Uterine leiomyomas are common benign neoplasms that develop from uterine muscle tissue, with an estimated incidence of 20%– 40% in women of reproductive age. Power morcellators are commonly used during myomectomy, but if all fragments are not removed, they may find another blood supply and develop into abdominal masses. We present a case of disseminated peritoneal leiomyomas in a patient with a history of laparoscopic myomectomy using an Endo-bag.
{"title":"Disseminated Peritoneal Leiomyomatosis Following Previous Laparoscopic Myomectomy with Morcellation","authors":"J. Sang","doi":"10.15746/sms.20.026","DOIUrl":"https://doi.org/10.15746/sms.20.026","url":null,"abstract":"Uterine leiomyomas are common benign neoplasms that develop from uterine muscle tissue, with an estimated incidence of 20%– 40% in women of reproductive age. Power morcellators are commonly used during myomectomy, but if all fragments are not removed, they may find another blood supply and develop into abdominal masses. We present a case of disseminated peritoneal leiomyomas in a patient with a history of laparoscopic myomectomy using an Endo-bag.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"54 1","pages":"108-110"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73071613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The aberrant subclavian artery is a rare vascular malformation, the aberrant vessel may arise from the proximal descending aorta. Reports of aortic dissection or aortic aneurysm in patients with aberrant subclavian artery have been reported to be rare. Author report a successful total aortic arch replacement under selective antegrade brain perfusion using an occlusion catheter rather than right axillary artery cannulation in a patient with chronic aortic aneurysmal dissection with aberrant subclavian artery.
{"title":"Total Arch Replacement for Chronic Aortic Aneurysmal Dissection Patient with Aberrant Subclavian Artery","authors":"Hong Chul Oh","doi":"10.15746/sms.20.027","DOIUrl":"https://doi.org/10.15746/sms.20.027","url":null,"abstract":"The aberrant subclavian artery is a rare vascular malformation, the aberrant vessel may arise from the proximal descending aorta. Reports of aortic dissection or aortic aneurysm in patients with aberrant subclavian artery have been reported to be rare. Author report a successful total aortic arch replacement under selective antegrade brain perfusion using an occlusion catheter rather than right axillary artery cannulation in a patient with chronic aortic aneurysmal dissection with aberrant subclavian artery.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"27 1","pages":"111-114"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84165200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Herpes zoster is a disease that causes a skin rash with blisters and extreme pain along mainly the unilateral dermatome. It often occurs in the thoracic nerve area, but can also occur in the cranial, cervical, and lumbar nerve areas. It is not clear that the interventions such as nerve block or subcutaneous local anesthetics result in a lower incidence of postherpetic neuralgia than the natural course of herpes zoster. However, the severity of acute pain is known as a risk factor for postherpetic neuralgia. There have been many studies on the epidural block or paravertebral block for acute pain control of herpes zoster, but superficial cervical plexus block has not been widely applied. We performed a superficial cervical plexus block to alleviate the acute pain of herpes zoster in the neck and obtained the expected result, so we present it with a literature review.
