1.Aneurysm of Splenic Artery: A Case Report.
Huck Dong KIM ; Su Jin YOO ; Jae Hwang PARK
Journal of the Korean Society of Emergency Medicine 1999;10(3):499-503
Aneurysm of the splenic artery are the third most common intra-abdominal aneurysm, following aneurysms of the infrarenal aorta and iliac arteries. Splenic artery aneurysms (SAA) are the most frequent visceral artery aneurysms and account for more than two thirds of all lesions. Incidence of SAA are rare clinical entities(0.01-0.2%) that carry risk of rupture and fatal hemorrhage(35-100%). Fibroblastic dysplasia and atherosclerosis is fecund in the majority, and the fact that these aneurysms developes more commonly in female. Most patients are asymptomatic and the diagnosis is generally made incidentally. The treatment of patient with known SAA is dictated by several factors, including location, age, sex, present of symptom, size, pregnancy. We report ruptured splenic artery aneurysm with hemoperitoneum and review of the literature.
Aneurysm*
;
Aorta
;
Arteries
;
Atherosclerosis
;
Diagnosis
;
Female
;
Fibroblasts
;
Hemoperitoneum
;
Humans
;
Iliac Artery
;
Incidence
;
Pregnancy
;
Rupture
;
Splenic Artery*
2.A Case of Cavernous Hemangioma in the Kidney.
Jae Huck LEW ; Young Nam WOO ; Dong Han KIM
Korean Journal of Urology 1987;28(2):309-312
Renal hemangioma is a rare, benign tumor, which usually causes unexplained painless gross hematuria with clots in the renal pelvis or ureter. It is generally venous origin but may be arterial and mixed venoarterial. Preoperative selective renal aniography may offer helpful diagnostic information but it is difficulty to distinguish it from malignant renal tumor. We reported here a case of renal cavernous hemangioma in a 31-year-old man.
Adult
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Hemangioma
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Hemangioma, Cavernous*
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Hematuria
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Humans
;
Kidney Pelvis
;
Kidney*
;
Ureter
3.The Risk of Aspiration in Laryngeal Mask Airway: Laryngeal Mask Airway vs Endotracheal Tube.
Young Pyo CHEONG ; Duk Hwa CHOI ; Dong Kyu CHO ; Soo Kyoung PARK ; Su Jin YOO ; Huck Dong KIM ; Tai Yo KIM ; Jae Seung YUN
Journal of the Korean Society of Emergency Medicine 1998;9(1):45-55
BACKGROUND: There were several studies for the incidence of gastroesophageal reflux associated with the laryngeal mask airway(LMA), but the results of those studies were much different much different from one another. The aim of this study was to compare the incidence of gastroesophageal reflux and regurgitation of gastric contents between the LMA and the endotracheal tube(ETT). METHOD: Ninety patients scheduled for elective orthopedic surgery with a standardized general anesthetic technique were randomly allocated to receive either a LMA(n-49) or a ETT(n=41) for airway management. The esophageal manometry was carried out for the exclusion of esophageal motility disorders and the 24-hour ambulatory pH metry was done from one day before the operation. A methylene blue(50mg) capsule was swallowed just before the induction and the simultaneous recordings of pH were maintained during anesthesia. At the end of anesthesia, the episodes of regurgitation of gastric contents above hypopharynx were analyzed by the pharyngeal blue staining and the pH metric data were analyzed for the detection of gastroesophageal relux episodes during anesthesia. RESULTS: There was no significant difference in the incidence of gastroesophageal relux(pH< or =4) between two groups; only two patients in LMA and three patients in ETT had reflux episodes during the removal or arousal phase. There was no episode of the pharyngeal blue staining in both group. All of the gastroesophageal reflux patients in both group developed a cough or straining during those phases. There was no clinical evidence of aspiration of gastric contents in both group. CONCLUSION: In comparison with ETT, use of LMA does not appear to increase the incidence of gastroesophageal reflux and regurgitation above hypophryngeal level in positive pressure ventilating patients during long surgical procedures. Therefore, the risk of aspiration in LMA will not be much more than ETT.
Airway Management
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Anesthesia
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Arousal
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Cough
;
Esophageal Motility Disorders
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Gastroesophageal Reflux
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Humans
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Hydrogen-Ion Concentration
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Hypopharynx
;
Incidence
;
Laryngeal Masks*
;
Manometry
;
Masks*
;
Orthopedics
4.MR Imaging of Diabetic Mastopathy: A Case Report.
