A case of situs inversus totalis was observed in the cadaver of a 35 year old Korean female and the anatomical structures were investigated. The fact that she had received intestinal resection due to tuberculosis of intestines was confirmed. The results are summarized as follows : 1. All thoracic and abdominal viscera were completely transposed and in the left lower quadrant of abdomen, it was observed that the distal portion of the small intestine, cecum, appendix and part of the ascending colon had been resected. 2. Classic mirror-image dextrocardia with patent foramen ovale (large diameter, 7mm), sinusitis in the left maxillary sinus, bilateral thoracic duct, variation of the opennig site of the common bile duct and the main pancreatic duct, and maldvelopment of the left adrenal gland were observed together with the sinus inversus totalis.
Abdomen ; Adrenal Glands ; Appendix ; Cadaver ; Cecum ; Colon, Ascending ; Common Bile Duct ; Dextrocardia ; Female ; Foramen Ovale, Patent ; Humans ; Intestine, Small ; Intestines ; Maxillary Sinus ; Pancreatic Ducts ; Sinusitis ; Situs Inversus* ; Thoracic Duct ; Tuberculosis ; Viscera

No abstract available.
Occupational Diseases*

No abstract available.
Heart Arrest, Induced* ; Oxygen*

It is generally accepted that a vascular accident in utero during the fetal period plays an important role in the occurrence of intestinal atresia. An experimental study, making use of chick embryos was made to induce intestinal atresia by vascular occlusion or ligation of a loop of intestine. A study using the chick embryos made it relatively easy to obtain the experimental group. Its advantages are a short incubation period(21 days) and many operations can be performed with only a limited supply of surgical instruments. Physiologic umbilical hernia of the chick embryo is present from the 9th to the 18th day of development. We used chick embryos between 9th to 15th day of development to perform experiments. In group I, as a control group, round shaped opening was made in the eggshell, shell membrane and chorioallantoic membrane with diameter of 1 cm, and then closed with transparent tape. In group II, the mesenteric artery was ligated with prolene 7-0. In the group III, a loop of intestine was ligated with prolene 7-0. The survival rate of group I was 35.7%(50/140), group II, 5.1%(36/700) and group III was 7.6%(53/700)(p<0.001). The intestinal atresia in hatched embryos showed no case in group I, 14cases out of 36cases in Group II(type II 5cases, type III 9cases), and all cases in Group III(type I 3cases, type II 29cases, type III 21cases). There was no significant relation between experimental group and type of intestinal atresia(p=0.09). In this experiments, the survival rate and incidence of intestinal atresia of group III were higher than group II. We concluded that vascular accident of intestine during fetal period was a factor in development of intestinal atresia, but, mechanical obstruction of intestinal loop was more important.
Animals ; Chick Embryo* ; Chorioallantoic Membrane ; Embryonic Structures ; Hernia, Umbilical ; Incidence ; Intestinal Atresia* ; Intestines ; Ligation ; Membranes ; Mesenteric Arteries ; Polypropylenes ; Surgical Instruments ; Survival Rate

No abstract available.
Aneurysm*

No abstract available.
Appendix* ; Fetus*

No abstract available.
Adult* ; Fetus* ; Humans ; Humerus* ; Radius* ; Ulna*

No abstract available.
Follow-Up Studies* ; Prostheses and Implants*

This study was undertaken to clarify the effects of glucocorticosteroids on intraocular pressure and the combined effects of acetazolamide and glucocorticosteroid on ocular pressure. Male and female rabbits, weighing 1.7-2.2kg, were divided into 5 groups: 1) saline-treated group, 2) hydrocortisone (0.5 %)-treated group, 3) prednisolone (0.5 %)-treated group, 4) fludrocortisone (0.1% )-treated group, 5) dexamethasone (0.1% )-treated group. Drugs were instilled 4 times a day for 3 weeks, and ocular pressure was checked in each group on second and third week. Following 3 weeks instillation of glucocorticoids, ocular pressure was checked in each animal at 15, 30, 60, and 120 minutes after intravenous administration of acetazolamide (10mg/kg). Under 0.5% tetracaine anesthesia, facility of outflow and flow rate of the aqueous humor were also measured with a tonometer. The results of the experiments were as follows: 1) The mean ocular pressure rose significantly in all glucocorticoid-treated groups, and the rise was especially marked in the dexamethasone-treated group. 2) The mean facility of outflow of the aqueous humor decreased significantly in the dexamethasonetreated group, but it remained with little change in the other glucocorticoidtreated group. 3) The ocular pressure-lowering action of acetazolamide was suppressed significantly at 30 minutes after the treatment with acetazolamide in the hydrocortisone and prednisolonetreated groups, but it was not suppressed in the fludrocortisone and the dexamethasonetreated groups. 4) The flow rate of the aqueous humor was suppressed significantly (36.2 %) at 30 minutes after the treatment with acetazolamide in the control group, but it was not suppressed significantly in g]ucocorticoid-treated groups.
Acetazolamide* ; Administration, Intravenous ; Adrenal Cortex Hormones* ; Anesthesia ; Animals ; Aqueous Humor ; Dexamethasone ; Female ; Fludrocortisone ; Glucocorticoids ; Humans ; Hydrocortisone ; Intraocular Pressure* ; Male ; Prednisolone ; Rabbits ; Tetracaine

The incidence of gastric cancer is high in old age group and low in young age group, extremely rare in child age. So the diagnosis of gastric cancer in young age is often delayed, and this, with other factors such as poorly differentiated histopathologic tendency and rapid growing nature, makes the prognosis poorer than in other age guoup. Therefore it should always be remembered that the young who has gastric symptom may have malignancy in his stomach in spite of the age. We report a case of early gastric cancer in a 16-years old male with the review of the literature.
Adolescent ; Child ; Diagnosis ; Humans ; Incidence ; Male ; Prognosis ; Stomach ; Stomach Neoplasms*