1.Mild type of hemophilic pseudotumor with injury of femoral nerve (one case report).
Deng-Ju LI ; Dong-Hua ZHANG ; Yao-Zhen ZHANG ; Wen-Li LIU
Journal of Experimental Hematology 2004;12(4):531-532
To explore the diagnoses and treatment of hemophilic pseudotumor, one case with hemophilic pseudotumor misdiagnosed and treated by operation, was observed and analyzed. The result showed that the final diagnosis of this case was following: hemophilia A (mild type) and hemophilic pseudotumor with injury of femoral nerve. The final diagnosis was given from inquiring case history and family history additionally, and drawing assistance from laboratory examination and computed tomography. After operation, the patient's wound healed very well through supplying coagulation factors positively. In conclusion, it was important for inquiring case history and family history particularly and thinking highly of laboratory examination to reduce the misdiagnosis and error of therapy for this case. If paying attention to preoperative preparation, the danger of hemorrhage during operation can be reduced and wound after operation can heal more rapidly.
Adult
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Diagnostic Errors
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Femoral Nerve
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pathology
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Hematoma
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diagnosis
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etiology
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Hemophilia A
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complications
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Humans
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Male
2.MR imaging findings of moyamoya disease.
Kee Hyun CHANG ; Jeong Geun YI ; Moon Hee HAN ; In One KIM
Journal of Korean Medical Science 1990;5(2):85-90
The brain MR images of 23 patients with angiographically proved moyamoya disease were reviewed to evaluate the capability of MR to demonstrate vascular and parenchymal abnormalities. All the MR images were obtained on a 2.0 T superconducting system and included T1-weighted sagittal and T2-weighted axial images without implementation of flow compensation (FC). The vascular abnormalities demonstrated on MR images were narrowing of the cavernous internal carotid artery (ICA) (73%), narrowing or occlusion of the supraclinoid ICA (87%) and proximal middle cerebral artery (MCA) (91%), and multiple collateral vessels in the basal ganglia and/or thalamus (96%). The parenchymal abnormalities included ischemic infarctions (74%), predominantly located in watershed areas, hemorrhagic infarctions (26%), intracerebral hematomas (13%), and intraventricular hemorrhage (13%). In conclusion, MR imaging was a useful diagnostic modality for detecting both vascular and parenchymal abnormalities associated with moyamoya disease. This may obviate the need for invasive angiography as far as the diagnosis is wanted at the non-quantitative level.
Adolescent
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Adult
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Basal Ganglia/pathology/radiography
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Carotid Artery, Internal/pathology/radiography
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Cerebral Angiography
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Child
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Female
;
Hematoma/complications/diagnosis/pathology
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Humans
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Magnetic Resonance Imaging
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Male
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Moyamoya Disease/complications/*diagnosis/pathology
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Myocardial Infarction/complications/diagnosis/pathology
3.Aortic Dissection Presenting with Secondary Pulmonary Hypertension Caused by Compression of the Pulmonary Artery by Dissecting Hematoma: A Case Report.
Dong Hun KIM ; Sang Wan RYU ; Yong Sun CHOI ; Byoung Hee AHN
Korean Journal of Radiology 2004;5(2):139-142
The rupture of an acute dissection of the ascending aorta into the space surrounding the pulmonary artery is an uncommon occurrence. No previous cases of transient pulmonary hypertension caused by a hematoma surrounding the pulmonary artery have been documented in the literature. Herein, we report a case of acute aortic dissection presenting as secondary pulmonary hypertension.
Aortic Aneurysm/*complications/diagnosis
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Aortic Rupture/*complications/diagnosis
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Constriction, Pathologic
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Female
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Hematoma/*complications
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Human
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Hypertension, Pulmonary/*etiology
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Middle Aged
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Pulmonary Artery/pathology/radiography
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Tomography, X-Ray Computed
4.Forensic appraisal of subarachnoid hemorrhage.
Zhe CAO ; Zhong-yun GUO ; Bao-li ZHU
Journal of Forensic Medicine 2010;26(4):290-293
Subarachnoid hemorrhage (SAH) can be classified as traumatic SAH or spontaneous SAH based on etiology. The traumatic SAH is the common manifestation of head injury and difficult to make a diagnosis in forensic investigation. Based on practical experiences of forensic investigation and relevant references, the main points (SAH identification, examination, death mechanism) were summarized in this article. For the understanding, we try to classify the traumatic SAH into three subtypes: brain injury associated SAH, traumatic rupture of basal cerebral vessels SAH and traumatic focal SAH.
