1.Ureteral Stricture from Retroperitoneal Fibrosis Caused by Isolated Common Iliac Artery Aneurysm .
Chan MOON ; Yun Il KANG ; Hyung Yoon MOON ; Jun RHO ; Chul Sung KIM
Korean Journal of Urology 2006;47(11):1236-1239
Retroperitoneal fibrosis sometimes causes urological problem involving the ureter, but the mechanism is uncertain. An aortic aneurysm, including an iliac artery aneurysm, is thought to be one of the mechanisms of retroperitoneal fibrosis. However, cases caused by an isolated iliac artery aneurysm are very rare, and symptoms tend to be non-specific; therefore, no definitive treatment has been established. Herein, we report our recent experience of a patient with a left common iliac artery aneurysm involving the ureter, who underwent successful surgical therapy.
Aneurysm*
;
Aortic Aneurysm
;
Constriction, Pathologic*
;
Humans
;
Iliac Artery*
;
Retroperitoneal Fibrosis*
;
Ureter*
2.Atlantoaxial Rotatory Fixation: Report of 3 Cases.
Moon Jun SOHN ; Seung Chul RHIM ; Sung Woo ROH ; Hyung Chun PARK
Journal of Korean Neurosurgical Society 2000;29(4):580-585
No abstract available.
3.Bacteriologic Study on Normal Conjunctival Flora and Change of Antibiotic Susceptability.
Hyung Jun PARK ; Ga Young YI ; Nam Ju MOON
Journal of the Korean Ophthalmological Society 2001;42(6):817-824
We evaluated the distribution of normal conjuctival flora and the change of antibiotic sensitivity of cultured bacteria. Specimens were obtained from inferior conjunctiva cul de sac with sterile cotton-tipped applicator from healthy 216 human beings. Antibiotic sensitivity test was done by disk diffusion method. The results indicated that overall positive culture rate was 47.7% and major organisms were Coagulase-negative Staphylococcus(55.7%), Staphylococcus aureus(16%), Gram negative bacteria(7.5%), Streptococcus(4.7%). Antibiotic sensitivity test of cultured Gram positive bacteria demonstrated less than 60% rate of susceptability in gentamicin, tetracyclin, erythromycin and 80.5% rate of susceptability in ciprofloxacin. Gram negative bacteria demonstrated less than 60% rate of susceptability in cephalothin, ampicillin. From the above results, we concluded that antibiotic resistance of normal conjunctival flora was increased from the past and the principle of antiviotic eye drop use should be emphasized.
Ampicillin
;
Bacteria
;
Cephalothin
;
Ciprofloxacin
;
Conjunctiva
;
Diffusion
;
Drug Resistance, Microbial
;
Erythromycin
;
Gentamicins
;
Gram-Negative Bacteria
;
Gram-Positive Bacteria
;
Humans
;
Staphylococcus
4.Massive subcapsular renal hemorrhage in a case of SLE.
Chang Hwan BAE ; Jun YOON ; Kee Hyung LEE ; Moon Jae KIM
Korean Journal of Nephrology 1992;11(1):70-73
No abstract available.
Hemorrhage*
5.Leiomyosarcoma of the left external iliac vein
Byung Jun SO ; Kwon Mook CHAE ; Byung Suk ROH ; Hyung Bae MOON
Journal of the Korean Society for Vascular Surgery 1992;8(1):96-102
No abstract available.
Iliac Vein
;
Leiomyosarcoma
6.Clinical Progression of Segmental Arterial Mediolysis; Renal Infarction and Intra-abdominal Hemorrhage.
Jae Hyung CHOI ; Young Soon CHO ; Jae Woo KIM ; Jung Won LEE ; Hyung Jun MOON
Journal of the Korean Society of Emergency Medicine 2012;23(6):907-911
This article reports a patient with both a renal infarction and acute intra-abdominal hemorrhage secondary to a rare vascular disease, segmental arterial mediolysis. The patient was a 37-year-old male who presented with acute right flank pain. Abdominal and pelvic computerized tomography (CT) showed a right renal infarction. After three days, the right flank pain had diminished but left flank pain began. Visceral angiography revealed a wedge shape perfusion defect at the mid pole of the left kidney, suggesting a left renal infarction but there were no definite perfusion defects at the right kidney. After ten days, the patient complained of abdominal pain and 2 episodes of syncope. Abdominal CT revealed active bleeding from the splenic artery and a large amount of hemoperitoneum. After emergency embolization, the patient's were stabilized. After 28 days, his condition was improved and discharged without complications. The angiographic and laboratory findings were consistent with a diagnosis of segmental arterial mediolysis involving the renal and splenic artery. This is the first case report of clinical progression related to segmental arterial mediolysis requiring emergent coil embolization.
Abdominal Pain
;
Angiography
;
Emergencies
;
Flank Pain
;
Hemoperitoneum
;
Hemorrhage
;
Humans
;
Infarction
;
Kidney
;
Male
;
Perfusion
;
Renal Artery Obstruction
;
Splenic Artery
;
Syncope
;
Vascular Diseases
7.Ileocecal Vein Rupture Following Acupuncture.
