1.Asymptomatic Tubular Duplication of the Transverse Colon in an Adult.
Young Wan KIM ; Junuk KIM ; Kang Young LEE ; Nam Kyu KIM ; Chang Hwan CHO
Yonsei Medical Journal 2005;46(1):189-191
Colonic duplication is a rare congenital anomaly of the alimentary tract. In most cases, symptomatic duplications of the colon are recognized and treated by childhood. It is uncommon for these lesions to be detected in the adulthood since they present with vague symptoms if at all. We experienced a case of asymptomatic tubular duplication of the transverse colon in a 40-year-old female. Barium enema revealed a tubular duplication of the transverse colon. The duplicated segment arose from the mid ascending colon and incorporated just proximal to the splenic flexure, running parallel to the transverse colon and communicating with it at both ends. Colonoscopy demonstrated a normal colonic mucosa in the duplicated segment. The diameter of its lumen gradually narrowed proximally and the colonoscope could not be passed through the proximal opening of the segment. The patient did not need any treatment. Duplications of the alimentary tract can be found at any age. The possibility of congenital lesions in the adult population should not be overlooked.
Adult
;
Colon, Transverse/*abnormalities/radiography
;
Colonoscopy
;
Female
;
Humans
;
Intestinal Mucosa/cytology
2.A Case of Severe Skin Eruption Caused by Lamivudine in a Patient with Chronic Hepatitis B.
Seok Bae KIM ; Pyoung Ju SEO ; Du San BAIK ; Se Young YUN ; Byung Ha KIM ; Jung Eun SHIN ; Hong Ja KIM ; Il Han SONG
The Korean Journal of Gastroenterology 2006;48(4):281-285
Lamivudine is widely used for the treatment of chronic hepatitis B infection because of it's remarkable antiviral efficacy and safety. We report a case of severe skin eruption caused by lamivudine. A 47-year-old female was admitted because of jaundice and itching sensation. She was diagnosed as chronic hepatitis B infection a few years ago but did not receive any specific treatment. Laboratory data showed acute deterioration of chronic hepatitis B infection. We prescribed lamivudine as a rescue therapy. Her general condition improved and lab data showed improvement in liver function test thereafter. However, she complained of severe skin eruption and itching sensation a few days after the discharge. We stopped lamivudine because the symptoms did not improve despite the use of anti-histamine. Skin biopsy showed interface dermatitis. After stopping lamivudine, her symptoms improved. However, the skin eruption developed again after lamivudine was restarted. Adefovir was used instead, and the patient did not experience any further skin problems since then.
Aged
;
Colon, Transverse
;
Female
;
Hernia, Abdominal/*diagnosis/radiography
;
Humans
;
Imaging, Three-Dimensional
;
*Mesocolon
;
Tomography, Spiral Computed
3.Barium Enema Findings of Milk Allergy in Infants.
Gyoung Ju KIM ; Mi Jeong KIM ; Hee Jung LEE
Journal of the Korean Radiological Society 2006;55(3):289-293
PURPOSE: We wanted to evaluate the barium enema findings of milk allergy in infants. MATERIALS AND METHODS: Retrospective evaluation of the plain abdominal radiography and barium enema findings was performed in fifteen young infants suffering with milk allergy. The presence of gaseous distension, rectal gas, paralytic ileus and mechanical obstruction was evaluated on the plain radiography. The presence of spasm, a transitional zone, a reversed rectosigmoid index and mucosal irregularity was analyzed on the barium enema; the presence of barium retention was also evaluated on 24-hour-delayed plain radiography. RESULTS: Paralytic ileus was the most common finding on the plain radiography (93%). On the barium enema, continuous spasm of the colon, ranging from the rectum to the descending colon, was revealed in ten infants (67%). A transitional zone was observed in one infant and a reversed rectosigmoid index was revealed in four. Mucosal irregularity was observed in two infants. Barium retention was demonstrated in 11 of fifteen cases: throughout the entire colon (n = 3), from the rectum to the descending colon (n = 7), and up to the transverse colon (n = 1). CONCLUSION: The most common barium enema finding of milk allergy in infants was spasm of the distal colon. The other findings were a transitional zone, a reversed rectosigmoid index, mucosal irregularity and barium retention.