{"title":"Acute Pain Relief by Superficial Cervical Plexus Block in the Patient with Herpes Zoster","authors":"Hun Woo Choi, M. Kim","doi":"10.15746/sms.20.030","DOIUrl":"https://doi.org/10.15746/sms.20.030","url":null,"abstract":"Herpes zoster is a disease that causes a skin rash with blisters and extreme pain along mainly the unilateral dermatome. It often occurs in the thoracic nerve area, but can also occur in the cranial, cervical, and lumbar nerve areas. It is not clear that the interventions such as nerve block or subcutaneous local anesthetics result in a lower incidence of postherpetic neuralgia than the natural course of herpes zoster. However, the severity of acute pain is known as a risk factor for postherpetic neuralgia. There have been many studies on the epidural block or paravertebral block for acute pain control of herpes zoster, but superficial cervical plexus block has not been widely applied. We performed a superficial cervical plexus block to alleviate the acute pain of herpes zoster in the neck and obtained the expected result, so we present it with a literature review.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"20 1","pages":"123-126"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81847658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Na Eun Kim, Gyoung-A Heo, Byung Gun Kim, K. Park, Jae Woung Uhm
Persistent hiccups are rare complications following epidural steroid injections. Although the underlying etiology is not clearly understood, corticosteroids are the drug group referenced most frequently in the literature as being associated with hiccups. A 54-year-old man occurred a persistent hiccup after cervical root block due to cervical radiculopathy. A stellate ganglion block was performed, but the hiccup continued. After that, the hiccup did not stop, so metoclopramide 10 mg was prescribed. After taking the drug the next day, hiccups started to decrease in frequency, the hiccup was completely stopped from the second day of taking the drug, the hiccup was completely stopped. He reported that he had not experienced recurrent hiccups. This report highlights the importance of evaluating the cause of hiccups and determining the treatment strategy accordingly.
{"title":"Persistent Hiccups after Cervical Selective Nerve Root Block","authors":"Na Eun Kim, Gyoung-A Heo, Byung Gun Kim, K. Park, Jae Woung Uhm","doi":"10.15746/sms.20.025","DOIUrl":"https://doi.org/10.15746/sms.20.025","url":null,"abstract":"Persistent hiccups are rare complications following epidural steroid injections. Although the underlying etiology is not clearly understood, corticosteroids are the drug group referenced most frequently in the literature as being associated with hiccups. A 54-year-old man occurred a persistent hiccup after cervical root block due to cervical radiculopathy. A stellate ganglion block was performed, but the hiccup continued. After that, the hiccup did not stop, so metoclopramide 10 mg was prescribed. After taking the drug the next day, hiccups started to decrease in frequency, the hiccup was completely stopped from the second day of taking the drug, the hiccup was completely stopped. He reported that he had not experienced recurrent hiccups. This report highlights the importance of evaluating the cause of hiccups and determining the treatment strategy accordingly.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"12 1","pages":"104-107"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78707659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The cerebral arteriovenous malformation (AVM) recognized as a congenital lesion traditionally. AVM is an abnormal connection between cerebral artery and vein without capillary and neural structure. Nidus of AVM was located between arteriovenous direct connections. This case report presents newly developed de novo AVM after curative treatment of the initial AVM lesion. The 8-year-old boy was admitted with a small intracranial hemorrhage on medulla oblongata and intraventricular hemorrhage. Nidus of AVM was found on medulla oblongata by trans-femoral cerebral angiography (TFCA). Nidus’s embolization using Oynx (Medtronic, Minneapolis, MN, USA) was performed and complete occlusion was maintained for 4 years. Newly developed AVM was found on a 4-year follow-up TFCA. The de novo AVM is located opposite hemisphere from the initial AVM. New AVM was treated by radiosurgery, and the treatment result is being observed. The de novo AVM is a very rare condition. However, AVM may have a chance to develop in a new location and physicians may have attention to de novo AVM.
