1.A Case of Congenitla Pyloric Atresia.
Hyeon Jeong LEE ; Jun Hoe JEONG ; Gae Soon YEO ; Hee Jin KIM ; Chan Yung KIM ; Jun Hyeon KIM
Journal of the Korean Pediatric Society 1995;38(12):1713-1717
No abstract available.
2.Treatment of flail chest with judet's struts: 6 cases report.
Hyeon Jae LEE ; Ye Jee JUN ; Ki Ho SONG ; Chan Kue JUN
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(10):812-814
No abstract available.
Flail Chest*
3.A Case of Alport's Syndrome.
Jung Bae LEE ; Jong Kyun LEE ; Pyung Kil KIM ; Hyeon Joo JEONG ; In Jun CHOI
Journal of the Korean Pediatric Society 1987;30(9):1040-1048
No abstract available.
Nephritis, Hereditary*
4.Extensive and Progressive Cerebral Infarction after Mycoplasma pneumoniae Infection.
Yu Hyeon CHOI ; Hyung Joo JEONG ; Bongjin LEE ; Hong Yul AN ; Eui Jun LEE ; June Dong PARK
Korean Journal of Critical Care Medicine 2017;32(2):211-217
Acute cerebral infarctions are rare in children, however, they can occur as a complication of a Mycoplasma pneumoniae (MP) infection due to direct invasion, vasculitis, or a hypercoagulable state. We report on the case of a 5-year-old boy who had an extensive stroke in multiple cerebrovascular territories 10 days after the diagnosis of MP infection. Based on the suspicion that the cerebral infarction was associated with a macrolide-resistant MP infection, the patient was treated with levofloxacin, methyl-prednisolone, intravenous immunoglobulin, and enoxaparin. Despite this medical management, cerebral vascular narrowing progressed and a decompressive craniectomy became necessary for the patient's survival. According to laboratory tests, brain magnetic resonance imaging, and clinical manifestations, the cerebral infarction in this case appeared to be due to the combined effects of hypercoagulability and cytokineinduced vascular inflammation.
Brain
;
Cerebral Infarction*
;
Child
;
Child, Preschool
;
Decompressive Craniectomy
;
Diagnosis
;
Enoxaparin
;
Humans
;
Immunoglobulins
;
Inflammation
;
Levofloxacin
;
Magnetic Resonance Imaging
;
Male
;
Mycoplasma pneumoniae*
;
Mycoplasma*
;
Pneumonia, Mycoplasma*
;
Stroke
;
Thrombophilia
;
Thrombosis
;
Vasculitis
5.Two Cases of Familial B-Thalassemia Minor.
Jeomg Hwa HWANG ; Hyeon Jeong LEE ; Jun HUR ; Gae Soon YEON ; Hee Jin KIM ; Tae Jun YUN ; Chan Yung KIM
Journal of the Korean Pediatric Society 1995;38(6):867-871
No abstract available.
6.A Case of Meconium Peritonitis Diagnosed by Prenatal Ultrasonography.
Jeong Hwan HYEON ; Jeong Hyeon BAK ; Hong Wo LEE ; Gwang Jun AN ; Tae Sang KIM
Korean Journal of Obstetrics and Gynecology 2003;46(2):454-459
Meconium peritonitis is the chemical inflammation or foreign body reaction of peritoneum resulted from the prenatal bowel perforation associated with or without obstructive lesion during late intrauterine or early neonatal periods. Prenatal ultrasonographic findings of meconium peritonitis are intraperitoneal calcification, ascites, and pseudocyst. These provides the preparation for proper management which should reduce mortality and morbidity of neonate. We have experienced a case of meconium peritonitis in utero diagnosed by prenatal ultrasonography and present this case with a brief review of literatures.
Ascites
;
Foreign-Body Reaction
;
Humans
;
Infant, Newborn
;
Inflammation
;
Meconium*
;
Mortality
;
Peritoneum
;
Peritonitis*
;
Ultrasonography, Prenatal*
7.Delorme's Procedure for Complete Rectal Prolapse: Does It Still Have It's Own Role?.
Sooho LEE ; Bong Hyeon KYE ; Hyung Jin KIM ; Hyeon Min CHO ; Jun Gi KIM
Journal of the Korean Society of Coloproctology 2012;28(1):13-18
PURPOSE: Although there are more than a hundred techniques, including the transabdominal and the perineal approaches, for the repair of the rectal prolapsed, none of them is perfect. The best repair should be chosen not only to correct the prolapse but also to restore defecatory function and to improve fecal incontinence throughout the patient's lifetime. The aim of this retrospective review is to evaluate clinical outcomes of the Delorme's procedure for the management of the complete rectal prolapse. METHODS: A total of 19 patients (13 females and 6 males) with complete rectal prolapses were treated by using the Delorme's procedure in St. Vincent's Hospital, The Catholic University of Korea, from February 1997 to February 2007. Postoperative anal incontinence was evaluated using the Cleveland Clinic Incontinence Score. RESULTS: All 19 patients had incontinence to liquid stool, solid stool, and/or flatus preoperatively. Three (15.8%) patients reported recurrence of the rectal prolapse (at 6, 18, 29 months, respectively, after the operation). Information on postoperative incontinence was available for 16 of the 19 patients. Twelve of the 16 patients (75%) reported improved continence (5 [31.3%] were improved and 7 [43.7%] completely recovered from incontinence) while 4 patients had unchanged incontinence symptoms. One (6.3%) patient who did not have constipation preoperatively developed constipation after the operation. CONCLUSION: The Delorme's procedure is associated with a marked improvement in anal continence, relatively low recurrence rates, and low incidence of postoperative constipation. This allows us to conclude that this procedure still has its own role in selected patients.
