Granular Cell Myoblastoma is typically encountered in the skin, subcutaneous tissue nr oral cavity, but was rarely been found in the large intestine. In a series of 110, the two were in the cecum(18). Both patients, 36-and 43-year-old women, underwent radial excision of the lesion because of the clinical impresaion of the malignancy. The other Three patients with granular cell myoblastoma of the cecum, all asymptomatic and found incidentally, have been reported. From the available data, one was a man(22) and two were women (26,27). They were 17 (27), 40(26) and 71(22) years of age. One lesion, in the cecum, was excised at laparotomy that was performed under the irnpression of acute appendicitis, and disclosed a small polypoid submucosal nodule in the cecum incidentally(27). Another lesion, in the cecum, was excised at laparotomy following the discovery of a small cecal defect on barium enema examination 9260. The other lesion, in the cecum, was found at autopsy(22), This paper reports a case of granular cell myoblastoma of the cecum, including its colonoscopic finding.
Adult ; Appendicitis ; Barium ; Cecum* ; Enema ; Female ; Granular Cell Tumor* ; Humans ; Intestine, Large ; Laparotomy ; Mouth ; Skin ; Subcutaneous Tissue

No abstract available.
Pancreatitis*

The skin defects or sensory impairment of the fingers, especially at the critical area for prehension(tips of thumb, index and middle fingers) should be reconstructed for the better function of hand. In our department, we performed neurovascular island pedicle flap transfer for the purpose of reconstruction of sensibility and skin defect simultaneousely to the critical area. 1. Since 1978, we had performed neurovascular island pedicle flap transfer in 14cases, among which 9 cases were followed for more than one year. 2. The operation was performed for the reconstruction of thumb in 8 cases, and index in 4 cases. The most common cause of injury was crushing by machine(8 cases). 3. The island flap was transferred from middle finger(9 cases) and from ring finger(4 cases). 4. Recovery of the protective sensation at the recipient sites was good or fair after one year, but reorientation and two point discrimination were poor. 5. Cold intolerance was developed in 3 cases and callosity was formed in 2 cases. 6. In all cases, the transferred flaps were good in circulation status and durability. 7. It is considered that the neurovascular island pedicle flap is an accepted method of restoring skin coverage as well as sensation to a localized tactile area in the hand.
Callosities ; Discrimination (Psychology) ; Fingers ; Hand ; Methods ; Sensation ; Skin ; Thumb

We report one case of bilateral naviculo-medial cuneiform coalition in ten year old girl. She complained of pain in the medial aspect of the mid-foot related to long periods of standing and activity. Routine roentgenographs, specifically lateral views showed a bony bridge between the navicular bone and medial cuneiform. A biopsy revealed as fibrocartilaginous tissue. The bony bridge consists about one third in lateral view and 30 degree cephalad tilting in the antero-posterior view. Bilateral resection arthroplasty, with interposing flesh muscle fibers of the abductor hallucis, was performed for restoration of motion in the naviculo-medial cuneiform joint and relief of localized pain. Four months after surgery, pain around the mid-foot had almost complete subsided. One year postoperative, neither recurrence nor disability was observed. We will discuss the diagnosis and treatment of this rare case of bilateral naviculo-medial cuneiform coalition.
Arthroplasty ; Biopsy ; Diagnosis ; Female ; Humans ; Joints ; Recurrence

No abstract available.
Catheters*

Plexiform neurofibroma is considered a pathognomic of Von Recklinghousen's disease, which involves the deep and large nerve trunk. These are large irregular nerve fascicles which result from an increase in endoneural matrix within individual nerve facicles, without an increased number of nerve fibers. We experenced a case of Von Recklinghausen's disease in a 24 year-old male who had variable cutaneous skeletal, and CNS lesions. He presented multiple neurofibromas, cafe-au-lait spots, and axillary freckles as common cutaneous lesions of NF-I and giant pigmentation, sacral hypertrichosis, and plexiform neurofibroma as unusual cutaneous lesions. Also he had a scoliosis, bowing deformity of the humerous and wedging deformity of the body of the 5th cervical spine as a skeletal manifestation and cortical calcification in the occipital area as a CNS manifestation.
Cafe-au-Lait Spots ; Congenital Abnormalities ; Humans ; Hypertrichosis ; Male ; Melanosis ; Nerve Fibers ; Neurofibroma, Plexiform* ; Neurofibromatoses ; Neurofibromatosis 1 ; Pigmentation* ; Scoliosis ; Spine ; Young Adult