Yun Woo CHANG ; Min Huck LEE ; Kui Hyang KWON ; Duck Lin CHOI ; Jung Wha HWANG ; Dong Erk GOO ; Seung Tae PARK ; Jung Hoon KIM ; Dong Wha LEE
Journal of Korean Breast Cancer Society 2003;6(4):308-310
Diabetic mastopathy is a rare disease that occurs in long-term insulin-dependent diabetic patient. It manifests as a hard palpable breast mass that may be clinically indistinguishable from a breast carcinoma. Mammography shows a non-specific, dense, heterogenous glandular opacity in both breasts. Sonography shows a markedly hypoechoic, ill-marginated mass with a posterior acoustic shadowing. We present the mammography, ultrasonography and MRI findings of a 54-year-old woman with diabetic mastopathy.
Acoustics
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Breast
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Breast Neoplasms
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Female
;
Humans
;
Magnetic Resonance Imaging*
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Mammography
;
Middle Aged
;
Rare Diseases
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Shadowing (Histology)
;
Ultrasonography
5.Analysis of Transportation of Victims of the Subway Fire in Daegu.
Jae Myung CHUNG ; Dong Hoan SEOL ; Jung Bae PARK ; Kang Suk SEO ; Jeong Heon LEE ; Huck Dong KIM ; Jong Kun KIM ; Dong Phil LEE ; Sam Beom LEE ; Byung Soo DO ; Soon Joo WANG ; Moo Up AHN
Journal of the Korean Society of Emergency Medicine 2003;14(5):514-521
PURPOSE: The purpose of this study was to improve transportation and distribution of mass-casualty patients by reviewing the subway fire that occurred in Daegu on 18 February 2003. METHODS: We used the reports of the Daegu Emergency Medical Information Center and the medical records of each hospital to analyze retrospectively 199 patients who were transported to 22 initial receiving hospitals. We evaluated the appropriateness of transportation based on the distances of transportation, the capability of the receiving hospitals, and the severity of patients. Using the SAS program(version 6.12), the collected data was analyzed by frequency and x(2) test. RESULTS: The more severe the patients were, the nearer and larger the receiving hospitals were. There was no accurate triage at the scene, but the distribution of patients was good because members of Daegu Emergency Medical Information Center were dispatched to the scene and because communications between the scene and receiving hospitals were continuous. CONCLUSION: We do not expect disasters, but they happen. All we can do is plan and prepare appropriate responses for disasters. Appropriate transportation and distribution of patients based on triage is an important aspect of early disaster response.
Daegu*
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Disasters
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Emergencies
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Fires*
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Humans
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Information Centers
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Medical Records
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Railroads*
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Retrospective Studies
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Transportation*
;
Triage
6.Characteristics of the Gut Microbiome of Healthy Young Male Soldiers in South Korea: The Effects of Smoking
Hyuk YOON ; Dong Ho LEE ; Je Hee LEE ; Ji Eun KWON ; Cheol Min SHIN ; Seung-Jo YANG ; Seung-Hwan PARK ; Ju Huck LEE ; Se Won KANG ; Jung-Sook LEE ; Byung-Yong KIM
Gut and Liver 2021;15(2):243-252
Background/Aims: South Korean soldiers are exposed to similar environmental factors. In this study, we sought to evaluate the gut microbiome of healthy young male soldiers (HYMS) and to identify the primary factors influencing the microbiome composition. Methods: We prospectively collected stool from 100 HYMS and performed next-generation sequencing of the 16S rRNA genes of fecal bacteria. Clinical data, including data relating to the diet, smoking, drinking, and exercise, were collected. Results: The relative abundances of the bacterial phyla Firmicutes, Actinobacteria, Bacteroidetes, and Proteobacteria were 72.3%, 14.5%, 8.9%, and 4.0%, respectively. Fifteen species, most of which belonged to Firmicutes (87%), were detected in all examined subjects. Using cluster analysis, we found that the subjects could be divided into the two enterotypes based on the gut microbiome bacterial composition. Compared with enterotype 2 subjects, subjects classified as enterotype 1 tended to be characterized by higher frequencies of potentially harmful lifestyle habits (current smoker: 55.6% vs 36.6%, p=0.222; heavy drinker: 16.7% vs 3.7%, p=0.120; insufficient physical activity: 27.8% vs 14.6%, p=0.318). We identified a significant difference in the microbiome compositions of current and noncurrent smokers (p=0.008); the former differed from the latter mainly in a relatively lower abundance of Bifidobacterium species and a higher abundance of Negativicutes. Conclusions A high abundance of Actinobacteria and low abundance of Bacteroidetes