• 제목/요약/키워드: pseudocyst

검색결과 62건 처리시간 0.024초

고양이에서 발생한 Perinephric pseudocysts와 선천성 Peritoneo-pericardial Kiaphragmatic Hernia in Cat

  • 김상기
    • 한국임상수의학회지
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    • 제14권1호
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    • pp.6-10
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    • 1997
  • An 8-year old castrated domestic long-hair cat was presented with a two week history of abdominal distension. Physical examination revealed a non-painful, fluctuant, palpable mass in the right craniodorsal abdomen, and unilaterally muffled heart sounds on the right thorax. Routine clinico-pathological values were unremarkable apart from mild azotemia with a concurrent urine specific gravity of 1.031, which reflect a degree of renal dysfunction. Radiographic and ultrasound examinations of the thorax revealed the cardiac enlargement to be due to the congenital peritoneo-pericardial diaphragmatic hernia with liver occupying the right half of the pericardial sac. There was also a mild gypertrophy of the heart. Radiography and ultrasonography of the abdomen showed the mass to be composed of a large fluid filled cystic structures surrounding the right and left kidneys, and the kidneys themselves were of increased echogenecity. A diagnosis of perinephric pseudocysts was made. The patient responded well to the surgical procedures. Perinephric pseudocysts and peritoneo-pericardial diaphragmatic hernia in the cat are rare, and a case is described and the literature is reviewed in this report.

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신칸디다증에 합병된 요낭종 1 례 (An Urinoma in a Premature Infant with Renal Cadidiasis)

  • 김예진;김정은;유은선;박은애;이선화;이승주
    • Childhood Kidney Diseases
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    • 제1권2호
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    • pp.195-197
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    • 1997
  • An urinoma(uriniferous pseudocyst, pararenal pseudocyst) denotes an encapsulated collection of urine in the perirenal or paraureteral space. It was usually reported in relation to trauma and acquired obstructive uropathy but rarely reported in renal infection including renal candidiasis. The mechanism is believed due to rupture of fornix through weakened portion of suppurated kidney and pyelosinus backflow by increased intrapelvic pressure in obstructive uropathy and fungus ball obstruction. We report a case of urinoma in a premature as the first case in Korea which developed as a complication of renal candidiasis.

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Symptomatic Post-Discectomy Pseudocyst after Endoscopic Lumbar Discectomy

  • Kang, Suk-Hyung;Park, Seung-Won
    • Journal of Korean Neurosurgical Society
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    • 제49권1호
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    • pp.31-36
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    • 2011
  • Objective: The objectives of this study were to determine the frequency of symptomatic postdiscectomy pseudocyst (PP) after endoscopic discectomy and to compare the results of surgical and conservative management of them. Methods: Initial study participants were 1,503 cases (1,406 patients) receiving endoscopic lumbar discectomy by 23-member board of neurosurgeons from March 2003 to October 2008. All patients' postoperative magnetic resonance imaging (MRI) scans were evaluated. On the postoperative MRI, cystic lesion of T2W high and T1W low at discectomy site was regarded as PP. Reviews of medical records and radiological findings were done. The PP patients were divided into two groups, surgical and conservative management by treatment modality after PP detection. We compared the results of the two groups using the visual analogue scale (VAS) for low back pain (LBP), VAS for leg pain (LP) and the Oswestry disability index (ODI). Results: Among 1,503 cases of all male soldiers, the MRls showed that pseudocysts formed in 15 patients, about 1.0% of the initial cases. The mean postoperative interval from surgery to PP detection was 53.7 days. Interlaminar approach was correlated with PP formation compared with transforaminal approach. (p=0.001).The mean VAS for LBP and LP in the surgical group improved from 6.5 and 4.8 to 2.0 and 2.3, respectively. The mean VAS for LBP and LP in the conservative group improved from 4.4 and 4.4 to 3.9 and 2.3, respectively. There was no difference in treatment outcome between surgical and conservative management of symptomatic PP. Conclusion: Although this study was done in limited environment, symptomatic PP was detected at two months' postoperative period in about 1% of cases. Interlaminar approach seems to be more related with PP compared with transforaminal approach.

