2.A Case of Jejunal Infarction and Perforation due to Acute Pancreatitis.
Ji Young CHAI ; Su In YUN ; Sang Seok BAE ; Hee Bok CHAE ; Seon Mee PARK ; Sei Jin YOUN ; Jin Woo PARK ; Il Hun BAE ; Seok Hyung KIM ; Hyung Geun SONG ; Jun Ho WANG
The Korean Journal of Gastroenterology 2004;43(2):120-124
Jejunal infarction as a complication of acute pancreatitis is not common and can not be well recognized. This jejunal infarction usually arises from the venous thrombosis rather than arterial thrombosis. Jejunal infarction results in bowel perforation or stenosis according to its extension of injury and progression rate. Pathologic findings of the involved jejunum show a segmental transmural infarction and mesenteric venous thrombotic occlusions. Early diagnosis should be made for better prognosis. We report a patient with jejunal infarction resulting perforation due to acute pancreatitis, in which the initial presenting symptoms were hematemesis and abdominal distention.
Acute Disease
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Adult
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English Abstract
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Humans
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Infarction/diagnosis/*etiology
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Intestinal Perforation/diagnosis/*etiology
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Jejunal Diseases/diagnosis/*etiology
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Jejunum/*blood supply
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Male
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Pancreatitis/*complications
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Rupture, Spontaneous
3.Incidental Detection of Interstitial Pregnancy on CT Imaging.
Byung Seok SHIN ; Mi hyun PARK
Korean Journal of Radiology 2010;11(1):123-125
Ectopic pregnancy is a potentially life-threatening condition. Detection of ectopic pregnancy on CT images is rare. In this case, we describe the CT findings of interstitial pregnancy both before and after rupture. If CT images demonstrate the presence of a strong enhancing ring-like mass in the pelvis, ectopic pregnancy should be considered.
Adult
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Diagnosis, Differential
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Female
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Gallstones/radiography
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Hemoperitoneum/etiology/radiography
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Humans
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Pregnancy
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Pregnancy, Tubal/*radiography
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Rupture, Spontaneous
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*Tomography, X-Ray Computed
5.Spontaneous Intratumoral Hemorrhage into Hepatocellular Carcinoma During Transcatheter Arterial Embolization: A Case Report.
Jae Ho CHOI ; Jung Hoon KIM ; Jong Ho WON ; Yun Soo KIM ; Dong Erk GOO ; Deuk Lin CHOI
Journal of Korean Medical Science 2004;19(6):895-897
Spontaneous extrahepatic rupture of hepatocellular carcinoma (HCC) is a rare but serious complication that occurs with an incidence of between 5 and 15% of patients with HCC. It is thought to be preceded by rapid expansion due to intratumoral bleed-ing. Extrahepatic rupture of HCC has been reported as a rare complication of tran-scatheter arterial embolization (TAE). Although there have been reports of extrahepatic rupture of HCC after TAE, but there is no report regarding intratumoral hemor-rhage into HCC during TAE. We report a unique case of intratumoral hemorrhage into HCC during TAE presumably triggered by TAE. Although a rare complication, intratumoral hemorrhage into HCC after TAE should be considered in any patient with TAE due to HCC.
Carcinoma, Hepatocellular/*blood supply
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Catheterization/*adverse effects
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Embolization, Therapeutic/*adverse effects
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Hemorrhage/*diagnosis/*etiology
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Humans
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Liver Neoplasms/*blood supply
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Male
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Middle Aged
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Rupture, Spontaneous/diagnosis/etiology
6.Spontaneous Ureteropelvic Junction Rupture Caused by a Small Distal Ureteral Calculus.
Chi Heon JEON ; Jun Ho KANG ; Jin Hong MIN ; Jung Soo PARK
Chinese Medical Journal 2015;128(22):3118-3119
Aged
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Female
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Humans
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Kidney Pelvis
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pathology
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surgery
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Rupture, Spontaneous
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diagnosis
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etiology
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surgery
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Ureteral Calculi
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complications
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diagnosis
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surgery
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Ureteral Obstruction
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complications
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diagnosis
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surgery
7.A case of ruptured renal cortical arteriovenous malformation of the right testicular vein in hemorrhagic fever with renal syndrome.
Seung Min LEE ; Hong Dae KIM ; Young Ki LEE ; Jung Woo NOH
The Korean Journal of Internal Medicine 2013;28(3):365-369
Hemorrhagic fever with renal syndrome (HFRS) is an acute viral disease characterized by fever, hemorrhage, and renal failure. Among the various hemorrhagic complications of HFRS, the spontaneous rupture of an arteriovenous malformation of the testicular vessels with a retroperitoneal hematoma is a rare finding. Here, we report a case of HFRS complicated by a massive retroperitoneal hematoma that was treated with transcatheter arterial embolization.