Barium*
;
Colitis
;
Colon
;
Colon, Descending
;
Colon, Transverse
;
Enema*
;
Humans
;
Infant*
;
Intestinal Pseudo-Obstruction
;
Milk Hypersensitivity*
;
Milk*
;
Radiography
;
Radiography, Abdominal
;
Rectum
;
Retrospective Studies
;
Spasm
4.Barium Enema Findings of Milk Allergy in Infants.
Gyoung Ju KIM ; Mi Jeong KIM ; Hee Jung LEE
Journal of the Korean Radiological Society 2006;55(3):289-293
PURPOSE: We wanted to evaluate the barium enema findings of milk allergy in infants. MATERIALS AND METHODS: Retrospective evaluation of the plain abdominal radiography and barium enema findings was performed in fifteen young infants suffering with milk allergy. The presence of gaseous distension, rectal gas, paralytic ileus and mechanical obstruction was evaluated on the plain radiography. The presence of spasm, a transitional zone, a reversed rectosigmoid index and mucosal irregularity was analyzed on the barium enema; the presence of barium retention was also evaluated on 24-hour-delayed plain radiography. RESULTS: Paralytic ileus was the most common finding on the plain radiography (93%). On the barium enema, continuous spasm of the colon, ranging from the rectum to the descending colon, was revealed in ten infants (67%). A transitional zone was observed in one infant and a reversed rectosigmoid index was revealed in four. Mucosal irregularity was observed in two infants. Barium retention was demonstrated in 11 of fifteen cases: throughout the entire colon (n = 3), from the rectum to the descending colon (n = 7), and up to the transverse colon (n = 1). CONCLUSION: The most common barium enema finding of milk allergy in infants was spasm of the distal colon. The other findings were a transitional zone, a reversed rectosigmoid index, mucosal irregularity and barium retention.
Barium*
;
Colitis
;
Colon
;
Colon, Descending
;
Colon, Transverse
;
Enema*
;
Humans
;
Infant*
;
Intestinal Pseudo-Obstruction
;
Milk Hypersensitivity*
;
Milk*
;
Radiography
;
Radiography, Abdominal
;
Rectum
;
Retrospective Studies
;
Spasm
5.Acute Peritonitis Caused by a Fibrosarcoma of the Transverse Colon in an Adult.
Seok Youn LEE ; Jung Nam KWON ; Keun Young KIM
Annals of Coloproctology 2014;30(6):280-284
A fibrosarcoma is a malignant mesenchymal tumor derived from fibrous connective tissue. It usually develops in the deep soft tissues of the extremities, as well as the trunk, head, and neck. In extremely rare cases, a fibrosarcoma may occur in the gastrointestinal tract. Most cases of fibrosarcoma in the gastrointestinal tract have been observed in the pediatric age group while only a few cases have been reported in adults. A 61-year-old male presented with pain in the entire abdominal region. Chest radiography showed free air in the subphrenic space. After an emergency operation, we found a solid mass around the transverse colon and performed a segmental resection with a lymphatic dissection of the transverse colon, including the mass. A pathologic examination showed a fibrosarcoma with a perforation. There was no perioperative complication. The patient was discharged on postoperative day 11 and had follow-ups for 1 year without any recurrence.
Adult*
;
Colon, Transverse*
;
Connective Tissue
;
Emergencies
;
Extremities
;
Fibrosarcoma*
;
Follow-Up Studies
;
Gastrointestinal Tract
;
Head
;
Humans
;
Male
;
Middle Aged
;
Neck
;
Peritonitis*
;
Radiography
;
Recurrence
;
Thorax
6.Multidetector computed tomography diagnosis of splenic flexure volvulus: usefulness of multiplanar reformats.
