1.A Case of Common Bile Duct Obstruction Associated with Duodenal Diverticulum.
Kwon YOO ; Hyo Suck LEE ; Yong Bum YOON ; In Sung SONG ; Chung Yong KIM ; Yong Hyun PARK
Korean Journal of Gastrointestinal Endoscopy 1988;8(1):49-52
The Duodenal diverticulum is the rare cause of the common bile duct obstruction. We experienced a case of the diverticulum of the second portion of duodenum in a 59-year-old male, who complained recurrent attacks of right upper abdominal pain and fever since 16 months prior to admission. Duodenoscopic finding and UGI study revealed a typical duodenal diverticulum just side to the papilla of Vater. Diverticulectomy and cholecystectomy was performed and after than, he has been free front above mentioned symptoms. We reported a case of duodenal diverticulum which caused recurrent common bile duct obstruction.
Abdominal Pain
;
Cholecystectomy
;
Common Bile Duct*
;
Diverticulum*
;
Duodenum
;
Fever
;
Humans
;
Male
;
Middle Aged
2.A case of intrauterine fetal death from umbilical cord torsion.
Yong Bum KIM ; Yong Won PARK ; Jae Sung CHO ; Chan Ho SONG
Korean Journal of Obstetrics and Gynecology 1993;36(7):2005-2009
No abstract available.
Fetal Death*
;
Umbilical Cord*
3.Operative Treatment of the Bony Mallet Finger.
Bum Soo KIM ; Sung Do CHO ; Yong Sun CHO ; Tae Woo PARK ; Jae Yong BYUN
The Journal of the Korean Orthopaedic Association 1998;33(2):416-422
Although there are various methods of operative treatment for hony mallet finger, the operative technique is not so easy and complications such as joint stiffness, sott tissue prohlems, infection, change of nail shape and arthrosis are common. The authors performed operations for 26 cases of hony mallet fingers, fixing the hony frapment by Kirschner wire, pull-out wire suture and miniscrew respectively, from Jan. l988 to Jun. l996. The results were as follows. l. According to Niechajev's classification. there were 3 cases of type B, 7 cases of type C, l4 cases of type D, and 2 cases of type E. And 11 cases were accompanied hy crushing injury. 2. Involved fingers were third finger in 11cases, fit'th finger in 7 cases, fourth finger in 5 cases, second finger in 2 cases. and thumb in I case. 3. The hony mallet finger was caused hy occupational injury in l6 cases, direct blow in 7 cases and sports injury in 3 cases. 4. The fractured fragment was fixed hy Kirschner wire in 9 cases, by pull-out suture in 9 cases and by miniscrew in 8 cases. 5. The results were evaluated hy Kanies scale. Sixteen cases had satisfactory results. Seven cases (87.5%) were satisfactory in miniscrew fixations. 5 cascs (55.6%) in pull-out wire suture methocls and 2 cases (22.2%) in Kirschner wire tixations. 6. The complications were joint incongruity in 4 cases, dorsal prominece in 6 cases, painful limitation of motion in 2 cases which were treated by arthrodesis, pin site infection in 2 cases and hreakage of wire suture in 1 case. 7. The miniscrew fixation offered relatively firm fixation, low complication rate, and good results. so it can be considered as one of the good methods of treatment for hony mallet finger.
Arthrodesis
;
Athletic Injuries
;
Classification
;
Fingers*
;
Joints
;
Occupational Injuries
;
Sutures
;
Thumb
4.Percutaneous dilatation of biliary benign strictures
Jae Hyung PARK ; Byung Ihn CHOI ; Kyu Bo SUNG ; Man Chung HAN ; Yong Hyun PARK ; Yong Bum YOON
Journal of the Korean Radiological Society 1986;22(3):317-322
Percutaneous biliary dilation was done in 3 patients with benign strictures. The first case was 50-year-oldmale who had multiple intrahepatic stones with biliary stricture. The second 46-year-old female and the third25-year-old male suffered from recurrent cholangitis with benign stricture of anastomotic site aftercholedochojejunostomy. In the first case, a 6mm diameter Grunzig dilatation balloon catheter was introducedthrough the T-tube tract. In the second case, the stricture was dilated with two balloons of 5mm and 8 mm in eachdiameter sequentially thorugh the U-loop tract formed by surgically made jejunostomy and percutaneous transhepaticpuncture. In the third case, the dilatation catheter was introduced through the percutaneous transhepatic tract.Dilatation was made with a pressure of 5 to 10 atmospheres for 1 to 3 minutes duration for 3 times. In all 3cases, the structures were successfully dilated and in second and third cases internal stent was left across thelesion for prevention of restenosis.
