• Title/Summary/Keyword: therapeutic case report

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Surgical treatment of postpneumonectomy empyema associated with bronchopleural fistula; A report of Three cases (기관지늑막루를 동반한 농흉의 외과적 치료-3 치험례-)

  • Kim, Yong-Jin;Kim, Hyeon-Sun;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.15 no.3
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    • pp.295-298
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    • 1982
  • Persistent bronchopleural fistula still presents a troublesome therapeutic challenge and demands an aggressive approach when conventional measures fail. Empyema associated bronchopleural fistula developed after resectional surgery and their primary diseases were lung abscess in one case, bronchiectasis in two cases. Three cases of postpneumonectomy empyema associated bronchopleural fistula were treated surgically with a pedicled intercostal muscle grafting and concomittent thoracoplasty. After the procedure, patients had no recurrent symptoms or signs of bronchopleural fistula and discharged from hospital with improved condition.

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Intracavitary Irradiation of Locally Advanced Recurrent Adenocarcinoma of Rectum Along the Fistula Tract (누도를 따라 재발한 직장암의 강내조사)

  • Kim Kyeong Ae;Kim Sung Kyu;Shin Sei One;Kim Myung Se;Song Sun Kyuo;Shim Min Chul;Kwun Koing Bo
    • Radiation Oncology Journal
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    • v.6 no.2
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    • pp.289-293
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    • 1988
  • Radiation therapy has been used as adjuvant therapy or primary treatment for inoperable, remnant or recurrent cancer. Many authors reported good palliation effect by external irradiation or interstitial therapy, but the report of intracavitary irradiation for recurrent, inoperable rectal cancer is very rare. We experienced a case of recurrent adenocarcinoma of rectum along fistula tract after laparotomy and postoperative radiotherapy who achieved very good palliation by intracavitary irradiation. Even though we have only good palliation without impressive survival improvement in this case, we hope that this technique may achieve good local control In other similar patients.

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Surgical and Occlusal Treatment of TMJ Internal Derangement (교합 및 외과적 치료를 이용한 악관적 내장증의 치험례)

  • Hwang, Kyung-Ryong;Ann, Jae-Jym;Chang, Se-Hong
    • The Journal of the Korean dental association
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    • v.25 no.7 s.218
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    • pp.657-664
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    • 1987
  • The purpose of this article is to report a case of internal derangement of TMJ which was successfully managed with surgical and occlusal treatment. The Obtained results were summarized as follow: 1. The patient surgically operated via high condylectomy with meniscoplasty to correct anteriorly displaced meniscus. 2. During operation, the junction area of bilamina zone and meniscus was easily identified and resected using microscopy. 3. The mandible was relocated into therapeutic position with occlusal splint. 4. The occlusal rehabilitation with selective grinding and prosthodontic treatment was done so that the new patient's intercuspal position should correspond to the therapeutic position.

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Preoperative Diagnosis of Congenital Esophageal Stenosis Caused by Tracheobronchial Remnants Using Miniprobe Endoscopic Ultrasonography in a Child

  • Lee, Kun-Song
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.15 no.1
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    • pp.52-56
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    • 2012
  • Congenital esophageal stenosis (CES) can be classified into three types based on the etiology of stenosis: tracheobronchial remnants (TBRs), fibromuscular hypertrophy (FMH), and membranous diaphragm (MD). It is important to make a differential diagnosis because the therapeutic plan for CES is determined by its etiology. Most cases of FMH and MD can be managed with balloon dilatation, whereas cases of TBRs require resection and anastomosis. Thus, the preoperative distinction of TBRs is critical. Recently miniprobe endoscopic ultrasonography (EUS) with a maximum diameter of 2.5 mm has been useful for distinguishing TBRs from FMH in pediatric patients with CES. EUS shows hyperechoic lesions indicating TBR cartilage. Miniprobe EUS is recommended for choosing the correct therapeutic method for CES. We report a case of CES due to TBRs in which a preoperative diagnosis was made in a child using miniprobe EUS without any difficulties.

Cevix Cancer Associated with Pregnancy - A Case Report and Review of the Literature- (임신중 자궁 경부암)

  • Lee, Tae-June;Kwon, Hyung-Cheol
    • Radiation Oncology Journal
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    • v.7 no.1
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    • pp.77-80
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    • 1989
  • Invasive carcinoma of the cervix during the pregnancy is relatively uncommon. It must be considered fetal viability, tumor control as well. If the carcinoma is diagnosed in the first or second trimester, treatment should be undertaken immediately. At the third trimester, treatment should be deferred until the fetus is viable.

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Secondary Erythromelalgia - A Case Report -

  • Kang, Byoung Chan;Nam, Da Jeong;Ahn, Eun Kyoung;Yoon, Duck Mi;Cho, Joung Goo
    • The Korean Journal of Pain
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    • v.26 no.3
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    • pp.299-302
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    • 2013
  • Erythromelalgia is a rare neurovascular pain syndrome characterized by a triad of redness, increased temperature, and burning pain primarily in the extremities. Erythromelalgia can present as a primary or secondary form, and secondary erythromelalgia associated with a myeloproliferative disease such as essential thrombocythemia often responds dramatically to aspirin therapy, as in the present case. Herein, we describe a typical case of a 48-year-old woman with secondary erythromelalgia linked to essential thrombocythemia in the unilateral hand. As this case demonstrates, detecting and visualizing the hyperthermal area through infrared thermography of an erythromelalgic patient can assist in diagnosing the patient, assessing the therapeutic results, and understanding the disease course of erythromelalgia.