Sharon Zhiling KOH ; Albert Su Chong LOW ; Hak-Mien QUAH
Singapore medical journal 2013;54(4):e79-82
Splenic flexure volvulus is the least common form of colonic volvulus. Preoperative radiological diagnosis is usually made presumptively, based on plain radiographs and/or barium contrast enema study in patients presenting with acute large bowel obstruction. We report a case in which multidetector computer tomography (CT) findings were diagnostic of this condition, thus highlighting the usefulness of multiplanar reformatting.
Adult
;
Colon, Transverse
;
diagnostic imaging
;
surgery
;
Colonoscopy
;
Digestive System Surgical Procedures
;
Female
;
Humans
;
Intestinal Volvulus
;
diagnosis
;
diagnostic imaging
;
surgery
;
Multidetector Computed Tomography
;
Radiography, Abdominal
;
Treatment Outcome
9.Morgagni Hernia in a 3-year Old Boy: a Case Report.
Hyeyeon JEONG ; Ae Suk KIM ; Sung Min CHOI ; Jinyoung PARK
Journal of the Korean Association of Pediatric Surgeons 2007;13(1):81-86
A 3-year-old boy with purulent otitis media received a chest radiograph as the part of a routine work up. The patient was normal appearing, in no acute distress. The patient's lung and heart sounds were clear and normal. The patient's abdomen was soft, non-distended, and non-tender. An anterior cardiophrenic mass was incidentally identified on the lateral chest radiograph. A computed tomography scan demonstrated a diaphragmatic hernia with bowel loops in the retrosternal space. An exploratory operation revealed a diaphragmatic defect (4 cm in diameter) on the left side of the falciform ligament, through which transverse colon was protruded. There was no hernia sac, and the defect was closed with interrupted No. 2 silk sutures. The child was discharged on the 8th postoperative day without any complications. During 6 months of follow-up period, recurrence was not noticed.
Abdomen
;
Child
;
Child, Preschool*
;
Colon, Transverse
;
Follow-Up Studies
;
Heart Sounds
;
Hernia*
;
Hernia, Diaphragmatic
;
Humans
;
Ligaments
;
Lung
;
Male*
;
Otitis Media, Suppurative
;
Radiography, Thoracic
;
Recurrence
;
Silk
;
Sutures
10.Chronic Recurrent Volvulus of the Colonic Splenic Flexure Associated with the Eventration of Left Diaphragm.
Hee Sun KIM ; Jeong Seon YOO ; Seok Joo HAN ; Hyojin PARK
The Korean Journal of Gastroenterology 2007;49(1):37-40
The eventration of diaphragm is usually found incidentally on chest X-ray or sometimes presented as acute gastric volvulus. However, colonic volvulus on splenic flexure area complicated by diaphragmatic eventration is extremely rare. A 25 year old man complained of upper abdominal pain for three days. He had a history of brain injury during infant period, and had epilepsy and mental retardation. Plain chest X-ray showed left diaphragmatic eventration and marked dilatation of colon on splenic flexure area which had not been changed for last three years. Barium enema showed bird beak appearance on distal colon near the splenic flexure. Colonoscopic reduction failed. After decompression with rectal and nasogastric tubes, colonic volvulus was relieved. To prevent the recurrence of volvulus, we performed segmental resection of left colon including splenic flexure area and repaired the left diaphragmatic eventration. After the operation, the patient had no further recurrent episode of volvulus although ileus persisted.
Adult
;
Barium Sulfate/diagnostic use
;
Chronic Disease
;
*Colon, Transverse
;
Colonic Diseases/*radiography/surgery
;
Diaphragmatic Eventration/*complications/radiography/surgery
;
Humans
;
Intestinal Volvulus/etiology/*radiography/surgery
;
Male
;
Recurrence
;
Tomography, X-Ray Computed