췌장염 증상없이 췌장-흉막루를 통해 발생한 흉막저류 (Pleural Effusion and Pancreatico-Pleural Fistula Associated with Asymptomatic Pancreatic Disease)

  • 박상면;이상화;이진구;조재연;심재정;인광호;강경호;유세화
    • Tuberculosis and Respiratory Diseases
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    • 제42권2호
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    • pp.226-230
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    • 1995
  • 만성 췌장질환에 의한 흉막삼출은 췌장염 증상없이 대량으로 발생하기도 한다. 이런 경우 흉막액내 아밀라제의 현저한 증가는 췌장질환의 발견에 도움이 되며 대부분 보존적 췌장염 치료로 호전된다. 저자들은 췌장염 증상없이 흉막저류가 발생한 환자에서 흉막액내 아밀라제 증가를 발견하여 복부 및 흉부 전산화 단층촬영으로 췌장가낭종과 췌장-흉막루를 진단하고 보존적 치료로 호전되었기에 보고하는 바이다.

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결핵성 공동으로 오인된 외상 후 발생한 가성 폐낭종 1예 (A Case of Post-Traumatic Pulmonary Pseudocyst Mimicking Pulmonary Cavitary Tuberculosis)

  • 이현정;강지영;임선미;지은혜;김지현;김세원;이상학;문화식;이배영
    • Tuberculosis and Respiratory Diseases
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    • 제67권5호
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    • pp.467-470
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    • 2009
  • A traumatic pulmonary pseudocyst is a rare complication of blunt thoracic trauma. The clinical symptoms and signs are similar to other respiratory diseases, such as pulmonary tuberculosis. Therefore, a trauma history with the resulting radiologic and clinical findings is important for making a diagnosis. A 26-year-old male was admitted to our hospital due to cough for 3 days. The chest x-ray revealed diffuse infiltrations and a cavitary lesion at the left lung. His left chest had hit a tree as a result of motorcycle accident one day before admission. Initially, it was assumed that his symptoms and chest X-ray might be due to a tuberculosis infection. However, bronchoscopy revealed old blood clots at both lungs, particularly in the left lower lobe bronchus. A transbronchial lung biopsy showed alveolar hemorrhage. A traumatic pulmonary pseudocyst was diagnosed from his trauma history and these findings. Computed tomography of the chest performed 4 months later showed regression of the cavitary lesion.

Increasing trend of endoscopic drainage utilization for the management of pancreatic pseudocyst: insights from a nationwide database

  • Khaled Elfert;Salomon Chamay;Lamin Dos Santos;Mouhand Mohamed;Azizullah Beran;Fouad Jaber;Hazem Abosheaishaa;Suresh Nayudu;Sammy Ho
    • Clinical Endoscopy
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    • 제57권1호
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    • pp.105-111
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    • 2024
  • Background/Aims: The pancreatic pseudocyst (PP) is a type of fluid collection that typically develops as a delayed complication of acute pancreatitis. Drainage is indicated for symptomatic patients and/or associated complications, such as infection and bleeding. Drainage modalities include percutaneous, endoscopic, laparoscopic, and open drainage. This study aimed to assess trends in the utilization of different drainage modalities for treating PP from 2016 to 2020. The trends in mortality, mean length of hospital stay, and mean hospitalization costs were also assessed. Methods: The National Inpatient Sample database was used to obtain data. The variables were generated using International Classification of Diseases-10 diagnostic and procedural codes. Results: Endoscopic drainage was the most commonly used drainage modality in 2018-2020, with an increasing trend over time (385 procedures in 2018 to 515 in 2020; p=0.003). This is associated with a decrease in the use of other drainage modalities. A decrease in the hospitalization cost for PP requiring drainage was also noted (29,318 United States dollar [USD] in 2016 to 18,087 USD in 2020, p<0.001). Conclusions: Endoscopic drainage is becoming the most commonly used modality for the treatment of PP in hospitals located in the US. This new trend is associated with decreasing hospitalization costs.

췌장 가성낭종 환자 치험 1례 (A Case of Pancreatic Pseudocysts with Oriental Medical Treatment)

  • 허원영;류봉하;김유승;홍인아;김소연;엄국현;이선령;윤상협
    • 대한한방내과학회지
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    • 제28권4호
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    • pp.963-971
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    • 2007
  • A pancreatic pseudocyst is the most common cystic lesion in the pancreas. There are several treatment methods with variable results. Recently, conservative treatment has been preferred because it has fewer complications. In this case, a 37-year-old male patient had pancreatic pseudocysts with upper abdominal pain, left upper back pain, diarrhea, weight loss, and general weakness. We prescribed him Banchongsangamibang (蟠蔥散加味方). For about 1 year, he was treated with oriental medicine. All of his pancreatic pseudocysts disappeared on abdominal CT follow-up and the symptoms mostly subsided. There had been no recurrence of pancreatic pseudocysts on abdominal CT follow-up after 1 year.

