -Report of two cases- (두개외 내경동맥 동맥류의 외과적 절제 -치 험 2례-)

  • Lee, Mun-Hwan;Park, Ju-Cheol;Yu, Se-Yeong
    • Journal of Chest Surgery
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    • v.29 no.1
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    • pp.103-106
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    • 1996
  • Aneurysms of the extracranial carotid arteries are relativeley rare in comparison with the total arterial system, but can cause death or a cerebrovascular accident. The treatment of choice is resection of the aneurysm and restoration of arterial continuity. This report describes two cases of extracranial internal carotid arterial aneurysm, which were saccular type. In both cases, the operations were performed under general anesthesia without shunt. The patients were recovered without any neurological sequelae.

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Surgical Repair of Bochdalek Hernia in Adult; A Report of Two Cases (성인에서 발생한 Bochdalek 탈장;수술 치험 2례)

  • 허강배
    • Journal of Chest Surgery
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    • v.26 no.5
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    • pp.417-421
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    • 1993
  • Congenital diaphragmatic hernia through Bochdalek foramen, posterolateral diaphragmatic hernia, is the result of a congenital malformation of the posterolateral region of the diaphragm. Bochdalek hernia is the most common type of congenital diaphragmatic hernia, but it is a extremely rare anomaly which is detected in adulthood because it has severe cardiopulmonary and gastrointestinal symptoms after birth immediately.We experienced two cases of Bochdalek hernia which were detected in adulthood. Among them, one was a 43 years old man who was treated with simple closure in left Bochdalek hernia and the other was 41 years old woman who was treated with patch closure using silastic sheet in right Bochdalek hernia. Their postoperative courses were uneventiful. So we report two cases of rare Bochdalek hernia which was detected in adulthood with review of literatures.

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Surgical Repair of Esophageal Atresia with Tracheoesophageal Fistula - Report of Three Cases - (선천성 식도 폐쇄및 기관식도루 수술치험 3례)

  • 허강배
    • Journal of Chest Surgery
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    • v.25 no.9
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    • pp.891-899
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    • 1992
  • Esophageal atresia with tracheoesophageal fistula may occur as separate, but usually occur in combination. First described by Thomas Gibson in 1696, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Leven. In 1941, Haight and Towsley performed the first successful one-stage primary repair. We report three cases of esophageal atresia with tracheoesophageal fistula of which were treated with one-stage surgical repair method. The operation was performed tra-nspleurally through right 4th intercostal space. The fistula in the trachea was closed with interrupted 5-O prolene sutures and esophagoesophageal anastomosis was performed with 3-O prolene single layer sutures in all cases. All patients tolerated the operative procedures and recovered uneventfully. On follow-up study, anastomotic stricture was developed in one patients, so esophageal dilatation was performed for it with the Griintzig balloon catheter and the result was satisfactory. The other patients were well-being without any complication.

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TAnkle Arthrodesis Using Cannulated Screws under Arthroscopy -Three cases report- (관절경하 유관 나사를 이용한 족관절 관절 고정술 (3례 보고))

  • Kim, Myung Ku
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.1
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    • pp.59-63
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    • 1998
  • There have been numerous methods to obtain a stable arthrodesis of the tibiotalar joint. However, a controvercy has arisen over the most successful and reproducible method to obtain an arthrodesis. The objective of this report is to show that an ankle arthrodesis can be performed successfully and advantageously by using cannulated screws under arthroscopic control and that our csaes will be a part of the multicentric study of arthroscopic ankle arthrodesis in korea. Between May 1996 and May 1997, we perfomed 3 ankle arthrodesis under arthroscopy using cannulated screws. Two patients had post-traumatic osteoarthritis and one had rheumatoid arthritis. Clinical ankylosis in one case and radiological union in two cases were obtained in 12 weeks postoperatively. We propose that arthroscopic ankle arthrodesis is effective procedure in patient who has minimal deformity and bone loss, advantages like small incision, minimal morbidity, low infection rate and rapid return to normal daily activity, but more cases and comparision with open tecnique will be needed.

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Esophageal Perforation Due to Pneumatic Pressure of Carbonated Beverage - Report of two cases - (탄산 가스의 팽창 압력에 의한 식도의 천공 -2례 보고-)

  • 장인석;김종우;이정은;최준영;김성호;이상호
    • Journal of Chest Surgery
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    • v.32 no.2
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    • pp.198-200
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    • 1999
  • Esophageal perforation due to the air pressure generated by forcefully evaporating gas is seldomly reported. If the diagnosis is confined to the injury of the oral cavity and the pharynx, missing the injury of the esophagus, the result may be fatal. Cases like this must be managed by early diagnosis and appropriate surgical intervention. The most important thing for early diagnosis is suspicion of esophageal injury from history and physical examination. We report two cases of esophageal pneumatic perforation caused by an explosive gas from the carbonated beverage bottle.

