2.Subcutaneous Emphysema Mimicking Gas Gangrene Following Perforation of the Rectum: A Case Report.
Keun Bae LEE ; Eun Sun MOON ; Sung Taek JUNG ; Hyoung Yeon SEO
Journal of Korean Medical Science 2004;19(5):756-758
We report a case of extensive subcutaneous emphysema of the lower extremity mimicking gas gangrene following perforation of the rectum in a 38-yr-old man. Subcutaneous emphysema of the leg may rarely occur secondary to perforation of the gastrointestinal tract and has often created serious diagnostic problems and high mortality rates. Therefore, prompt diagnosis and aggressive treatment is imperative.
Adult
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Diagnosis, Differential
;
Gas Gangrene/*radiography
;
Humans
;
Intestinal Perforation/*radiography
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Male
;
Rectal Diseases/*radiography
;
Subcutaneous Emphysema/*radiography
3.Volvulus of the splenic flexure of the colon.
Young Up CHO ; Seung Kook SOHN ; Hoon Sang CHI ; Ki Whang KIM
Yonsei Medical Journal 1994;35(1):97-100
The definition of volvulus is an axial twist of a portion of the gastrointestinal tract along its mesentery. The involved bowel is obstructed partially or completely with a variable degree of arterial and venous occlusion. The colon is the most common site for volvulus. The splenic flexure is the least common site of colonic volvulus. We experienced a case of the volvulus of the splenic flexure. It will be the 30th case of the volvulus involving the splenic flexure in the English literature, to our knowledge. A 30-year-old woman was admitted due to abdominal pain and distention with vomiting. An emergency barium study revealed characteristic "bird beak" sign. Surgery was performed resecting the involved colon of splenic flexure. The result was excellent.
Adult
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Barium Sulfate/diagnostic use
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Case Report
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Colonic Diseases/*radiography
;
Female
;
Human
;
Intestinal Obstruction/*radiography
4.Hepatic and small bowel mucormycosis after chemotherapy in a patient with acute lymphocytic leukemia.
Ill Woo SUH ; Chul Sung PARK ; Mi Suk LEE ; Je Hwan LEE ; Mee Soo CHANG ; Jun Hee WOO ; In Chul LEE ; Ji So RYU
Journal of Korean Medical Science 2000;15(3):351-354
Mucormycosis is a rare but invasive opportunistic fungal infection with increased frequency during chemotherapy-induced neutropenia. The clinical infections due to Mucor include rhinocerebral, pulmonary, cutaneous, gastrointestinal and disseminated diseases. The first two are the most common diseases and all entities are associated with a high mortality rate. Still hepatic involvement of Mucor is rarely reported. We experienced a case of hepatic and small bowel mucormycosis in a 56-year-old woman after induction chemotherapy for B-cell acute lymphocytic leukemia. Initial symptoms were a high fever unresponsive to broad spectrum antibiotics and pain in the left lower abdominal quadrant. It was followed by septic shock, deterioration of icterus and progressively elevated transaminase. An abdominal CT demonstrated multiple hypodense lesions with distinct margins in both lobes of liver and pericolic infiltration at small bowel and ascending colon. Diagnosis was confirmed by biopsy of the liver. The histopathology of the liver showed hyphae with the right-angle branching, typical of mucormycosis. The patient was managed with amphotericin B and operative correction of the perforated part of the small bowel was performed. However, the patient expired due to progressive hepatic failure despite corrective surgery and long-term amphotericin B therapy.
Case Report
;
Female
;
Human
;
Intestinal Diseases/therapy
;
Intestinal Diseases/radiography
;
Intestinal Diseases/pathology*
;
Intestinal Diseases/microbiology
;
Intestine, Small/radiography
;
Intestine, Small/pathology
;
Liver Diseases/therapy
;
Liver Diseases/radiography
;
Liver Diseases/pathology*
;
Liver Diseases/microbiology
;
Middle Age
;
Mucormycosis/therapy
;
Mucormycosis/radiography
;
Mucormycosis/pathology*
;
Mucormycosis/microbiology
;
Tomography Scanners, X-Ray Computed
5.High jejunal obstruction as a sequela of necrotizing enterocolitis.
Soon Ok CHOI ; Woo Hyun PARK ; Joong Shin KANG
Journal of Korean Medical Science 1991;6(2):183-186
A case of high jejunal obstruction due to stricture is reported. It is a rare form of late sequelae of neonatal necrotizing enterocolitis(NEC). Barium contrast study of the small bowel is recommended for earlier diagnosis and treatment before discharge from the hospital, even is an asympto-matic patient.
Child, Preschool
;
Constriction, Pathologic
;
Enterocolitis, Pseudomembranous/*complications
;
Humans
;
Intestinal Obstruction/*etiology/radiography/surgery
;
Jejunal Diseases/*etiology/radiography/surgery
;
Male
6.A Case of Pneumatosis Cystoides Intestinalis: Diagnosed by CT Colonoscopy.