{"title":"Symptomatic De Novo Presentation of Arteriovenous Malformation in Pediatric Patient","authors":"Dong-Seong Shin","doi":"10.15746/sms.20.032","DOIUrl":"https://doi.org/10.15746/sms.20.032","url":null,"abstract":"The cerebral arteriovenous malformation (AVM) recognized as a congenital lesion traditionally. AVM is an abnormal connection between cerebral artery and vein without capillary and neural structure. Nidus of AVM was located between arteriovenous direct connections. This case report presents newly developed de novo AVM after curative treatment of the initial AVM lesion. The 8-year-old boy was admitted with a small intracranial hemorrhage on medulla oblongata and intraventricular hemorrhage. Nidus of AVM was found on medulla oblongata by trans-femoral cerebral angiography (TFCA). Nidus’s embolization using Oynx (Medtronic, Minneapolis, MN, USA) was performed and complete occlusion was maintained for 4 years. Newly developed AVM was found on a 4-year follow-up TFCA. The de novo AVM is located opposite hemisphere from the initial AVM. New AVM was treated by radiosurgery, and the treatment result is being observed. The de novo AVM is a very rare condition. However, AVM may have a chance to develop in a new location and physicians may have attention to de novo AVM.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"49 1","pages":"131-133"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91164467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The strangulation of the gallbladder by the omentum is extremely rare. We report a unique case of acute cholecystitis due to the strangulation of a floating gallbladder by the lesser omentum. A 16-year-old male patient presented to a local hospital after the recurrent epigastric pain. The clinical features and image study suggested the gallbladder torsion, and the patient was referred for surgical treatment. Abdominal computed tomography showed no cholecystolithiasis, but the fundus and body of the gallbladder were markedly swollen with wall thickening, whereas the neck of the gallbladder was normal. Based on these findings, the gallbladder torsion was clinically diagnosed and he underwent laparoscopic cholecystectomy. The narrowed part of the gallbladder was tightly strangulated by the lesser omentum. So, strangulation of a floating gallbladder by the lesser omentum was finally diagnosed. We believe this case to be the third case of reported literatures in English.
{"title":"Strangulation of the Floating Gallbladder by the Lesser Omentum","authors":"W. Kim, Jin Hyung Lee","doi":"10.15746/sms.20.022","DOIUrl":"https://doi.org/10.15746/sms.20.022","url":null,"abstract":"The strangulation of the gallbladder by the omentum is extremely rare. We report a unique case of acute cholecystitis due to the strangulation of a floating gallbladder by the lesser omentum. A 16-year-old male patient presented to a local hospital after the recurrent epigastric pain. The clinical features and image study suggested the gallbladder torsion, and the patient was referred for surgical treatment. Abdominal computed tomography showed no cholecystolithiasis, but the fundus and body of the gallbladder were markedly swollen with wall thickening, whereas the neck of the gallbladder was normal. Based on these findings, the gallbladder torsion was clinically diagnosed and he underwent laparoscopic cholecystectomy. The narrowed part of the gallbladder was tightly strangulated by the lesser omentum. So, strangulation of a floating gallbladder by the lesser omentum was finally diagnosed. We believe this case to be the third case of reported literatures in English.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82374545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Among the clinical symptoms of coronavirus disease 2019 (COVID-19), acute respiratory dysfunction syndrome (ARDS) is the most rapid and fatal form of clinical symptoms, and since conventional treatment cannot achieve satisfactory results, extracorporeal membrane oxygenation (ECMO) can be tried. We report two cases, one of the COVID-19 patients who received ECMO treatment for ARDS at Soonchunhyang University Bucheon Hospital received long-term ECMO treatment but improved without any complications, and one patient who received ECMO treatment for viral myocarditis rapidly deteriorated and died. We describe ECMO treatment in COVID-19 through the two cases mentioned above.
{"title":"Extracorporeal Membrane Oxygenation Treatment in Coronavirus Disease 2019: Two Cases","authors":"C. Choi","doi":"10.15746/sms.20.031","DOIUrl":"https://doi.org/10.15746/sms.20.031","url":null,"abstract":"Among the clinical symptoms of coronavirus disease 2019 (COVID-19), acute respiratory dysfunction syndrome (ARDS) is the most rapid and fatal form of clinical symptoms, and since conventional treatment cannot achieve satisfactory results, extracorporeal membrane oxygenation (ECMO) can be tried. We report two cases, one of the COVID-19 patients who received ECMO treatment for ARDS at Soonchunhyang University Bucheon Hospital received long-term ECMO treatment but improved without any complications, and one patient who received ECMO treatment for viral myocarditis rapidly deteriorated and died. We describe ECMO treatment in COVID-19 through the two cases mentioned above.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75793321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 78-year-old Jehovah’s Witnesses women with hepatitis B viral liver cirrhosis scored as Child-Pugh A was scheduled for debulking operation of peritoneal carcinomatosis due to right ovarian cancer. Despite the need for preoperative strategies for correction of anemia and coagulopathy due to the risk of significant intraoperative hemorrhage, preoperative management was missing. In addition, she exhibited preoperative hemoglobin, hematocrit levels, and platelet count of 10.5 g/dL, 33.6%, and 85,000/μL, respectively. To minimize intraoperative blood loss, we used the combination of tranexamic acid and hemocoagulase, intraoperative blood loss counted about 700 mL, and the immediate postoperative hemoglobin was 9.0 g/dL. She recovered well without any anemic complications or thromboembolic events.
