1.Erosion of an Inflatable Penile Prosthesis Reservoir into the Bladder, Presenting Bladder Calculi .
Ju Heon YANG ; Ji Sung PARK ; Hyeuk Jun JANG ; Byung Hwa LEE
Korean Journal of Urology 2004;45(10):1077-1079
Complications of penile prosthesis include malfunction, infection and patient dissatisfaction. Herein, a rare complication of a retained reservoir having eroded into the bladder after the removal of the penile components of a three-piece penile prosthesis, is reported. A 39-year-old man complained of irritative voiding symptoms. The symptoms had developed 4 years after the removal of the penile components of the prosthesis. The erosion of the reservoir into the bladder was discovered incidentally during the treatment of bladder calculi. The reservoir was removed by an open vesicolithotomy.
Adult
;
Calculi
;
Cytochrome P-450 CYP1A1
;
Humans
;
Penile Prosthesis*
;
Prostheses and Implants
;
Urinary Bladder Calculi*
;
Urinary Bladder*
2.A case of autoimmune hepatitis accompanied by systemic lupus erythematosus.
Young Jun HWANG ; Hong Myung JUNG ; Hyeuk PARK ; Jang Sik MUN ; Bo Hyun MYUNG ; Do Hyun KIM ; Ho Dong KIM
Korean Journal of Medicine 2010;78(1):95-98
Autoimmune hepatitis accompanied by systemic erythematosus lupus is rare. Usually, lupus-related advanced liver involvement is indistinguishable from autoimmune hepatitis accompanied by lupus, as they share common clinical, biochemical, serological, and histological manifestations. However, each disease has its own diagnostic criteria, and they have been defined as two different categories. Therefore, distinguishing between the two diseases is important to determine the correct diagnosis and treatment. A 41-year-old woman was hospitalized with jaundice and a malar rash. The patient met the diagnostic criteria of both systemic erythematosus lupus and autoimmune hepatitis. After corticosteroid treatment, the patient's condition improved. Therefore, we report our experience of a rare case of autoimmune hepatitis accompanied by systemic erythematosus lupus with a review of the literature.
Adult
;
Exanthema
;
Female
;
Hepatitis
;
Hepatitis, Autoimmune
;
Humans
;
Jaundice
;
Liver
;
Lupus Erythematosus, Systemic
3.Dieulafoy's Lesion Coexisting with Early Gastric Cancer.
Yong Soo AHN ; Hyeuk PARK ; Young Jun HWANG ; Hong Myong JUNG ; Jang Sik MUN ; Bo Hyun MYOUNG ; Do Hyun KIM ; Ho Dong KIM
Korean Journal of Gastrointestinal Endoscopy 2009;39(3):158-161
Dieulafoy's lesion is an uncommon cause of gastrointestinal (GI) bleeding, but can be associated with massive, life-threatening GI bleeding. This lesion is an isolated protruding vessel of the submucosal artery associated with a small mucosal defect and normal surrounding mucosa. Although this lesion can occur throughout the GI tract (esophagus, stomach, duodenum, colon, rectum, etc), it has been rarely reported elsewhere than the stomach. Especially, there have been no reports of Dieulafoy lesion coexistent with early gastric cancer in Korea. We report the successful application of endoscopic hemoclipping for the treatment of a very rare Dieulafoy lesion coexistent with early gastric cancer.
Arteries
;
Colon
;
Duodenum
;
Gastrointestinal Tract
;
Glycosaminoglycans
;
Hemorrhage
;
Korea
;
Mucous Membrane
;
Rectum
;
Stomach
;
Stomach Neoplasms
4.Culture and Polymerase Chain Reaction of Helicobacter pylori from Rectal and Terminal Ileal Fluid after Polyethylene Glycol (Colyte(R)) Ingestion in Healthy Adults with Positive Urea Breath Test.
Do Hyun KIM ; Hong Myong JUNG ; Young Jun HWANG ; Yong Soo AHN ; Jang Sik MUN ; Bo Hyun MYOUNG ; Hyeuk PARK ; Eun Joo JEONG ; Yun Mi IM ; Hyun Min OH ; Hui Yeong JEONG ; Chul PARK ; Hyung Rag KIM ; Eun Hae CHO ; Ho Dong KIM ; Young Do JUNG
The Korean Journal of Gastroenterology 2010;56(1):27-32
BACKGROUND/AIMS: Helicobacter pylori (H. pylori) transmission route is not yet clearly understood. Isolating H. pylori from stool, saliva, and vomitus is very difficult. However, H. pylori could be cultured from feces in the setting of rapid gastrointestinal tract transit. The aim of this study was to isolate H. pylori by culture and PCR in the rectum and terminal ileum during colonoscopy. METHODS: Twenty subjects with positive UBT (urea breath test) were included. We performed polymerase chain reaction (PCR) test and culture of H. pylori with the rectal fluid and terminal ileal fluid during colonoscopy. RESULTS: H. pylori was cultured with rectal fluid from 9 (45.0%) of 20 subjects and with ileal fluid from 11 (55.0%) of 20 subjects. H. pylori was a little more frequently cultured from the terminal ileal fluid than the rectal fluid without statistical significance (p>0.05). PCR test detected flaA (16/20, 80.0% and 17/20, 85.0%), 16S rRNA gene (16/20, 80.0% and 17/20, 85.0%), cagA (10/20, 50.0% and 12/20, 60.0%), and ureC (9/20, 45% and 11/20, 54.5%) from the rectal fluid and the terminal ileal fluid, respectively. The specificity and sensitivity of ureC were 100%. CONCLUSIONS: H. pylori could be cultured from the rectal fluid and terminal ileal fluid in the setting of rapid gastrointestinal tract transit. These results suggest of fecal-oral transmission of H. pylori.
Adult
;
Antigens, Bacterial/genetics
;
Bacterial Proteins/genetics
;
Breath Tests
;
Electrolytes/administration & dosage
;
Feces/microbiology
;
Female
;
Helicobacter Infections/*diagnosis/transmission
;
Helicobacter pylori/genetics/*isolation & purification
;
Humans
;
Ileum/*microbiology
;
Male
;
Middle Aged
;
Polyethylene Glycols/administration & dosage
;
Polymerase Chain Reaction
;
RNA, Ribosomal, 16S/genetics
;
Rectum/*microbiology
;
Sensitivity and Specificity
;
Urea/analysis
;
Urease/genetics