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Omental Infarction Associated with Rib Cage Anomaly in Achondroplasia: Report of a Rare Case

Kim TH, Kim YS

Omental infarction, a rare cause of acute abdominal pain, is usually difficult to diagnose before surgery. Several studies have shown that CT is useful in diagnosing an omental infarction. We...
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Comparison of Acute Abdominal Surgical Outcomes of Extremely-Low-Birth-Weight Neonates according to Differential Diagnosis

Byun J, Kim HY, Jung SE, Yang HB, Kim EK, Shin SH, Kim HS

BACKGROUND: Improvements in perinatal intensive care have improved survival of extremely-low-birth-weight (ELBW) neonates, although the risk of acute abdomen has increased. The differential diagnosis resulting in abdominal surgery can be...
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Comparative analysis of unperforated and perforated appendicitis in laboratory values of patients who visited emergency center

Cho D, Seo JY

OBJECTIVE: Unperforated and perforated acute appendicitis need to be differentiated because appendicitis with a free perforation requires an emergency operation to prevent contamination inside the bowel from spreading into the...
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A Case of Hemolytic Uremic Syndrome after Appendectomy

Kim L, Jung HL, Shim JY, Kim DS, Shim JW, Han YJ, Kwak JH

Hemolytic uremic syndrome (HUS) is associated with consumption of under cooked gound beef, characterized by triad of renal failure, microangiopathic hemolytic anemia and thrombocytopenia. Early recognition of this disease, maintenance...
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Current status of the Korean acute care surgery system for non-traumatic abdominal emergency surgery: a single-regional trauma center study

Jang JY, Shim H, Kim JH, Hong SK, Bae KS

Abdominal sepsis is mainly caused by intra-abdominal or retroperitoneal infection; therefore, early detection of the source of infection and adequate, prompt treatment are the most important contributors to patient outcomes....
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Isolated tubal torsion in the third trimester of pregnancy managed with simultaneous salpingectomy and cesarean section

Park SN

Isolated tubal torsion is an uncommon cause of acute abdomen in pregnancy. Tubal torsion may occur in the absence of adnexal disease. Diagnosing tubal torsion is especially difficult in pregnancy...
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Usefulness of Ultrasonography in the Diagnosis of Peptic Ulcer Disease in Children

Lee EJ, Lee YJ, Park JH

PURPOSE: This study was performed to assess the clinical usefulness of transabdominal ultrasonography (TUS) in detecting peptic ulcer disease (PUD) in children. METHODS: Twenty-four patients (19 boys, 5 girls; mean age,...
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A Case of Anticoagulant-induced Spontaneous Intramural Intestinal Hematoma

Park HJ, Kim GH, Park SK, Park DY

Spontaneous intramural hematoma is a rare complication of oral anticoagulants, and its incidence is expected to increase because of the increasing number of elderly patients undergoing anticoagulant therapy. Clinical manifestations...
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Spontaneous Rupture of the Intraperitoneal Metastatic Hepatocellular Carcinoma: a Case Report with Magnetic Resonance Imaging Findings

Kim HJ, Park MH

Intraperitoneal metastatic hepatocellular carcinoma (HCC) is uncommon. Although rare, it can spontaneously rupture and cause hemoperitoneum similar to primary HCC in the liver. We present a case of intraperitoneal metastatic...
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Management of Pediatric Patients Presenting with Acute Abdomen Accompanying Dilatation of the Common Bile Duct

Kim YA, Kim GM, Chun P, Hwang EH, Mun SW, Lee YJ, Park JH

PURPOSE: The aim of this study was to describe our treatment experiences with patients who had acute abdomen (AA) with common bile duct (CBD) dilatation. METHODS: The treatment outcomes in children...
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Laparoscopic splenectomy for splenic rupture secondary to metastatic choriocarcinoma

Aloysius T, Shelat VG

Gestational choriocarcinoma is a rare and aggressive type of gestational trophoblastic neoplasia, which is characterized by early vascular invasion and widespread metastases. Choriocarcinoma metastasizes hematogenously, and bleeding from metastases is...
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The influence of the decision making time by using point-of-care creatinine in patients with acute abdomen

Choi Y, Cho S, Ahn H, Min J, Jeong W, Ryu S, Oh S, Kim S, You Y, Lee J, Park J, Yoo I, Cho Y

OBJECTIVE: Radio-contrast abdomino-pelvic computed tomography (APCT) is considered the gold standard diagnostic tool for an acute abdomen in the emergency department. On the other hand, APCT has a risk of...
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Enterostomy Closure after Acute Abdomen in Neonate and Infant

Yang HB, Kim HY

The risk of acute abdomen in neonates and infants is generally increased due to advanced maternal age and neonatal intensive care unit care development. Enterostomy is a safe procedure for...
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Acute haemoperitoneum due to small bowel metastases from hepatocellular carcinoma in a long term survivor following previous rupture

Shelat VG, Giron DM, Oo AM

We report a 75-year old patient, presenting with acute abdomen and hemorrhagic shock. He provided history of right hemihepatectomy performed 5 years ago, for ruptured hepatocellular carcinoma on a background...
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Omental Torsion and Infarction with Right Inguinal Hernia: A Case Report

Kim YS, Kim TH

Omental torsion and infarction are rare causes of acute abdominal pain, and it is often difficult to diagnose these conditions preoperatively. There are several reports showing that computed tomography is...
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Ischemic Gastritis Improved by Supportive Care

Choi YS, So CS, Koh DH, Choi MH, Jang HJ, Kae SH, Lee J, Choi YH

Acute extensive ischemic gastritis is an extremely rare disease because the stomach has an abundant submucosal vascular plexus with a dual blood supply from the pancreaticoduodenal and gastroduodenal arteries. Smoking,...
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Which One is Better? Comparison of the Acute Inflammatory Response, Raja Isteri Pengiran Anak Saleha Appendicitis and Alvarado Scoring Systems

Karami MY, Niakan H, Zadebagheri N, Mardani P, Shayan Z, Deilami I

PURPOSE: Acute appendicitis (AA) is one of the most common causes of an acute abdomen. The accuracies of the Alvarado and the acute inflammatory response (AIR) scores in the diagnosis...
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Analysis of Differential factors for Detecting Surgical Acute Abdomen in Women of Childbearing Age Presenting to the Emergency Department with Non-traumatic Abdominal Pain in the Absence of Laboratory Abnormalities

Song HJ, Lee JH

PURPOSE: Acute abdomen in women of childbearing age has a broad differential diagnosis, often presenting a diagnostic challenge to an emergency physician. Computed tomography (CT) has been used for an...
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Learning curve and period of experience required for the competent diagnosis of acute appendicitis using abdominal computed tomography: a prospective observational study

Song JH, Cho H, Park JH, Moon S, Kim JY, Kim SJ, Choi SH

OBJECTIVE: To assess the learning curve of novice residents in diagnosing acute appendicitis using abdominal computed tomography (CT) scans. METHODS: This prospective observational study was conducted within a 4-month period from...
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Ideal Time to Surgery for Acute Abdomen

Kim M, Kim JH, Kim SJ, Cho HJ

Timing of surgery is important for prognosis. In patients with acute abdomen, the urgency means timing of surgery is even more important. However early emergency surgery is often logistically daunting...
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