Joo Ho HAM ; Tae Ho KIM ; Sok Won HAN ; Keun Jong CHO ; Son Ook CHOI ; Jung Sun PACK ; Seong Eun YANG ; Sang Hee KIM ; Seung Ah YANG ; Yune Jeong LEE ; Eun Sook KIM ; Chang Whan KIM
The Korean Journal of Gastroenterology 2007;50(5):334-339
Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by multiple gas filled cysts in the intestinal wall. The diagnosis of PCI is usually made by colonoscopy, histology, or radiologic findings. We report a case of PCI in a 35-year-old man. The patient initially complained of watery diarrhea and abdominal bloating for 2 weeks. Simple abdominal X-ray demonstrated numerous, small, round, air densities on the right upper abdomen along the ascending and proximal transverse colon. Colonoscopy revealed numerous, 5-20 mm sized, sessile polypoid, balloon-like distended, protruding subepithelial masses covered with normal colonic mucosa from cecum to proximal transverse colon. We performed a CT colonoscopy and confirmed PCI with multiple air-filled cystic masses along the colonic wall from cecum to proximal transverse colon. The patient was treated with antibiotics and oxygen inhalation for 2 weeks. Follow-up CT colonoscopy revealed marked regression in the number and size of the air-filled cystic masses. Herein, we report the first case of the PCI in Korea diagnosed by CT colonoscopy. Follow-up evaluation with CT colonoscopy was performed after the treatment of the PCI. CT colonoscopy is a useful non-invasive diagnostic tool for the diagnosis of pneumatosis cystoides intestinalis.
Adult
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Colonic Diseases/pathology/radiography
;
*Colonography, Computed Tomographic
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Humans
;
Intestinal Mucosa/pathology
;
Male
;
Pneumatosis Cystoides Intestinalis/*pathology/radiography
7.Pancreatico-Colonic Fistula-Demonstrated by Multidetector-Row CT.
Sivasubramanian SRINIVASAN ; Manickam SUBRAMANIAN ; Tze Chwan LIM ; Jagadish SHENOY ; Arunesh MAJUMDER
Korean Journal of Radiology 2015;16(2):446-447
No abstract available.
Acidosis
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Adult
;
Colonic Diseases/radiography
;
Gastrointestinal Tract/*surgery
;
Humans
;
Intestinal Fistula/*radiography/*surgery
;
Male
;
*Tomography, X-Ray Computed
8.CT Findings of Colonic Complications Associated with Colon Cancer.
Sang Won KIM ; Hyeong Cheol SHIN ; Il Young KIM ; Young Tong KIM ; Chang Jin KIM
Korean Journal of Radiology 2010;11(2):211-221
A broad spectrum of colonic complications can occur in patients with colon cancer. Clinically, some of these complications can obscure the presence of underlying malignancies in the colon and these complications may require emergency surgical management. The complications of the colon that can be associated with colon cancer include obstruction, perforation, abscess formation, acute appendicitis, ischemic colitis and intussusception. Although the majority of these complications only rarely occur, familiarity with the various manifestations of colon cancer complications will facilitate making an accurate diagnosis and administering prompt management in these situations. The purpose of this pictorial essay is to review the CT appearance of the colonic complications associated with colon cancer.
Abdominal Abscess/complications/radiography
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Adult
;
Aged
;
Aged, 80 and over
;
Appendicitis/complications/radiography
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Colitis, Ischemic/complications/radiography
;
Colon/*radiography
;
Colonic Diseases/complications/radiography
;
Colonic Neoplasms/*complications/*radiography
;
Female
;
Humans
;
Intestinal Diseases/*complications/*radiography
;
Intestinal Obstruction/complications/radiography
;
Intussusception/complications/radiography
;
Male
;
Middle Aged
;
Tomography, X-Ray Computed/*methods
9.Small Bowel Obstruction due to Enterolith.
Hyun Il HONG ; Byong Duk YE ; Sang Nam YOON
The Korean Journal of Gastroenterology 2009;54(3):139-142
No abstract available.
Aged, 80 and over
;
Calcinosis/complications/*diagnosis/radiography
;
Calculi/complications/*diagnosis/radiography
;
Humans
;
Ileum/pathology
;
Intestinal Diseases/*diagnosis/etiology/radiography
;
Intestinal Obstruction/*diagnosis/etiology/radiography
;
Male
;
Tomography, X-Ray Computed
10.Midgut Volvulus in a 70-year-old Man Due to Intestinal Nonrotation.
Byung Soo JIE ; Eun Ok KIM ; Jin Seok KIM ; Hwa Jeong LEE ; Youn Mi SONG ; Youngshin KIM ; Sung Hoon JUNG ; Jung Hwan OH
The Korean Journal of Gastroenterology 2013;61(5):282-285
Intestinal malrotation is a congenital disorder that results from the failure of normal bowel rotation and fixation during the 5th gestational week. The incidence of intestinal malrotation is <0.2%, but prompt diagnosis is important because this anomaly can cause midgut volvulus and lead to fatalities. Compared to infants presenting with acute symptoms, such as abdominal pain, vomiting, or diarrhea, adult patients complain of intermittent self-limited abdominal pain. We present a case of intestinal malrotation complicated by midgut volvulus improved with conservative care in a 70-year-old man. The diagnosis was suggested on the basis of imaging findings.
Aged
;
Angiography
;
Colonic Diseases/*diagnosis/radiography
;
Diagnosis, Differential
;
Humans
;
Intestinal Volvulus/*diagnosis/radiography
;
Male
;
Mesenteric Artery, Superior/radiography
;
Tomography, X-Ray Computed