1.Pathology, imaging and treatment of rare types of intracranial aneurysms.
Zhangning JIN ; Feng GAO ; Wentao DONG ; Litong ZHANG ; Zhen ZHANG ; Xinyu YANG ; Email: YANGXINYU@TIJMU.EDU.CN. ; Shuyuan YANG ; Jianning ZHANG
Chinese Journal of Surgery 2015;53(7):553-557
The formation mechanisms of rare intracranial aneurysms are various, which lead to various kinds of treatment methods. The present article summarized the pathogenesis, pathologic changes in vascular walls and imaging features of rare intracranial aneurysms including segmental ectasia, aneurysms with dissection, aneurysms with intramural hemorrhage, mycotic aneurysms, aneurysms related to HIV, neoplastic aneurysms and traumatic aneurysms through literature review.
Diagnostic Imaging
;
Dilatation, Pathologic
;
Humans
;
Intracranial Aneurysm
;
diagnosis
;
pathology
;
therapy
3.Periductal Mastitis in a Male Breast.
Changsuk PARK ; Jung Im JUNG ; Bong Joo KANG ; Ahwon LEE ; Woo Chan PARK ; Seong Tai HAHN
Journal of the Korean Radiological Society 2006;55(3):305-308
Periductal mastitis and mammary duct ectasia are now considered as separate disease entities in the female breast, and these two diseases affect different age groups and have different etiologies and clinical symptoms. These two entities have very rarely been reported in the male breast and they have long been considered as the same disease as that in the female breast without any differentiation. We report here on the radiologic findings of a rare case of periductal mastitis that developed during the course of chemotherapy for lung cancer in a 50-year-old male. On ultrasonography, there was a partially defined mass with adjacent duct dilatation and intraductal hypoechogenicity, and this correlated with an immature abscess with a pus-filled, dilated duct and periductal inflammation on the pathologic examination.
Abscess
;
Breast*
;
Dilatation
;
Dilatation, Pathologic
;
Drug Therapy
;
Female
;
Humans
;
Inflammation
;
Lung Neoplasms
;
Male*
;
Mastitis*
;
Middle Aged
;
Ultrasonography
4.Periductal Mastitis in a Male Breast.
Changsuk PARK ; Jung Im JUNG ; Bong Joo KANG ; Ahwon LEE ; Woo Chan PARK ; Seong Tai HAHN
Journal of the Korean Radiological Society 2006;55(3):305-308
Periductal mastitis and mammary duct ectasia are now considered as separate disease entities in the female breast, and these two diseases affect different age groups and have different etiologies and clinical symptoms. These two entities have very rarely been reported in the male breast and they have long been considered as the same disease as that in the female breast without any differentiation. We report here on the radiologic findings of a rare case of periductal mastitis that developed during the course of chemotherapy for lung cancer in a 50-year-old male. On ultrasonography, there was a partially defined mass with adjacent duct dilatation and intraductal hypoechogenicity, and this correlated with an immature abscess with a pus-filled, dilated duct and periductal inflammation on the pathologic examination.
Abscess
;
Breast*
;
Dilatation
;
Dilatation, Pathologic
;
Drug Therapy
;
Female
;
Humans
;
Inflammation
;
Lung Neoplasms
;
Male*
;
Mastitis*
;
Middle Aged
;
Ultrasonography
5.A Case of Successful Natural Stenting in Tracheobronchial Restenosis with Malignant Tumor after Metallic Stenting.
Goohyeon HONG ; Kyeongman JEON ; Sang Won UM ; Won Jung KOH ; Gee Young SUH ; Man Pyo CHUNG ; O Jung KWON ; Hojoong KIM
The Korean Journal of Critical Care Medicine 2012;27(2):111-114
Tracheal tumors are very rare disease, which may cause dyspnea, obstructive pneumonia and life-threatening hypoxemia, depending on the site of the lesion and the severity of the narrowing. Such patients frequently die within hours or days due to suffocation. Patients who expressed upper airway stenosis, should be secured the airways prior to the diagnosis and treatment commonly. Then, treatment plan should be determined. For the relief of such stenosis, various modalities of therapy including surgery, laser photoresection, balloon dilatation and sometimes stent insertion have been used. Tracheobronchial stent insertion has been a good therapeutic option in these patients in point of avoiding morbidities associated with surgery. We report a case of repeated tracheobronchial stenosis by infiltrating tumor mass after metallic stent insertion in a 48-year-old man. The patient was treated successfully by Natural stent insertion with rigid bronchoscopy after removal of previous inserted metallic stent.
