A clinical observation was made on 7 cases of congenital hydronephrosis due to ureteropelvic obstruction who were admitted to the department of Urology, Chonnam University Hospital, during the period from Sept. 1967 to Aug. l974 and the followings were obtained. I) The rates of congenital hydronephrosis accounted for 21.2% of total in-patients with hydronephrosis during the period of 7 years. 2) 3 cases were in male and 4 cases in female. The distribution of age was between 8 months and 29 years. The incidence of pathological side was 5 patients in left and 2 patients in bilateral. 3) The etiological factors were composed of congenital stricture in 4 cases, mucosal lip in I case. aberrant vessel in l case and unknown in l case. 4) The symptoms and signs at admission were palpable mass in 3 cases, hematuria after injury in 2 cases, flank pain in l case and abdominal discomfort in 2 cases. 5) On laboratory examination, microscopic pyuria in 4 cases. hematuria in 2 cases and BUN was increased in 2 cases of the bilateral hydronephrosis. 6) Ureteropelvioplasty was performed in 4 cases. Nephrectomy was done due to pyelonephritis in l case and ureteropelvic obstruction in 1 case. Nephrostomy was done due to ureteropelvic obstruction in 1 case.
Constriction, Pathologic ; Female ; Flank Pain ; Hematuria ; Humans ; Hydronephrosis* ; Incidence ; Jeollanam-do ; Lip ; Male ; Nephrectomy ; Pyelonephritis ; Pyuria ; Urology

The adrenogenital syndrome owing to congenital adrenal hyperplasia is an inborn error of adreno-cortical metabolism, as a result of excessive adrenal androgens. producing heterosexual virlizing changes in females and isosexual precocity in males. Here, a case of adrenogenital syndrome developed in 14 year-old Korean female was presented. She had an enlarged clitoris and vaginal introitus communicated to the urethra interior to the urethral meatal opening at the perineum, resembling perineal hypospadiac penis. Exploration of the pelvic cavity and left adrenal gland revealed normal female internal genital organs and hyperplastic adrenal gland. Constructive operation including vaginoplasty and clitoridectomy was performed.
Adolescent ; Adrenal Glands ; Adrenal Hyperplasia, Congenital ; Adrenogenital Syndrome* ; Androgens ; Circumcision, Female ; Clitoris ; Female ; Genitalia ; Heterosexuality ; Humans ; Male ; Metabolism ; Penis ; Perineum ; Urethra

Histochemical and electron microscopic studies were made on the canal epithelium of the body segment of the rabbit epididymis and following results were obtained. 1) Acid phosphatase activity was marked in the canal epithelium. especially of the proximal body segment of the epididymis. Granules reactive to the acid phosphatase were present in both the above and below the nucleus 2) Electron microscopic finding: Canal epithelium of the body segment of the rabbit epididymis consisted of largely principal cells. Very few light and few basal cells. Principal cells were characterized by having slender microvilli (stereocilia). Luminal vesicles and vacuoles, extensive Golgi areas and many dense bodies in the supranuclear region, remarkable endoplasmic reticulum of mainly agranular type throughout the cytoplasm. Infranuclear cytoplasm contained often abundant mitochodria, many dense bodies and significant amount of granular endoplasmic reticulum. Light cells were characterized by having light cytoplasm, numerous vesicles, many vacuoles and dense bodies. Basal cells were present characterized by haying small nucleus, small number of cell organelles and rather clear cytoplasm From these results, it is suggested that the principal cell may have dual function of secretion and absorption and the light cell may engage mainly in absorptive function.
Absorption ; Acid Phosphatase ; Cytoplasm ; Endoplasmic Reticulum ; Endoplasmic Reticulum, Rough ; Epididymis* ; Epithelium* ; Male ; Microvilli ; Organelles ; Phenobarbital ; Vacuoles

BACKGROUND AND OBJECTIVES: Atrial fibrillation(AF) is the most frequently encountered arrhythmia in clinical practice. Pharmacologic therapy has been advocated for both immediate restoration of sinus rhythm and prevention of recurrent AF. Because conventional antiarrhythmic therapy is often ineffective in maintaining sinus rhythm or is associated with adverse side effects in patients with AF, recent interest has focused on the use of class III antiarrhythmic agents. This study investigated the efficacy and safety of sotalol and amiodarone for conversion of chronic AF and prevention of recurrent AF. MATERIALS AND METHOD: Thirty six patients with AF were firstly received sotalol by prospective study protocol. The patients were classified as having paroxysmal AF(PAF, N=2) or chronic AF(CAF, N=4) based on AF pattern. If the patients with CAF did not convert to sinus rhythm or the patients with PAF recurred in AF, the patients were received second agents(amiodarone). Patients were followed up for one year. RESULTS: Among the 12 patients with PAF receiving sotalol, 10(83.3%) patients remained in normal sinus rhythm for average 9.4+/-3.6 months. Sotalol was replaced by amiodarone in the remaing 2 patients with arrhythmia recurrence and 1 of the 2 patients remained in sinus rhythm during the follow-up period. In the case of 24 patients with CAF, conversion to sinus rhythm was achieved in 5(20.8%) patients with sotalol. Among the patients with CAF who were not respond to sotalol, 17 patients received amiodarone subsquently and 3 patients successfully converted to sinus rhythm. There were no proarrhythmic effects related to both agents during the study period. CONCLUSION: Both sotalol and amiodarone appear to be less effective in the termination of CAF, but sequential use of these two agents seem to be very effective for the prevention of recurrence of PAF.
Amiodarone* ; Arrhythmias, Cardiac ; Atrial Fibrillation* ; Follow-Up Studies ; Humans ; Prospective Studies ; Recurrence ; Sotalol*

Intoxifications caused by toxic honey were occurred recently in Korea. Honey poisoning is known to be induced by grayanotoxins, that appear in flowers of different species of Rhododendron. These toxic compounds cause depolarization of membranes that contain fast Na channel by increasing in Na permeability. After ingestion of toxic honey patients may present with neurological, cardiovascular, gastrointestinal sign and symptoms. Two cases of honey poisoning are described here. Both patients experienced syncope and severe arterial hypotension after ingestion of honey which was brought from Nepal and Brazil. Conservative treatement was fully successful in both patients within 24 hours. We report the first case of honey poisoning in Korea.
Brazil ; Eating ; Flowers ; Honey* ; Humans ; Hypotension ; Korea ; Membranes ; Nepal ; Permeability ; Poisoning* ; Rhododendron ; Sick Sinus Syndrome ; Syncope*