Adult
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Arteriovenous Malformations/*complications
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Embolization, Therapeutic
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Hematoma/diagnosis/*etiology/therapy
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Hemorrhagic Fever with Renal Syndrome/*complications
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Humans
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Kidney Cortex/blood supply
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Male
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Retroperitoneal Space
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Rupture, Spontaneous
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Testis/blood supply
8.A Case of Gastric Lymphoepithelioma-like Carcinoma Presenting as Panperitonitis by Perforation of Stomach.
Pyung Gohn GOH ; Eui Sik KIM ; Yun Jeung KIM ; Soo Youn LEE ; Hee Seok MOON ; Seok Hyun KIM ; Byung Seok LEE ; Hyun Yong JEONG
The Korean Journal of Gastroenterology 2011;58(4):208-211
Gastric lymphoepithelioma-like carcinoma is a rare carcinoma among gastric malignant tumor but has a good prognosis. The carcinoma has histologic feature characterized by small nest of cancer cells mixed with lymphoid stroma. We report a case with lymphoepithelioma-like carcinoma of stomach initially presenting as panperitonitis because of spontaneous tumor perforation. A 56-year-old man visited our emergency room because of epigastric pain. A preoperative abdominal CT scan showed a massive pneumoperitoneum in the upper abdomen, and the presence of gastric cancer in the lesser curvature of the stomach. An emergent laparotomy was performed followed by radical subtotal gastrectomy. Pathologic examination revealed that the tumor was a lymphoepithelioma-like gastric carcinoma.
Carcinoma/*diagnosis/pathology/therapy
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Combined Modality Therapy
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Humans
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Lymphoma/radiography/surgery
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Male
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Middle Aged
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Pneumoperitoneum/etiology/radiography/surgery
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Rupture, Spontaneous
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Stomach Neoplasms/*complications/*diagnosis/pathology/therapy
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Stomach Rupture/*complications/radiography/surgery
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Tomography, X-Ray Computed
9.Hemothorax caused by spontaneous rupture of a metastatic mediastinal lymph node in hepatocellular carcinoma: a case report.
Ssang Yong OH ; Kwang Won SEO ; Yangjin JEGAL ; Jong Joon AHN ; Young Joo MIN ; Chang Ryul PARK ; Jae Cheol HWANG
The Korean Journal of Internal Medicine 2013;28(5):622-625
No abstract available.
Carcinoma, Hepatocellular/*complications/*secondary/therapy
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Embolization, Therapeutic
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Fatal Outcome
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Hemothorax/diagnosis/*etiology/therapy
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Humans
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Liver Neoplasms/*complications/*pathology/therapy
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Lymph Nodes/*pathology
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Lymphatic Metastasis
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Male
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Mediastinum
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Middle Aged
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Paracentesis
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Rupture, Spontaneous
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Tomography, X-Ray Computed
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Treatment Outcome
10.Spontaneous uterine rupture secondary to recurrent haematometra from cervical stenosis.
Liying YANG ; Devendra KANAGALINGAM
Singapore medical journal 2012;53(6):e114-6
Cervical stenosis is a challenging condition that often recurs despite intervention. Multiple therapeutic options have been described, but a clearly effective and reliable treatment method has yet to be identified. Patients with recurrent stenosis are at risk of developing severe complications such as chronic pelvic pain and infertility. We describe a case of congenital cervical stenosis with secondary haematometra in which repeated cervical dilatation, hysteroscopic canalisation and administration of medications to retard endometrial development were unsuccessful in relieving the obstruction and preventing re-accumulation of menstrual blood. Total hysterectomy was eventually mandated by spontaneous rupture of the haematometra.
Adult
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Constriction, Pathologic
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complications
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diagnosis
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Endometrium
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pathology
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Female
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Hematometra
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complications
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diagnostic imaging
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surgery
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Humans
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Infertility
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Pelvic Pain
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Recurrence
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Risk
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Rupture, Spontaneous
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complications
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Tomography, X-Ray Computed
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Uterine Cervical Diseases
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complications
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diagnosis
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Uterine Diseases
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complications
;
diagnosis
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Uterine Hemorrhage
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complications
;
diagnosis
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Uterine Rupture
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diagnostic imaging
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etiology
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surgery