1.A Case of Pulmonary Arteriovenous Fistulas with Cyanosis.
Yun Oak RHO ; Hyun Eog YANG ; Kyong Su LEE ; Kyung Sub SHIN
Journal of the Korean Pediatric Society 1986;29(3):95-99
No abstract available.
Arteriovenous Fistula*
;
Cyanosis*
2.A clinical study of induced abortion acceptors.
Kyoung Bae PARK ; Kwan Sik KIM ; Min A LEE ; Hyo Sub RHO ; Seok Min AHN ; Jin Sub AHN ; Jae Kyun DOO ; Jong Duk KIM
Korean Journal of Obstetrics and Gynecology 1993;36(10):3596-3604
No abstract available.
Abortion, Induced*
;
Female
;
Patient Acceptance of Health Care*
3.A clinical study of induced abortion acceptors.
Kyoung Bae PARK ; Kwan Sik KIM ; Min A LEE ; Hyo Sub RHO ; Seok Min AHN ; Jin Sub AHN ; Jae Kyun DOO ; Jong Duk KIM
Korean Journal of Obstetrics and Gynecology 1993;36(10):3596-3604
No abstract available.
Abortion, Induced*
;
Female
;
Patient Acceptance of Health Care*
4.A case of orthognatic surgery in congenital alveolar-palatal cleft patient.
Jae Hyun PARK ; Myung Jin LEE ; Chang Kon LEE ; Jong Sub KIM ; Byung Rho CHIN ; Hee Kyung LEE
Yeungnam University Journal of Medicine 1992;9(1):189-196
Pre-surgical and post-surgical change in adult clef lip and palate patient following Le Fort I advancement osteotomy combined with bone graft was evaluated clinically and cephalometically. We obtained a successful function and esthetic improvement. The bone graft of alveolo-palatal clefts provides a stable bone support to the adjacent teeth of the cleft area, and well union of adjacent bone tissue, the closure of oronasal fistula and improvement of speech problem. Le Fort I osteotomy following the ostectomy of nasal septum for advancement of the maxilla was obtained relative improvement of esthetics and functional occlusion. 1. The orthodontic correction was required before and after surgery. 2. In this case, there was a limited range of anterior advancement of the Premaxillary-segment due to the scar tissue. 3. After 8 months of operation, we could show the new bone deposition on the cleft sites in dental radiograph and then the prosthetic treatment to the missing teeth was done.
Adult
;
Bone and Bones
;
Cicatrix
;
Esthetics
;
Fistula
;
Humans
;
Lip
;
Maxilla
;
Nasal Septum
;
Osteotomy
;
Palate
;
Tooth
;
Transplants
5.Usefulness of Spiral CT for T Staging of Gastric Carcinoma.
Kyung Sub SHINN ; Hong Jun CHUNG ; Jae Mun LEE ; Myung Ho RHO ; Su Yeon YOO ; Chun Yeul KIM
Journal of the Korean Radiological Society 1995;33(4):575-580
PURPOSE: To evaluate the usefulness of spiral CT in predicting the depth of tumor invasion in patients with gastric cancer by comparing with histopathological finding. MATERIALS AND METHODS: We studied spiral CT scans of forty-eight patients, in whom gastric cancer was proven by gastrofibroscopic biopsy and surgery. After distending the stomach with 400ml tap water or effervescent granules, 100ml of contrast media was given intravenously at a rate of 3ml/sec. CT scanning was started at 45 sec after administration of the contrast material. Gastric tumors were subdivided into five types according to enhancing pattern from the inner layer of gastric wall to the outer layer. These pattern were correlated with histopathologic results. RESULT: The tumor masses were detected on CT scan in 10(77%) of 13 patients with early gastric cancer, while, the tumor masses were seen on CT scan in all patients with advanced gastric cancer. Of 9 patients with type 1 or type 2 enhancing pattern, early gastric cancer(T1) were proven in 7 patients(78%), serosal invasion (T3) in 2 patients(22%). In contrast, among 29 patients with type 4 and type 5, 22 patients(76%) were proven as serosal invasion(T3). Of 7 patients with type 3, 3 patients(43%) were proven as serosal invasion(T3), three(43%) as subserosal invasion(T2), one as early gastric cancer(T1). CONCLUSION: Analysis of morphological enhancing pattern on spiral CT is useful in predicting the depth of tumor invasion in patients with gastric cancer.