Aneurysm, Ruptured/complications*
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Cause of Death
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Craniocerebral Trauma/complications*
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Diagnosis, Differential
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Forensic Pathology
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Hematoma, Epidural, Cranial/complications*
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Humans
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Intracranial Aneurysm/complications*
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Intracranial Arteriovenous Malformations/complications*
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Rupture/complications*
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Subarachnoid Hemorrhage/pathology*
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Subarachnoid Hemorrhage, Traumatic/pathology*
5.Corticospinal Tract Compression by Hematoma in a Patient with Intracerebral Hemorrhage: A Diffusion Tensor Tractography and Functional MRI Study.
Sung Ho JANG ; Yong Hyun KWON ; Mi Young LEE ; Sang Ho AHN ; Joong Hwi KIM ; Dong Hoon JEONG ; Byung Yeun CHOI ; Dong Gyu LEE
Yonsei Medical Journal 2006;47(1):135-139
The purpose of this study was to demonstrate corticospinal tract compression that was due to a hematoma by using diffusion tensor tractography (DTT) and functional MRI (fMRI) in a patient with an intracerebral hemorrhage (ICH). A 23-year-old right-handed woman presented with severe paralysis of her right extremities at the onset of a spontaneous ICH. Over the first three days from onset, the motor function of the affected upper and lower extremities rapidly recovered to the extent that she was able to overcome applied resistance to the affected limbs, and her limbs regained normal function 3 weeks after onset. The tract of the right hemisphere originated from the primary sensori-motor cortex (SM1) and it passed through the known corticospinal tract pathway. However, the tract of the left hemisphere was similar to that of the right hemisphere except that it was displaced to the antero-medial side by the hematoma at the cerebral peduncle. Only the contralateral SM1 area centered on the precentral knob was activated during affected (right) or unaffected (left) hand movements, respectively. In conclusion, fMRI and DTT demonstrated a corticospinal tract compression due to hematoma in this patient. We conclude that the combined use of these two modalities appears to improve the accuracy of investigating the state of the corticospinal tract.
Spinal Cord Compression/complications/*diagnosis/pathology
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Pyramidal Tracts/*pathology
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*Magnetic Resonance Imaging
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Humans
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Hematoma/complications/*diagnosis/pathology
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Female
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Diffusion Magnetic Resonance Imaging/*methods
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Cerebral Hemorrhage/complications/*diagnosis/pathology
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Adult
6.A Case of Liver Abscess with Subcapsular Hematoma Mimicking Ruptured Hepatic Cholangiocarcinoma.
Chung Ho KIM ; Ji Hoon KIM ; Hyun Jung LEE ; Young Sun LEE ; Jong Hwan CHOI ; Young Kul JUNG ; Jong Eun YEON ; Kwan Soo BYUN
The Korean Journal of Gastroenterology 2009;53(3):202-205
Subcapsular hematoma is a very rare complication of liver abscess. We report a case of liver abscess with subcapsular hematoma mimicking ruptured hepatic cholangiocarcinoma. A 59-year old man presented with right upper quadrant pain and febrile sense. Computed tomography showed a low attenuated mass with extensive subcapsular hematoma on the right hepatic lobe. The initial impression was a hematoma caused by the rupture of cholangiocarcinoma. Hepatic arteriography was performed, but no active bleeding focus was found. After drainage of the subcapsular hematoma, a hematoma wall biopsy through the drainage catheter and a liver biopsy of the low attenuated mass were performed. The biopsies showed many neutrophils, macrophages, and granulation tissues consistent with an abscess, but no malignant cells were detected. After antibiotics therapy for 6 weeks, computed tomography was performed 4 months later, and revealed complete resolution of the hematoma and the low attenuated hepatic lesion.
Angiography
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Anti-Bacterial Agents/therapeutic use
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Cholangiocarcinoma/diagnosis
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Hematoma/complications/*diagnosis/pathology
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Humans
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Liver Abscess/complications/*diagnosis/pathology
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Liver Diseases/complications/*diagnosis/pathology
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Liver Function Tests
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Male
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Middle Aged
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Tomography, X-Ray Computed
7.Recurrent Massive Subcutaneous Hemorrhage in Neurofibromatosis Type 1: A Case Report.
Sung Hoon BAEK ; Ji Hye KIM ; Jun Sig KIM ; Seung Baik HAN ; Jung Soo CHO ; Yong Han YOON ; Lucia KIM
Journal of Korean Medical Science 2007;22(4):728-730
Neurofibromatosis type 1 (NF-1) is an autosomal dominant disorder that has three major features: multiple neural tumors, cafe-au-lait spots, and pigmented iris hamartomas (Lisch nodules). The purpose of this case report is to advise physicians of the danger associated with the progression of fast-onset massive hemorrhage to hemodynamic instability, which mandates rapid treatment to prevent the development of a life-threatening condition. A 64-yr-old woman with NF-1 was admitted to the Emergency Department (ED) because of a rapidly growing, 10x5x3 cm-sized mass on the left back area. She had previously undergone surgery for a large subcutaneous hematoma, which had developed on her right back area 30 yr before. She became hemodynamically unstable with hypotension during the next 3 hr after admission to ED. Resuscitation and blood transfusion were done, and the hematoma was surgically removed. The mass presented as a subcutaneous, massive hematoma with pathologic findings of neurofibroma. We report a case of NF-1 that presented as recurrent, massive, subcutaneous hemorrhage on the back region combined with hypovolemic shock.