One Case of Typical Oriental Medical Therapy in Combination with Neurofeedback Therapy on Pain disorder induced by School violence (학교폭력에 노출된 후 발생한 흉통환자 1례(例)에 대한 Neurofeedback과 한방치료 병행 치험례(治驗例))

  • Park, So-Jeong;Byun, Soon-Im;Kim, Sang-Ho;Park, Jong-Hoon;Hwang, Wei-Wan;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.171-179
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    • 2005
  • School violence is known to cause various emotional, behavioral and social problems. Low self-esteem, lack of self consciousness, sense of alienation, guilty consciousness, somatoform symptoms and low concentration happened to adolescent victims. This patient was suffering for school violence during about a year, then Pain disorder occurred to him. Neurofeedback has been used as a complementary therapeutic relaxation and a increasing self-esteem technique. This patient, is a 13-year- boy, who had been exposed school violence for a year and caused severe and constant pain, was successfully treated by Neurofeedback therapy with oriental medication. This case report is focused on treatment through these methods.

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A Case of Dural Ectasia with Low Back Pain and Sciatica Treated with Integrative Korean Medical Treatment

  • Kwon, Oh-Hoon;Kim, Sang-Gyun;Park, Ju-Hun;Yoo, Dong-Hwi;Choi, Ki-Hoon;Choi, Ki-Won;Ha, Do-Hyung;Cho, Hyun-Woo
    • Journal of Acupuncture Research
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    • v.36 no.3
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    • pp.182-185
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    • 2019
  • Dural ectasia is defined as ballooning or expansion of the dural sac surrounding the spinal cord. This report describes a rare case of low back pain and sciatica, suspected as being dural ectasia. The patient was hospitalized for 45 days, and underwent integrative Korean medical treatment, including pharmacopuncture, acupuncture, herbal medicine, Chuna therapy, cupping therapy, and physiotherapy. The effect of the treatment was evaluated using the numerical rating scale, Oswestry disability index, European quality of life 5 dimensions, and subjective symptoms. After inpatient treatment, the pain the patient experienced was significantly reduced and the evaluation indices improved. This case report suggested that integrative Korean medical treatment could be an effective therapeutic choice for low back pain and sciatica, with dural ectasia. Further clinical studies are needed to support this observation.

A Case Report: Effect of Korean Medicine Including Distilled Form of Bosaeng-tang Gagambang on Moderate to Severe Hyperemesis Gravidarum.

  • Kim, Hae-Won;Baek, Seon-Eun;Yoo, Dong-Youl;Yoo, Jeong-Eun
    • The Journal of Korean Medicine
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    • v.41 no.4
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    • pp.120-132
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    • 2020
  • Objectives: Hyperemesis gravidarum (HG) is defined as severe nausea and vomiting during pregnancy (NVP) with weight loss, ketonuria, and electrolyte imbalance. Many NVP or HG patients get hard to take herbal medicine since the smell and taste of it. Therefore, the distilled herbal medicines are often used in clinical practice. A 32-year-old, 14-week pregnant female was admitted for 3 weeks at a Korean medicine hospital. She was experiencing HG accompanied by 19.61% (10 kg) weight loss, ketonuria, and electrolyte imbalance. The patient received Bosaeng-tang gagambang in its distilled form, acupuncture, electro-acupuncture, sticker needles, cupping, moxibustion, and hydration during admission. The severity and frequency of NVP, weight loss, and ketonuria significantly improved without any side effects. Before the therapy, she admitted to two obstetrics and gynecology hospitals, 1 week each, with no improvement. This case presents the therapeutic potential of Korean medicine including herbal medicine in its diluted form for HG and NVP.

A case report of tubulointerstitial nephritis and uveitis syndrome in children with an unfavorable outcome

  • Sang I Kong;Mun Hyang Park;Eun Jung Cheon
    • Childhood Kidney Diseases
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    • v.27 no.1
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    • pp.40-45
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    • 2023
  • Tubulointerstitial nephritis and uveitis (TINU) syndrome is defined as the occurrence of tubulointerstitial nephritis and uveitis in the absence of other systemic diseases. Three pediatric cases have been reported in the Republic of Korea, and we now report a fourth case. A 15-year-old girl presented to the ophthalmology department with a 1-week history of bilateral ocular discomfort that worsened on the day of presentation with redness and pain in both eyes. She was diagnosed with bilateral uveitis, and her baseline examination revealed moderate renal dysfunction and mild proteinuria. A renal biopsy was performed and confirmed the diagnosis of TINU syndrome. She was started on steroid eye drops and a 12-week course of oral steroids at a dose of 40 mg/m2/day, which completely resolved the proteinuria and mild renal function to an estimated glomerular filtration rate of 60 mL/min/1.73 m2. However, the uveitis did not improve, and despite the addition of oral methotrexate as a second-line treatment, the uveitis remains unresponsive to treatment over 21 months. Further evaluation and treatment are ongoing, and active therapeutic intervention is suggested even at a pediatric age, considering the lack of improvement in renal function and uveitis to date.