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Surgical Repair of Postinfarction VSD -Two Cases Report- (심근경색후 발생한 심실중격결손의 외과적 치료 -2례 보고-)

  • Lee, Yong-Hun;Choe, Pil-Jo;U, Jong-Su
    • Journal of Chest Surgery
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    • v.28 no.6
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    • pp.623-629
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    • 1995
  • Rupture of ventricular septum following myocardial infaction is one of the serious complication of coronary artery disease. The characteristic manifestations are sudden appearance of a harsh systolic murmur, precordial pain, cardiovascular collapse and permit early diagnosis. We report two cases of successful repair of postinfaction ventricular septal defect. The infarcted area was anterior wall of ventricle and VSD was placed near apex of heart in two cases all. VSD was closed with pledgetted Dacron patch and incised wall was sutured with Teflon felt and concomitant coronary artery bypass graft was done respectively .Postoperative courses were uneventful.

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Operative Treatment of Symptomatic Naviculocuneiform Coalition in Children (2 Cases Report) (소아 주상설상 결합 환자의 수술적 치료(2예 보고))

  • Kwak, Yoon-Hae;Shin, Won-Hyoung;Park, Jae-Yong
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.3
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    • pp.179-182
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    • 2011
  • Naviculocuneiform coalition is one of uncommon tarsal coalitions and especially symptomatic cases which need operative treatment are rare. Authors report 2 cases of pediatric naviculocuneiform patients who showed symptomatic condition as mainly pain. Plain radiographs, computed tomography or magnetic resolution imaging study showed bony bridge in naviculo-medial cuneiform joint. After over six months conservative treatment, excision of coalition and interposition $Tisseel^{(R)}$ was performed for motion preservation and relief of pain.

Three Cases Report of Children Psoriasis treated by Bangpungtongsungsan (방풍통성산(防風通聖散)으로 치료한 소아 건선(乾癬) 3례)

  • Lee, Ki-Hoon;Chang, Gyu-Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.23 no.3
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    • pp.207-216
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    • 2009
  • Objectives The purpose of these 3 cases study is to report the effects of psoriasis children treated by oriental medicine. Methods The subjects are 3 children diagnosed as having psoriasis. These patients were treated by oriental herbal medicine(Bangpungtongsungsan). We observed the improvement of skin condition by Psoriasis Area and Severity Index(PASI) score. Results After treatment, the symptoms of psoriasis were relieved. PASI score of three children in psoriasis was respectively changed from 7 to 0, 2.4 to 0, 3.6 to 0. Conclusions This study shows that Bangpungtongsungsan can be an effective treatment for psoriasis. Further study in needed with more cases of treatment.

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Two Cases of Intravenous Leiomyomatosis of the Uterus (자궁의 혈관내 평활근종증 2 예)

  • Kim, Jin-Hee;Koh, Min-Whan
    • Journal of Yeungnam Medical Science
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    • v.23 no.2
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    • pp.213-220
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    • 2006
  • Intravenous leiomyomatosis of the uterus is a rare tumor that presents with benign histological features. It is characterized by intravenous proliferation of smooth muscle cells originating from the uterus that sometimes extends to the inferior vena cava and the right heart. It may spread elsewhere, usually to the lung. The first case of intravenous leiomyomatosis was described in 1896 by Birsh-Hirshfeld, and only a few cases have been reported since then. Its pathogenesis and optimal treatment have not yet been established. We report a case of metastasizing leiomyomatosis found to have multiple nodular densities in both lower lung fields seven months after myomectomy. In another case the leiomyomatosis was confined to the pelvis after a laparoscopy assisted vaginal hysterectomy, the patient is alive without evidence of disease. Here we provide a detailed report of two cases of intravenous leiomyomatosis of the uterus with a brief review of the literature.

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Late Sequelae of Secondary Haglund's Syndrome after Malunion of Tongue Type Calcaneus Fracture - Report of Three Cases - (설상형 종골 골절의 부정 유합 후에 발생한 Haglund씨 증후군 - 3례 보고 -)

  • Jung, Hong-Geun;Rho, Han-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.4 no.1
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    • pp.48-54
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    • 2000
  • Haglund's syndrome produces retrocalcaneal bursitis or achilles tendinitis due to impingement of posterior superior bursal projection of calcaneus on insertional fibers of achilles tendon. Haglund's syndrome has been mainly associated with wearing rigid counter shoes and with athletes. We experienced three case of late sequelae of secondary Haglund's syndrome after malunion of tongue type calcaneus fracture. It is to be the first description of secondary Haglund's syndrome after calcaneus malunion and also the first report as the late complication of calcaneus fractures. Three cases were all tongue type intraarticular fractures and were treated with $45^{\circ}$ superior angle resection of superior calcaneal tuberosity. Clinical results by modified Rowe score were excellent with complete pain relief for all three cases.

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