• 제목/요약/키워드: intramural gas

검색결과 3건 처리시간 0.019초

개의 결장기종 1례 (Pneumatosis Coli in a Dog)

  • 최지혜;김태은;김현욱;서지민;김미은;윤정희
    • 한국임상수의학회지
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    • 제26권3호
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    • pp.298-302
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    • 2009
  • A poodle with clinical signs of colorectal disease was diagnosed as pneumatosis coli. In this dog, hypoadrenocorticism and immune-mediated hemolytic anemia concurred. Pneumatosis coli is one of the emphysematous gastrointestinal diseases. The etiology is unknown but mechanical, pulmonary and bacterial theories have been proposed. In pneumatosis coli, gas accumulates within submucosal or subserosal layer of colon or rectum, so intramural radiolucent gas is observed on abdominal radiographs. In this dog, intramural gas accumulation occurred in cecum. Definitive diagnosis was based on radiographic findings and an underlying cause was not elicited. Pneumatosis coli should be included into differential diagnosis for nonspecific colorectal signs.

개에서 장 기종의 초음파적 특징 1례 (Ultrasonographic Findings of Pneumatosis Intestinalis in a Dog)

  • 송유미;이정양;이정우;정우창;이영원;최호정
    • 한국임상수의학회지
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    • 제30권2호
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    • pp.138-141
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    • 2013
  • 4개월령의 수컷 잡종견이 교통사고에 의한 외상, 기립불능, 혼수, 복부통증으로 내원하였다. 방사선 검사에서 복수, 장 확장, 우측 장골 골절, 소심증이 확인되었다. 복부 초음파 검사에서 내강에 무 에코의 액체와 장벽 점막 내 가스를 함유하고 있는 심하게 확장된 소장 분절이 관찰되었다. 이러한 초음파적 특징은 장 기종 (pneumatosis intestinalis)에서 관찰되며, 이것은 외상에 따른 장 분절의 혈관 혈류 이상에 의한 것으로 의심된다. 환축이 폐사 한 후 부검한 결과, 일부 장 분절이 요추하 근육에 의해 교액되어 변색 및 괴사한 상태임을 확인하였다. 초음파는 장벽 내 에코가 있는 가스를 확인하여 장 기종을 진단할 수 있는 유용한 수단이다.

자궁근종과 성호르몬 대사물과의 연관성 (Correlation between Steroid Hormone Metabolites and Leiomyomas of Uterus)

  • 배상욱;정병화;정봉철;전진동;이현정;권한성;정경아;김세광;박기현
    • Clinical and Experimental Reproductive Medicine
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    • 제28권4호
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    • pp.279-286
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    • 2001
  • Objective: To elucidate 1) whether there are any differences in the urine concentrations of steroid hormone metabolites between patients with leiomyoma and normal controls 2) the correlation between urinary profiles of steroid hormones and leiomyomas of the uterus according to their type, location, volume, and weight. Materials of Methods : The study population consisted of 37 premenopausal patients with uterine leiomyoma and the control group consisted of 25 premenopausal normal volunteer women without uterine leiomyoma. Confirmation of the existence of uterine leiomyoma was done by ultrasonography and histopathological examination after surgery. The volume of the leiomyoma was estimated by trans-abdominal and/or trans-vaginal ultrasonography. The Leiomyomas were divided into 3 types (subserosal, intramural and submucosal). Seventeen patients had subserosal type of leiomyoma, 10 with the intramural type and 10 with the submucosal type. The locations of the leiomyoma were also divided into 3 groups (fundus, body and isthmus). Seventeen patients showed a fundus location, 10 in body, and 10 in isthmus. We compared urinary profiles of the endogenous steroids between patients with leiomyomas and normal controls, and also investigated the relationship between urinary profiles of the endogenous steroids and leiomyomas according to their type, location, volume and weight by using highly sensitive Gas Chromatography-Mass Spectrometry (GC-MS) system. Results: The mean ages of the patients with leiomyomas and the control group were $43.1{\pm}5.6$ and $40.6{\pm}7.2$ years, the weights were $63.4{\pm}7.3$ and $59.4{\pm}8.1\;kg$, and their heights were $155.4{\pm}4.8$ and $159.3{\pm}4.8\;cm$ respectively. Seventeen patients had subserosal, 10 had intramural, and 10 had submucosal leiomyomas. There were 17 patients with leiomyoma located in fundus, 10 in body and 10 in isthmus. $17{\beta}$-estradiol, 5-AT, 11-keto ET, $11{\beta}$-hydroxy An, $11{\beta}$-hydroxy Et, THS, THA, THE, a-cortolone, a-cortol, $\beta$-cortol, $11{\beta}$-OH Et/$11{\beta}$-OH An and E2/E1 were significantly increased in patients with leiomyoma than in the control group. $17{\beta}$-estradiol was significantly increased in the intramural and the submucosal types than in the subserosal type. There was no significant difference in the concentrations of urinary steroids according to the locations of leiomyomas. There was no significant relationship between the concentration of urinary steroids and the volume of the leiomyomas. $17{\beta}$-estradiol significantly decreased as the weight of uterus increased (r=-0.322, p=0.04). Conclusion: The concentrations of steroid hormone metabolites were generally increased in patients with leiomyoma but were not significantly related to the volume and weight of the leiomyomas. Our study suggests that steroid hormones may be involved in the initiation of leiomyomas but may not be involved in their progression. In addition, the concentrations of steroid hormone metabolites are not related to the leiomyoma type and location.

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