{"title":"Successful Intraoperative Management to Minimize Blood Loss Using the Combination of Tranexamic Acid and Hemocoagulase for Jehovah’s Witnesses Patient with Liver Cirrhosis","authors":"J. Yoo, G. Kim, Hong Chul Oh","doi":"10.15746/sms.20.029","DOIUrl":"https://doi.org/10.15746/sms.20.029","url":null,"abstract":"A 78-year-old Jehovah’s Witnesses women with hepatitis B viral liver cirrhosis scored as Child-Pugh A was scheduled for debulking operation of peritoneal carcinomatosis due to right ovarian cancer. Despite the need for preoperative strategies for correction of anemia and coagulopathy due to the risk of significant intraoperative hemorrhage, preoperative management was missing. In addition, she exhibited preoperative hemoglobin, hematocrit levels, and platelet count of 10.5 g/dL, 33.6%, and 85,000/μL, respectively. To minimize intraoperative blood loss, we used the combination of tranexamic acid and hemocoagulase, intraoperative blood loss counted about 700 mL, and the immediate postoperative hemoglobin was 9.0 g/dL. She recovered well without any anemic complications or thromboembolic events.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"27 1","pages":"119-122"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74009622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Congenital muscular torticollis is a common musculoskeletal disorder characterized by the shortening of the sternocleidomastoid muscle, thus leading to an ipsilateral tilt of the head and contralateral rotation of the face. Most of the congenital muscular torticollis is ipsilateral. Bilateral congenital muscular torticollis is extremely rare. Congenital muscular torticollis is known to be associated with several musculoskeletal and neurologic disorders including brachial plexus injury. Therefore, early diagnosis and intervention are crucial for the treatment and prevention of associated complications. Here, we report a case of a 1-month-old infant with bilateral congenital muscular torticollis suspicious of Erb-Duchenne palsy.
{"title":"Congenital Torticollis with Bilateral Sternocleidomastoid Muscle Contracture","authors":"Siha Park, Soo A Kim, J. Song, Ho Kim","doi":"10.15746/sms.20.023","DOIUrl":"https://doi.org/10.15746/sms.20.023","url":null,"abstract":"Congenital muscular torticollis is a common musculoskeletal disorder characterized by the shortening of the sternocleidomastoid muscle, thus leading to an ipsilateral tilt of the head and contralateral rotation of the face. Most of the congenital muscular torticollis is ipsilateral. Bilateral congenital muscular torticollis is extremely rare. Congenital muscular torticollis is known to be associated with several musculoskeletal and neurologic disorders including brachial plexus injury. Therefore, early diagnosis and intervention are crucial for the treatment and prevention of associated complications. Here, we report a case of a 1-month-old infant with bilateral congenital muscular torticollis suspicious of Erb-Duchenne palsy.","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"39 1","pages":"95-97"},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86198516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Natural History of Untreated Early Gastric Cancer","authors":"T. Ha","doi":"10.15746/sms.20.021","DOIUrl":"https://doi.org/10.15746/sms.20.021","url":null,"abstract":"","PeriodicalId":22016,"journal":{"name":"Soonchunhyang Medical Science","volume":"629 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77025484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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