No abstract available.
Nifedipine* ; Vasopressins*

No abstract available.
Stomach Neoplasms*

Splenic abscess is an uncommon lesion and may be present either as a localized area of infection in the spleen or as a part of generalized sepsis. The diagnosis is difficult because of the rather nonspecific clinical picture. Hence, splenic abscess has a high mortality rate and is after diagnosed only at autopsy. Computerized tomography (CT) offers the clinician a reliable tool for the diagnosis of intra-abdominal abscess. A successful outcome is dependent on an early diagnosis and prompt treatment by splenectomy with antibiotic cover. We experienced a care of splenic abscess which was diagnosed by CT and treated by splenectomy with antibiotics. Postoperative course was relatively uneventful.
Abdominal Abscess ; Abscess* ; Anti-Bacterial Agents ; Autopsy ; Diagnosis ; Early Diagnosis ; Mortality ; Sepsis ; Spleen ; Splenectomy

Leriche syndrome is a chronic disorder mostly in male and is a specific symptom complex due to thrombotic obliteration of the aortic bifurcation as result of an atherosclerotic change. The symptoms include 1) extreme liability to fatigue of both lower limbs; 2) symmetric atrophy of both lower limbs; 3) pallor of the legs and feets; 4) inability to maintain stable erection. There are several methods for surgical management of this disorder; 1) thromboendarterectomy with or without sympathectomy; 2) aortoiliac bypass graft; 3) aortofemoral bypass graft. Here we report a case of Leriche syndrome which was successfully managed with aortobifemoral bypass graft with Dacron and reviewed literatures on it briefly.
Atrophy ; Endarterectomy ; Fatigue ; Foot ; Humans ; Leg ; Leriche Syndrome* ; Lower Extremity ; Male ; Pallor ; Polyethylene Terephthalates ; Sympathectomy ; Transplants

The vitreoretinopathy with familial tendency was first described by V.G.Criswick and C.L. Schepens in 1969. The disease is slowly progressive and can be clinically grouped into 3 stages according to the severity of ocular manifestation. The etiology of this disease which is similar to the other vitreoretinopathy without the history of prematurity and oxygen supply is unknown. Two sibling patients suggesting to have the familial exudative vitreoretinopathy were reported and reviewed herein with their clinical features.
Humans ; Oxygen ; Siblings

Optic pits are congenital craterlike holes or indentation in the surface of the optic disc. They are oval in shape and located in the inferior temporal quadrant of the optic disc. The authors experienced a case of congenital optic pit of the left eye of 18 year old male-patient. Fluorescein angiography showed hypofluorescence of the pit in early arteriovenous phase, becomming hyperfluorescence in the late phase. Ophthalmoscopic view of the diseased eye showed no abnormality of macular area. There was no visual field defect except the enlarged physiologic blind spot. Here we briefly report a case of congenital optic pit. referring the literature relating to the optic pit.
Adolescent ; Fluorescein Angiography ; Humans ; Optic Disk ; Visual Fields

No abstract available.
Animals ; Rats* ; Reperfusion*

No abstract available.
Hemodynamics* ; Hepatocytes* ; Ischemia* ; Liver* ; Urokinase-Type Plasminogen Activator* ; Verapamil*

We report a case of thoracolumbar extradural arachnoid cyst in a 39-year-old male who presented with left lower thoracolumbar back pain, left buttock pain, hypesthesia in the left leg for three months. Magnetic resonance image revealed a cystic mass which lies posterior to the spinal cord from T12 to L2 vertebra level. The spinal cord was displaced anteriorly and flattened. We performed total laminectomy from lower half of T12 to upper half of L2 to remove cystic mass which was found to be an extradural lesion. There was a dural opening near the left L1 nerve root sleeve through which cerebrospinal fluid(CSF) was leaking and part of nerve roots were moving back and forth by CSF pulsation. A prompt improvement of the symptoms was noted after surgery. Possible mechanisms of spinal extradural arachnoid cyst and surgical intervention are discussed.
Adult ; Arachnoid* ; Back Pain ; Buttocks ; Humans ; Hypesthesia ; Laminectomy ; Leg ; Male ; Spinal Cord ; Spine

Torsades de pointes (TdP) is a form of polymorphic ventricular tachycardia associated with a prolonged QT interval or increased U wave. It may occur either in the congenital(idiopathic) form or in the aquired form. Although aquired TdP could be found in many clinical settings such as various drugs, bradycardia, or electrolyte imbalance, it is most commonly induced by drugs. The underlying mechanism is though to be the triggered activity arising as a consequence of early afterdepolarization. Phenothiazine has many derivatives that can lead to occur the cardiovascular events including hypotension, syncope, tachycardia and various ECG changes. Chloropromazine is a propylamine derivative of phenothiazine. We report a case of TdP occurred after chloropromazine usual dosage.
Bradycardia ; Chlorpromazine ; Electrocardiography ; Hypotension ; Syncope ; Tachycardia ; Tachycardia, Ventricular ; Torsades de Pointes*