Anoxia
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Asphyxia
;
Bronchoscopy
;
Constriction, Pathologic
;
Dilatation
;
Dyspnea
;
Humans
;
Laser Therapy
;
Middle Aged
;
Pneumonia
;
Rare Diseases
;
Stents
6.Clinical analysis of endoscopic esophageal dilation for the treatment of corrosive esophageal strictures in children.
Lu-Jing TANG ; Jin-Gan LOU ; Hong ZHAO ; Ke-Rong PENG ; Jin-Dan YU
Chinese Journal of Contemporary Pediatrics 2023;25(12):1265-1269
OBJECTIVES:
To investigate the clinical application of endoscopic esophageal dilation in the treatment of corrosive esophageal strictures in children.
METHODS:
A retrospective analysis was performed on the clinical data of 15 children with corrosive esophageal strictures who underwent endoscopic esophageal dilation in Children's Hospital, Zhejiang University School of Medicine. The clinical features, treatment modality of endoscopic esophageal dilation, number of dilations, complications, and prognosis were reviewed.
RESULTS:
A total of 96 esophageal dilations were performed in the 15 children with corrosive esophageal strictures, with a median of 6 dilations per child. Among them, 9 children (60%) underwent 6 or more dilations. The children with a stricture length of >3 cm had a significantly higher number of dilations than those with a stricture length of ≤3 cm (P<0.05). The children with strictures in a single segment had a significantly better treatment outcome than those with strictures in multiple segments (P=0.005). No complication was observed during all sessions of dilation. The overall effective rate (including significant improvement and improvement) of endoscopic esophageal dilation treatment was 87%, with 2 cases of failure.
CONCLUSIONS
Endoscopic esophageal dilation is an effective and relatively safe treatment method for corrosive esophageal strictures in children, and children with strictures in a single segment tend to have a better treatment outcome than those with strictures in multiple segments.
Child
;
Humans
;
Esophageal Stenosis/therapy*
;
Constriction, Pathologic/complications*
;
Dilatation/methods*
;
Caustics
;
Retrospective Studies
;
Treatment Outcome
7.Small Circumscribed Aortic Dissection Complicating Annuloaortic Ectasia in a Non-Marfanoid Patient.
Tae Ho PARK ; Kwang Soo CHA ; Hyeong Kweon KIM ; In Ah SEO ; Uk Don YUN ; Jung Hyun LIM ; Moo Hyun KIM ; Young Dae KIM ; Jong Seong KIM
Korean Circulation Journal 1999;29(6):630-634
Annuloaortic ectasia, cystic medial degeneration of the afflicted aortic wall leading to progressive dilatation, is often accompanied by Marfan's syndrome. Some portions of intimal flap is commonly demonstrated along the aorta in the noninvasive diagnosis of aortic dissection. We report the first case of circumscribed aortic dissection developed in a 28 year old obese non-Marfanoid patient. He was transferred after thrombolytic therapy at a community hospital because of severe chest pain and ST segment elevation. Transthoracic echocardiography showed markedly dilated aortic root, moderate amount of pericardial effusion, mild aortic regurgitation in spite of normal regional wall motion of left ventricle. Intimal flap, characteristic of aortic dissection, was not seen with computed tomography. Intimal tear was demonstrated just above aortic valve only by transesophageal echocardiography. Two parallel intimal tear and small circumscribed dissection was demonstrated by autopsy.
Adult
;
Aorta
;
Aortic Valve
;
Aortic Valve Insufficiency
;
Autopsy
;
Chest Pain
;
Diagnosis
;
Dilatation
;
Dilatation, Pathologic*
;
Echocardiography
;
Echocardiography, Transesophageal
;
Heart Ventricles
;
Hospitals, Community
;
Humans
;
Marfan Syndrome
;
Pericardial Effusion
;
Thrombolytic Therapy
8.Non-operative Dilatation of Corrosive Esophageal and Gastric Angular Stricture: A Case reoprt.