Hyung Jun MOON ; Jung Won LEE ; Hyun Jung LEE ; Jae Hyung CHOI ; Byeong Dai YOO
Journal of the Korean Society of Emergency Medicine 2013;24(1):116-118
Among members of the public, acupuncture has a reputation for being safe. Since 1965, many case reports of serious or even life-threatening incidents caused by acupuncture have been reported in the literature. A 55 year old male was admitted with complaints of abdominal pain after acupuncture therapy at an oriental medicine hospital. Abdominal Computerized Tomography (CT) scan showed a mass measuring 9.8 cm with active bleeding. Emergency operation was performed. He was diagnosed as ileocecal vein rupture following acupuncture. We report here on a case of an iliocecal vein rupture following acupuncture therapy and we review the relevant literature.
Abdominal Pain
;
Acupuncture
;
Acupuncture Therapy
;
Emergencies
;
Hemorrhage
;
Humans
;
Male
;
Medicine, East Asian Traditional
;
Rupture
;
Vascular System Injuries
;
Veins
8.A Case of Airbag Related Ocular Trauma.
In Young CHUNG ; Hyung Suk SHIM ; Jong Moon PARK ; Jun Kyeong SONG
Journal of the Korean Ophthalmological Society 1999;40(9):2640-2644
With the increasing number of air bag-equipped vehicles, there has been a corresponding increase in the incidence of air bag-associated ocular trauma. We encountered a 38 years old man who sustained corneal damage, hyphema, angle recession, medial wall fracture, and visual damage by choroidal rupture of macula due to an inflated air bag in motor vehicle accident and brief review of related literature is presented.
Adult
;
Air Bags*
;
Choroid
;
Humans
;
Hyphema
;
Incidence
;
Motor Vehicles
;
Rupture
9.Repeatability and Agreement of Macular Thickness Measurement Using Time and Spectral Domain OCT in Diabetic Macular Edema.
Se Beum OH ; Jun Woong MOON ; Hyung Chan KIM
Journal of the Korean Ophthalmological Society 2010;51(3):372-378
PURPOSE: To evaluate the repeatability of macular thickness measurements using time domain (TD) OCT and spectral domain (SD) OCT in diabetic macular edema. METHODS: In 42 eyes of 42 patients with diabetic macular edema, three consecutive macular measurements were performed with TD OCT and SD OCT, and measurements for macular thickness and total macular volume obtained by the two OCTs were compared. The within-subject standard deviation (Sw), coefficient of variation (CVw), and intraclass correlation coefficient (ICC) were calculated to assess repeatability, with agreement between measurements assessed with Bland Altman plots. The correlations were also evaluated via the Pearson's correlation coefficient. RESULTS: The Sw of TD OCT and SD OCT for foveal thickness, total macular volume were 29.67 micrometer/16.44 micrometer, 1.26 mm3/0.23 mm3, respectively, and were significantly lower in SD OCT. The ranges of the respective CVw and ICC values were 1.10-2.78%, 0.78~0.96 for TD OCT, and 0.29~0.94%, 0.92~0.99 for SD OCT. The SD OCT showed better repeatability for macular thickness measurements (all p< or =0.001). The 95% limits of agreement for foveal and total macular volume were 88.9 micrometer, 2.4 mm3, respectively. The Pearson's correlation coefficients of macular thickness and total macular volume between the two OCT methods were statistically significant (p=0.88-0.99). CONCLUSIONS: Although both OCTs proved reliable for macular thickness measurements in diabetic macular edema, SD OCT shows better repeatability than TD OCT. Although macular thickness measurements obtained from the two OCTs cannot be used interchangeably, there were statistically significant correlations between measurements obtained using the two OCTs.
Eye
;
Humans
;
Macular Edema
10.Comparison of Effects of Intravitreal Triamcinolone and Bevacizumab in the Treatment of Diabetic Macular Edema.
Se Beum OH ; Jun Woong MOON ; Hyung Chan KIM
Journal of the Korean Ophthalmological Society 2009;50(8):1190-1196
PURPOSE: To compare the effect of an intravitreal injection of triamcinolone acetonide with bevacizumab in the treatment of diabetic macular edema (DME). METHODS: For this study, the medical records of patients with diabetic macular edema, who received intravitreal triamcinolone injection (IVTA) or intravitreal bevacizumab injection (IVB), were reviewed. Best corrected visual acuity (BCVA), central macular thickness (CMT) and total macular volume (TMV) were evaluated before injection and at 1 week, 1 month, 2 months, 3 months, and 6 months after injection. The adverse events, such as increased intraocular pressure, and progression of cataract, were also reviewed. RESULTS: A total of 72 eyes from 72 patients, (IVTA: 40 eyes, IVB: 32 eyes) were included in this study. In the IVTA group, BCVA improved significantly at 1 week after injection and was maintained until 3 months after injection. In the IVB group, BCVA improved significantly at 1 week after injection and was maintained until 2 months after injection. In the IVTA group, CMT and TMV decreased significantly at 1 week after injection and were maintained until 3 months after injection, while in the IVB group CMT and TMV were maintained until 2 months after injection. The IVTA group showed significantly better results in visual improvement, CMT and TMV reduction compared to the results of the IVB group, from 1 month to 3 months after injection. In the IVTA group, intraocular pressure increased to more than 25 mmHg in 12.5% of patients during the follow-up period. CONCLUSIONS: While the functional and anatomical improvements are achieved by both IVTA and IVB for diabetic macular edema, the effect of IVTA is more prominent with longer duration than IVB.
Antibodies, Monoclonal, Humanized
;
Cataract
;
Eye
;
Follow-Up Studies
;
Humans
;
Intraocular Pressure
;
Intravitreal Injections
;
Macular Edema
;
Medical Records
;
Triamcinolone
;
Triamcinolone Acetonide
;
Visual Acuity
;
Bevacizumab