Diagnosis, Differential
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Female
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Hematoma/etiology/pathology
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Hemorrhage/*etiology/pathology
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Humans
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Middle Aged
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Neurofibromatosis 1/*complications/pathology
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Recurrence
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Skin Diseases/*etiology/pathology
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Tomography, X-Ray Computed
8.A Case of Intramural Duodenal Hematoma Accompanied by Acute Pancreatitis Following Endoscopic Hemostasis for Duodenal Ulcer Bleeding.
Min Keun SONG ; Joon Beom SHIN ; Ha Na PARK ; Eun Jin KIM ; Ki Cheun JEONG ; Dong Hwan KIM ; Jae Bock CHUNG ; Do Young KIM
The Korean Journal of Gastroenterology 2009;53(5):311-314
Intramural duodenal hematoma is an uncommon condition, which usually develops after blunt abdominal trauma. It is also reported as a complication of anticoagulant therapy, blood dyscrasia, pancreatic disease, and diagnostic and therapeutic endoscopy. The typical clinical pictures of intramural duodenal hematoma consist of upper abdominal pain, vomiting, fever, and hematochezia, and it is rarely accompanied by intestinal obstruction, peritonitis, and pancreatitis as its complication. We report a case of intramural duodenal hematoma extended to peritoneal cavity, and accompanied by acute pancreatitis following therapeutic endoscopy for duodenal ulcer bleeding in a 32-year-old man who was on maintenance of anti-coagulation therapy after valvular heart surgery.
Acute Disease
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Adult
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Diagnosis, Differential
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Duodenal Diseases/*diagnosis/pathology/surgery
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Duodenal Ulcer/*complications
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Hematoma/*diagnosis/pathology/surgery
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*Hemostasis, Endoscopic
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Humans
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Male
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Pancreatitis/complications/*diagnosis
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Peptic Ulcer Hemorrhage/*therapy
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Postoperative Complications
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Tomography, X-Ray Computed
9.A Case of Spontaneous Bleeding of Multiple Lumbar Arteries in a Patient with Liver Cirrhosis.
Jong Sam HONG ; Woo Jin JEONG ; Yang Hee HAN ; Sa Young SHIN ; Jae Hyuck JUN ; Yeong Min WOO ; Jung Ho YUN ; Gab Jin CHEON
The Korean Journal of Gastroenterology 2015;65(3):186-189
Esophageal and gastric varix, portal hypertensive gastropathy, Mallory-Weiss tear and gastric ulcer are common causes of bleeding in patients with liver cirrhosis. However, spontaneous arterial bleeding without a history of trauma is a rare cause of bleeding which can be fatal. We report a case of a 55-year-old woman with alcoholic liver cirrhosis who developed spontaneous bleeding of multiple right lumbar arteries and died in spite of repetitive transfusion and embolization.
Arteries
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Female
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Gastrointestinal Hemorrhage/*etiology/therapy
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Hematoma/diagnosis
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Humans
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Liver Cirrhosis/complications/*diagnosis
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Lung Injury/pathology
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Middle Aged
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Tomography, X-Ray Computed
10.MR Imaging in a Child with Scurvy: a Case Report.
Seung Woo CHOI ; Sun Won PARK ; Young Se KWON ; In Suk OH ; Myung Kwan LIM ; Won Hong KIM ; Chang Hae SUH
Korean Journal of Radiology 2007;8(5):443-447
Scurvy is very rare disease in industrialized societies. Nevertheless, it still exists in higher risk groups including economically disadvantaged populations with poor nutrition, such as the elderly and chronic alcoholics. The incidence of scurvy in the pediatric population is very low. This study reports a case of scurvy in a 5-year-old girl with cerebral palsy and developmental delay based on MRI findings.
Ascorbic Acid/blood/therapeutic use
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Bone Diseases, Metabolic/etiology
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Cerebral Palsy/complications
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Child, Preschool
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Cholecalciferol/blood
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Developmental Disabilities/complications
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Drainage
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Female
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Femur/pathology/radionuclide imaging/surgery
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Fever/etiology
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Follow-Up Studies
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Hematoma/diagnosis/etiology/surgery
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Humans
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Knee/radiography
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Magnetic Resonance Imaging/*methods
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Muscle Weakness/etiology
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Rare Diseases
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Scurvy/complications/*diagnosis/drug therapy
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Thigh/pathology
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Vitamins/therapeutic use