Moon Sung LEE ; Joong Won KIM ; Jin Hong KIM ; Sung Won CHO ; Chan Sup SHIM
Korean Journal of Gastrointestinal Endoscopy 1989;9(2):151-155
Acid ingestion causes a coagulative necrosis of the surface epithelium of the upper gastromtestinal tract. Its late sequence is luminal stenosis which frequently requires surgical repair. Nevertherless, in many cases, non-operative dilatation of luminal stenosis have been applicated, such as bouginations, balloon dilatations, endoscopic laser therapy, endoscopic electrocoagulation, endescopic microwave coagulation. These methods may give some considerable benefits in unoperable cases. Recently, we experienced a case of a 60-year-old man who had severe corrosive esophageal and gastric angular strictures by accidentally ingested hydrochloric acid and after many tiems of application of non-operative dilatation was able to have normal diet without dysphagia. So, we report this case with a review of literatures.
Constriction, Pathologic*
;
Deglutition Disorders
;
Diet
;
Dilatation*
;
Eating
;
Electrocoagulation
;
Epithelium
;
Humans
;
Hydrochloric Acid
;
Laser Therapy
;
Microwaves
;
Middle Aged
;
Necrosis
;
Phenobarbital
9.The Effect of 0.5% Sodium Tetradecyl Sulfate on a Venous Lake Lesion.
Suck Joon JUNG ; Young Ju SEO ; Eun Ju PARK ; Chul Woo KIM ; Hee Jin CHO ; Kwang Ho KIM ; Kwang Joong KIM
Annals of Dermatology 2008;20(4):179-183
BACKGROUND: A venous lake lesion is a venous ectasia that occurs on the exposed skin of elderly people. Although a number of therapies such as surgical excision, laser therapy, infrared coagulation, cryotherapy and sclerotherapy have been used to treat venous lakes, there is no guideline for treating this lesion. OBJECTIVE: The purpose of this study was to determine whether 0.5% sodium tetradecyl sulfate (STS) is effective for the treatment of venous lake lesions. METHODS: Twelve patients with venous lake lesions were enrolled In this study. After proper antiseptic preparation, 0.5% STS was slowly injected into each subject's lesion, and this was followed by immediate compression for 10 minutes. RESULTS: After treatment, all of the patients' lesions cleared completely. The average number of treatments was 2.15+/-1.28. Two patients experienced mild side effects such as light pain and paresthesia, and these soon disappeared. There were no serious side effects reported during treatment. The mean follow up period was 29.58+/-13.48 months. CONCLUSION: We have demonstrated that sclerotherapy with 0.5% STS was quite effective for treating venous lake lesions, and this treatment caused no serious adverse effects.
Aged
;
Cryotherapy
;
Dilatation, Pathologic
;
Follow-Up Studies
;
Humans
;
Lakes
;
Laser Therapy
;
Light
;
Paresthesia
;
Sclerotherapy
;
Skin
;
Sodium
;
Sodium Tetradecyl Sulfate
10.Dilatation of Severe Corrosive Esophageal Stricture Guided by Right Coronary Artery Catheter.
Sang In LEE ; Seung Hwan SHN ; In Suh PARK ; Heung Jai CHOI
Korean Journal of Gastrointestinal Endoscopy 1991;11(1):77-80
Nonoperative dilatation techniques such as bougination, balloon dilatation, endoscopic laser therapy, and endoscopic electro-coagulation, have been applied to relieve dysphagia due to esophageal strictures, but the most widly used ia peroral dilatation once a guide wire has been passed under direct vision using a fiberoptic endoscope. Some cases of severe and curved esophageal strictures coutd'nt be introduced the conventional steel guide wire. We desecibe a method of cannulation of these difficult strictures guided by torque control angiographic catheter with radiogrphic control. A case of 18 year old man with severe corrosive esophageal stricture ingested HCl was successfully treated with esophageal dilatation with Savary-Gilliard dilator guided by Judkin's right coronary artery catheter.
Adolescent
;
Catheterization
;
Catheters*
;
Constriction, Pathologic
;
Coronary Vessels*
;
Deglutition Disorders
;
Dilatation*
;
Endoscopes
;
Esophageal Stenosis*
;
Humans
;
Laser Therapy
;
Steel
;
Torque