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A Case of Post-Traumatic Pseudocyst in the Spleen Successfully Treated with Alcohol Sclerotherapy

  • Mun, Sang Wook;Lim, Taek-Jin;Hwang, Eun Ha;Lee, Yeoun Joo;Jeon, Ung Bae;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제18권4호
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    • pp.276-279
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    • 2015
  • This report details a case of post-traumatic pseudocyst in the spleen that was successfully treated with sclerotherapy using ethanol. A sixteen-year-old boy visited our hospital for a follow-up examination of a splenic cyst. He had experienced blunt trauma to the abdomen three years prior to presentation. An abdominal computed tomography scan revealed a large cyst of the lower pole of the spleen. The cyst was $6.8{\times}9.5{\times}7.0cm$ and conservative management was tried. A follow-up ultrasonographic examination three years later revealed that the size of the cyst was unchanged and another treatment was needed to prevent complications. One session of sclerosis with ethanol (90 mL of 99% ethanol) percutaneously was applied to the cyst. A follow-up after four months revealed that the cyst had completely resolved.

Toxoplasma gondii 약독주의 배양과 그 성장에 미치는 cyclic AMP와 pyrimidine salvage 억제제의 영향 (Culture of tissue-cyst forming strain of Toxoplama gondii and the effect of cyclic AMP and pyrimidine salvage inhibitors)

  • 최원영;박성경
    • Parasites, Hosts and Diseases
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    • 제32권1호
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    • pp.19-26
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    • 1994
  • Toxoplasma 약독주(ME49 주)의 배양계 확립을 위하여 뇌내 cyst를 마우스 복강에 주입하고 1, 3, 5 그리고 7일후 다시 얻어 배양기 부착성 세포를 배양하는 방법으로 ME49주를 배양하였으며, ME49주의 성장에 미치는 CAMP 및 DHFR억제제의 영향을 관찰하였다. ME49주로 감염된 대식 세포의 형태학적 관찰은 Giemsa 염색방법을 이용하였고 성장정도는 $[^3H]-uracil$ 표지량을 대조군에 대한 비로 나타내었다. 감염 3일 및 5일이 경과된 후에 채취한 복수의 대식세포에서 ME49 주의 bradyzoite가 주로 판찰되었으며, 배양기에서 3일 이상 경과된 후에는 pseudocyst를 형성하기 시작하였고, 5일 10일이 경과되면서 pseudocyst의 크기가 증가하였다. CAMP를 농도별로 처리하였을 때 3일째와 5일째의 복수를 5일간 및 10일간 배양했을 때 농도의존적으로 성장을 촉진하였다. DHFR 억제제중 pyrimethamine의 경우 농도의존적인 성장억제효과를 나타냈고 methotrexate의 경우엔 ME49 주 bradyzoite의 성장에 영향을 미치지 않는 것으로 나타났다. 이상의 결과로 마우스 대식세포내에서 bradyzoite의 배양이 가능하고 그 배양조건은 3일째와 5일째 복수를 5일 이상 10일 정도 배양하는 것이 적당하며 CAMP 및 pyrimethamine이 bradyBoite의 성장을 각각 촉진 및 억제하는 것으로 나타났다.

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흉부둔상에 의한 외상성 가성 폐기낭 (Traumatic Pseudocyst of Lung by Blunt Trauma)

  • 김욱진
    • Journal of Chest Surgery
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    • 제23권5호
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    • pp.1014-1016
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    • 1990
  • Pseudocysts of lung by blunt chest trauma are rare lesion with 1 to 2 % incidence. The symptoms are nonspecific and misled or confused with lung abscess or congenital cystic disease of lung occasionally. Diagnosis is not difficult by radiographic findings and history of blunt chest trauma. There courses are benign and spontaneously absorbed and require no specific treatment mostly. Recently, we had the one case of 8 year-old female with traumatic lung cyst and its cavities filled the entire right lower lobe. The destruction of lung was severe, so, right lower lobectomy was done and recovered, discharged without event.

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