Atmosphere
;
Catheters
;
Cholangitis
;
Constriction, Pathologic
;
Dilatation
;
Female
;
Humans
;
Jejunostomy
;
Male
;
Middle Aged
;
Stents
5.Comparisons of 12-Hour and 24-Hour Sustained-Release Theophyllines in the Management of Asthma.
Yang Deok LEE ; Seoung Ju PARK ; Heung Bum LEE ; Yong Chul LEE ; Yang Keun RHEE
Tuberculosis and Respiratory Diseases 2001;50(3):293-299
BACKGROUND: Sustained-release theophylline, which is generally prescribed as a twice-daily equal-dose regimen, is one of the more common asthma treatments. the development of a sustained-release drug delivery technology that enables improved control of the theophylline blood levels represents a significant advancement in both the efficacy and safety of dosing. METHOD: A crossover study was conducted with 25 adult chronic asthmatic patients requiring daily bronchodilator therapy. The study group included thirteen males and twelve females with ages ranging from 19 to 71 years. The overall approach was to place the patients first on the twice-daily preparation(Etheophyl®) for 28 days at 8 AM and 8 PM, and measure the pulmonary function and theophylline level on the 28th day. the patients were subsequently switched to the once-daily preparation(Uniphyl®) in the same daily dose at 8 PM on the 29th day and the same parameters were measured on the 56th day. RESULTS: the mean serum levels of theophylline were 8.18±1.66µg/ml in the Etheophyl®-treated period and 8.00±1.75µg/ml in the Uniphyl®-treated period. In addition, the FEV1 showed 71.40±7.48 percent in the Etheophyl®-treated and 69.18±9.00 percent in the Uniphyl®-treated period. Thus there were no significant differences between the once-daily and twice-daily preparation. CONCLUSION: The results indicated little clinical differences between the two medication. The two drugs are equally effective in controlling asthma over the four weeks of treatment.
Adult
;
Asthma*
;
Cross-Over Studies
;
Female
;
Humans
;
Male
;
Theophylline
6.A Case of Hunter's Syndrome.
Gi Bum SUHR ; Jeung Hoon LEE ; Jang Kyu PARK ; Kye Yong SONG
Annals of Dermatology 1990;2(2):132-135
We report a case of Hunter's syndrome in an 8-year-old boy, who presented with ivory-white colored papules and ridges on the left chest area, which were regarded as pathognomonic cutaneous markers for Hunter's syndrome. He also showed growth retardation, dear corneas, hepatosplenomegaly and fair intellect. The histopathological findings of papular lesions revealed loosely arranged collagen fibers with massive mutinous material which stained positively with alcian blue at both pH 2.0 and 0.5. On quantitation of glycosaminoglycans by hexuronic add assay in 24-hour urine, excessive excretion of creatinine was noted. To the best of our knowledge, this is the first case in Korea.
Alcian Blue
;
Child
;
Collagen
;
Cornea
;
Creatinine
;
Glycosaminoglycans
;
Humans
;
Hydrogen-Ion Concentration
;
Korea
;
Male
;
Mucopolysaccharidosis II*
;
Thorax
7.A Case of Supravalvular and Valvular Aortic Stenosis.
Yong HWANG ; Yang Soo JANG ; Kum Soo PARK ; Won Heum SHIN ; Bum Koo CHO
Korean Circulation Journal 1985;15(3):527-532
Supravalvular aortic stenosis may be defined as an obstructive congenital deformity of the ascending aorta which originates just distal to the level of the origins of the coronary arteries. It may be localized or diffuse, and includes a wide spectrum of pathologic changes. A 16 years old school boy was admitted because of exertional dyspnea for 6 years. Clinical diagnosis of supravalvular and valvular aortic stenosis with bicuspid aortic valves and myocardial hypertrophy was made by echocardiography and angiocardiography. Surgical correction was performed successfully. We presented a case of supravalvular and valvular aortic stenosis with a review of literatures.
Adolescent
;
Angiocardiography
;
Aorta
;
Aortic Stenosis, Supravalvular
;
Aortic Valve
;
Aortic Valve Stenosis*
;
Bicuspid
;
Congenital Abnormalities
;
Coronary Vessels
;
Diagnosis
;
Dyspnea
;
Echocardiography
;
Humans
;
Hypertrophy
;
Male
8.Lengthening and Deformity Correction of the Forearm by Callotasis.