No Abstract Available.
Rosacea*

Transurethral resection of prostate is popular methop, but hemorrhage and absorption of irrigation fluid are most common complications during operation. We have studied changes of blood pressure and central venous pressure during and after of transurethral resection in 32 patients with BPH during the period from january, l985 to january, l986. And we have observed the relationships between blood pressure and central venous pressure change with irrigation fluid volume, resected weight of prostate, resection time and blood loss. The following results were obtained. 1. Among the 32 transurethral resection of prostate, resection time was 67+/-18 min(Mean- S.D.), resected weight of prostate was 22.4+/-11.2gm, irrigation fluid was 24,000ml+/-9,800ml, Blood loss was 456+/-ml280ml. There was significant correlate between resection time, resected weight of prostate, irrigation fluid volume and blood loss. 2. Preoperative blood pressure was l28mmHg+/-l4mmHg/76mmHg+/-9mmHg (systolic/diastolic, Mean+/-S.D.), and it was become 128mmHg+/-l2mmHg/81mmHg+/-8mmHg immediately after spinal anesthesia. After 20min and 40min starting operation, blood pressure were 116mmHg+/-l3mmHg/74 mmHg+/-8mmHg and 112mmHg+/-12mmHg/71mmHg+/-9mmHg, respectively. Blood pressure was returned to nearly preoperative blood pressure on 4 hours after operation, and the blood pressure was 129mmHg+/-11mmHg/82mmHg+/-9mmHg. 3. Preoperative central venous pressure was 6.7cmH2O+/-2.9cmH2O(Mean-S.D.) and it was become 5.9cmH2O+/-2.5cmH2O immediately after spinal anesthesia. After 20min starting operation, central venous pressure were 5.1cmH2O+/-2.7cmH2O and 4.8cmH2O+/-2.OcmH2O respectively. Central venous pressure were returned to nearly central venous pressure of immediate after spinal anesthesia on 4 hours after operation, and the central venous pressure was 5.6cmH2O+/-1.8cmH2O. 4. Blood pressure and central venous pressure changes were correlate in case more than 800ml of blood loss but there was no correlate in cases with loss than 800ml of blood loss.
Absorption ; Anesthesia, Spinal ; Blood Pressure* ; Central Venous Pressure* ; Hemorrhage ; Humans ; Prostate* ; Transurethral Resection of Prostate

PURPOSE: Although the prevalence of gastroesophageal reflux disease (GERD) is relatively low in Korean population, the number is increasing. The aim of this study is to analyze our experience with laparoscopic Nissen fundoplication. PATIENTS AND METHODS: From Sep. 2003 to Mar. 2008, 31 adult Korean patients diagnosed with GERD underwent laparoscopic Nissen fundoplication. A 360degrees fundoplication was carried out in all patients. RESULTS: There were 19 males and 12 females with an average age of 46.8 +/- 17.0 years. Typical symptoms were present in 15 (48%) of patients, and atypical symptoms in 16 (51.6%). Both typical and atypical symptoms were present in 4 of patients (12.9%). Preoperative studies showed hiatal hernias in 13 patients (41.9%), Barrett's esophagus in 10 (32.3%), and reflux esophagitis in 18 (58.1%). Mean DeMeester score was 17.4 +/- 16.7, mean operative time 206.1 +/- 47.8 min and mean hospital stay 5.2 +/- 2.1 days. Perioperative complications occurred in 5 patients (16.1%), including gastric perforation, subcutaneous emphysema, atelectasis, and prolonged ileus. Gastroesophageal junction stenoses with subsequent endoscopic balloon dilations were required in 5 patients (16.1%). After surgery, symptoms were completely controlled in 17 patients (54.8%), partially improved in 12 patients (38.7%) and not controlled in 2 patients (6.5%). CONCLUSION: In our series, 93.5% of patients had either complete or partial remission of symptom after laparoscopic Nissen fundoplication. Atypical symptoms were more predominant in our Korean patients. Laparoscopic Nissen fundoplication is an efficacious method of controlling symptoms of GERD, even for those who have atypical symptoms.
Adult ; Female ; Follow-Up Studies ; *Fundoplication ; Gastroesophageal Reflux/ethnology/*surgery ; Humans ; Korea ; *Laparoscopy ; Male ; Middle Aged ; Patient Satisfaction ; Prevalence ; Treatment Outcome

No abstract available.