Constipation
;
Fecal Incontinence
;
Female
;
Flatulence
;
Humans
;
Incidence
;
Korea
;
Prolapse
;
Rectal Prolapse
;
Recurrence
;
Retrospective Studies
8.Non-systemic Vasculitic Neuropathy Presenting as Ascending Paralysis.
Hyeon Seok YU ; Sung Min KIM ; Ki Han KWON ; Byung Chul LEE ; Jun Hyeon SHIN ; In Soo KANG
Journal of the Korean Geriatrics Society 1999;3(4):56-61
Typical vasculitic neuropathy commonly manifests as a subacute multiple mononeuropathy, symmetrical or asymmetrical sensori-motor polyneuropathy. Various clinical presentations of peripheral neuropathy may confuse the diagnostic approach sometimes. A 76-year old man presented progressive areflexic ascending paralysis. gait ataxia, severe vibration and position sense impairment for 1 month. We initially considered as subacute demyelinating polyneuropathy. Electrophysiologic studies showed mainly axonopathy with some evidence of demyelination. We performed sural nerve biopsy and diagnosed as vasculitic neuropathy. No laboratory data or clinical findings favored systemic vasculitic involvement. So we concluded vasculitis confined to the peripheral nerves. Vasculitic neuropathy rarely presented as large myelinated nerve fiber disease. It should be considered the clinical variability of vasculitic neuropathy so extensive studies are needed in the case of peripheral polyneuropathy with indefinite cause.
Aged
;
Biopsy
;
Demyelinating Diseases
;
Gait Ataxia
;
Humans
;
Mononeuropathies
;
Nerve Fibers, Myelinated
;
Paralysis*
;
Peripheral Nerves
;
Peripheral Nervous System Diseases
;
Polyneuropathies
;
Proprioception
;
Sural Nerve
;
Vasculitis
;
Vibration
9.Result of anterior Decompression and Stabilization with KANEDA II Device and SURGICAL TITANIUM MESH in Thoracolumbar Unstble Spine Injuries.
Hak Jun LEE ; Yeong Hyeon KIM ; Seung Myung LEE
Journal of Korean Neurosurgical Society 1996;25(6):1156-1162
The following is a retrospective study on the results of anterior spinal surgery with Kaneda II instrumentation and surgical Titanium MESH after thoracolumbar unstable spinal injuries. From July 1994 to June 1995, we operated on 14 patients at the Chosun University Kwang Yang hospital. Fourteen patients were followed for at least three months. Anterior spinal surgery was performed on the patients who had thoracolumbar unstable spine injuries. The procedure consisted of anterior decompression through corpectomy and stabilization with Kaneda II instrumentation and surgical Titanium MESH which was impacked with resected bone chip. Most of patients had demonstrated showed neurological improvement, relief of pain, immediate stabilization and early return to normal activities. Radiologic evaluation showed the correction of the fracture deformity with satisfactory outcome postoperatively.
Congenital Abnormalities
;
Decompression*
;
Humans
;
Retrospective Studies
;
Spinal Injuries
;
Spine*
;
Titanium*
10.Usefulness of Spring Plate for Acetabular Posterior Wall Fracture Including Small Fragment.
Jeong Hoon KANG ; Sang Hong LEE ; Hyeon Jun LEE
Journal of the Korean Fracture Society 2016;29(1):19-25
PURPOSE: We applied internal fixation using a spring plate against an acetabular posterior wall fracture including small fragments and then evaluated the clinical and radiological results and want to understand the usefulness of the spring plate. MATERIALS AND METHODS: Fifteen patients in whom fixation was difficult using leg screws or a metal plate because of a small bone fragment, in patients with posterior wall acetabular fractures who presented in our hospital since August of 2011 to March of 2014 were enrolled. The mean age was 42.6 years (range 24-54 years) with relatively young patients, and they were followed-up for at least one year. We analyzed the rate of reduction after surgery using the classification of Matta in radiographs, and the classification of Borrelli in 3-dimensional computed tomography (CT) and clinical results were evaluated using the clinical grading system. RESULTS: There were five cases of anatomical reduction, 9 cases of imperfect reduction, and 1 case of unsatisfactory reduction according to the classification of Matta. Except for one case during the follow-up period, the union of bone was successful without failure of fixation and the clinical results were 6 cases of excellence, 8 cases of good, and 1 case of failure. Articular displacement was also evaluated in postoperative CT scan according to Borrelli's criteria. The mean of gap and step off was 2.04 mm, 1.3 mm. CONCLUSION: Use of leg screw fixation and so on in posterior wall fractures including a small fragment of the acetabular rim is not easy. However the method using spring plate fixation enables relatively accurate reduction and fixation for a small fragment and the clinical outcome showed satisfactory results.
Acetabulum*
;
Classification
;
Follow-Up Studies
;
Humans
;
Leg
;
Pelvis
;
Tomography, X-Ray Computed