Goo Hyun BAEK ; Moon Sang CHUNG ; Jin Ho KIM ; Deuk Soo JUN ; Yong Bum PARK
The Journal of the Korean Orthopaedic Association 1998;33(5):1254-1262
Seven patients with average age of 15years and 6 months (range: 8 years and 11 months 25 years and 6 months) underwent forearm lengthening by callotasis. The indications for lengthening were shortening and/or deformity of the forearm due to exostosis of the distal ulna in three cases, growth disturbance due to physeal injury of the distal radius in three, congenital radial dislocation in one. Three had lengthening of the radius, three of the ulna and one of both the radius and the ulna. The average lengthening achieved was 3.8 cm (3.5 - 4.0) in radius, 2.7 cm (2.3 - 3.0) in ulna. Complications encountered were pin tract infection in two cases, nonunion in one and temporary nerve palsy in one. All of these complications were recovered completely without any residua. Retrospective review after average 41 months of follow-up (range: 36 to 78) showed satisfactory improvement in appearance and function. Callotasis was considered as one of the safe and reliable treatment methods for bone lengthening and deformity correction of the forearm.
Bone Lengthening
;
Congenital Abnormalities*
;
Dislocations
;
Exostoses
;
Follow-Up Studies
;
Forearm*
;
Humans
;
Osteogenesis, Distraction*
;
Paralysis
;
Radius
;
Retrospective Studies
;
Ulna
9.A Case of Extensive Pulmonary Laceration Caused by Nonpenetrating Trauma.
Jin Yong JEONG ; Jong Bum KWEON ; Sung Bo SHIM ; Kuhn PARK
Journal of the Korean Society of Emergency Medicine 1997;8(2):290-
Extensive laceration of the lung itself has relatively little attention as a threat to life compared with other intrathoracic organ injuries. The incidence of pulmonary laceration extensive enough to require thoracotomy is rare, but is higher than expected. The diagnosis of extensive pulmonary laceration may be difficult, but this injury should be suspected with attention and early thoracotomy can be carried out in indicated cases. Recently, thoracoscopy has assumed a major role in the management of a variety of surgical diseases of the chest. We experienced a case of extensive pulmonary laceration caused by nonpenetrating trauma, which underwent lobectomy by thoracoscopic surgery. A 21-year-old man who was injured in a motocycle accident was brought to Emergency Room from the scene by an ambulance, and complained of chest pain and dyspnea. A chest roentgenogram showed a hemothorax and fractures of the posterior ends of the right seventh, eighth, and ninth ribs. A chest tube was inserted. Thirteen hundred ml of blood was drained through the chest tube during the next one hour. Emergency right mini-thoracotomy revealed extensive laceration of the lower lobe extending to the pulmonary hilum. The lower lobe was the most badly torn. A lower lobectomy was done by video-assisted thoracic surgery (VATS). He complained less postoperative pain and the postoperative course was uneventful.
Ambulances
;
Chest Pain
;
Chest Tubes
;
Diagnosis
;
Dyspnea
;
Emergencies
;
Emergency Service, Hospital
;
Hemothorax
;
Humans
;
Incidence
;
Lacerations*
;
Lung
;
Pain, Postoperative
;
Ribs
;
Thoracic Surgery, Video-Assisted
;
Thoracoscopy
;
Thoracotomy
;
Thorax
;
Young Adult
10.Extensor Mechanism Injuries of the Finger
Moon Sang CHUNG ; Soo Joong CHOI ; Yong Bum PARK ; Joong Bae SEO ; Woo Dong NAM
The Journal of the Korean Orthopaedic Association 1996;31(6):1259-1266
Injuries to the extensor mechanism include a wide range of injuries from minor one to massive defect. And the methods of treatment must be individualized according to the anatomical site, extent and chronicity of injuries. The extensor mechanism is a triangular thin sheet like structure, the function of which cannot be explained completely by the Tubiana's church-steeple like diagram. Authors think that the extensor mechanism should be repaired or reconstructed as a triangular sheet. The tension of the repaired or reconstructed tendon was estimated as good when the neutral extensions were obtained in all the MP, PIP and DIP joints after the completion of sutures. Also authors think that stable sutures are mandatory for the early rehabilitation postopoeratively. Seventy-five patients have been treated by the authors from 1982 to 1994. According to zonal classification, forty-two patients were injured in Zone I. 5 in Zone II, 21 in Zone III, 5 in Zone IV and 2 patients were unclassified due to massive defects of the extensor mechanism. Mostly bony mallet injuries were treated by open reduction and K-wire fixation. Acute tendinous mallet injuries were treated by conservative splinting and old injuries were treated by anatomical plication of the terminal extensor tendon. Old buttonhole deformities were generally treated by the central tendon plication. Massive defects were managed by skin coverage and reconstruction of the extensor mechanism by using a tendon graft which was tailored like a triangular thin sheet. With author's treatment principles, excellent or good results were obtained in about 87%. Consequently, authors emphasize that an anatomical repair or reconstruction is a keystone in the treatment of injuries to the extensor mechanism.
Classification
;
Congenital Abnormalities
;
Fingers
;
Fluconazole
;
Humans
;
Joints
;
Rehabilitation
;
Skin
;
Splints
;
Sutures
;
Tendons
;
Transplants