Biopsy
;
Contrast Media
;
Humans
;
Stomach
;
Stomach Neoplasms
;
Tomography, Spiral Computed*
;
Tomography, X-Ray Computed
;
Water
6.Periosteal Reaction of Osteomyelitis: MRI Findings Compared with Plain Radiographs.
Kyung Sub SHINN ; Mi Sook SUNG ; Seon Ok JUNG ; Jung Ik YIM ; Chen RHO ; Myong Ho ROH ; Sung Su WHANG
Journal of the Korean Radiological Society 1995;33(2):301-305
PURPOSE: To evaluate MR characteristics of periosteal reactions and subperiosteal abscesses in osteomyelitis as compared with radiographs. MATERIALS AND METHODS: We retrospectively reviewed 28 patients(18 males, 10 females) with osteomyelitis. Nineteen patients underwent MR imaging with 0.5 T. We analyzed for morphologic patterns, intervals of appearance and disappearance of periosteal reactions after symptom onset. Twenty-three patients were confirmed by surgery and 5 patients by the radiologic findings, clinical and laboratory data. RESULTS: Periosteal reaction appeared as low signal intensity arc on the T1- and T2-weighted axial images. In 3-7 days after symptom onset, periosteal reactions and subperiosteal abscesses were noted on MR imaging, and only two of eleven patients were noted in radiographs. Periosteal reactions of 8-14 days after symptom onset were demonstrated in all of 13 patient on MR, and 9 on plain radiographs. All patients with 2 weeks after symptom onset showed perioste.al reaction in plain film and MR. The periosteal reactions persisted until approximately 2 to 3 months after treatment on follow up radiographs. CONCLUSION: Periosteal reactions in osteomyelitis are detected on the MR imaging earlier than plain film. MR is valuable in detecting subperiosteal abscess which is not appecent in simple radiographs. Periosteal reactions can be seen on MR in 3 days after symptom onset and persist for 2-3 months after treatment.
Abscess
;
Follow-Up Studies
;
Humans
;
Magnetic Resonance Imaging*
;
Male
;
Osteomyelitis*
;
Retrospective Studies
7.CT findings of abdominal actinomycosis.
Hyang Sun KIM ; Young Joo KIM ; Kook Jin AN ; Mi Hye KIM ; Jin Bum PARK ; Hye Sook JANG ; Sang Chun RHO ; Myung Ho RHO ; Hyun Kwon HA ; Kyung Sub SHINN
Journal of the Korean Radiological Society 1993;29(5):995-1001
Actinomycosis still poses a problem for correct clinical and radiologic diagnosis. We retrospectively analyzed CT findings in 7 patients with pathologically proven abdominal actinomycosis. Involved areas were the pelvis (n=3), greater omentum (n=2), liver (n=1), and kidney (n=1). CT confirmed the infiltrative nature of the disease with a tendency to invade across tissue plane and boundary. Five of seven cases were predominantly solid mass (pseudotumor) with focal low-attenuation areas while two were predominantly cystic mass with thickened wall. Contrast-enhanced CT showed dense, inhomogeneous contrast enhancement in the wall and/ or solid components of the masses in five. Minimal lymphadenopathy was noted in one case. CT is useful in demonstrating the extent and characteristics of this disease. Despite nonspecific findings, actinomycosis should be included in the differential consideration when CT shows an infiltrative mass with unusual aggressiveness and dense inhomogeneous contrast enhancement in patients with fever, leukocytosis, or long-term use of intrauterine contraceptive devices.
Actinomycosis*
;
Diagnosis
;
Fever
;
Humans
;
Intrauterine Devices
;
Kidney
;
Leukocytosis
;
Liver
;
Lymphatic Diseases
;
Omentum
;
Pelvis
;
Retrospective Studies
;
Tomography, X-Ray Computed
8.A Case of Primary B-cell Lymphoblastic Lymphoma of the Orbit in a Pediatric Patient.
Jung Sub KIM ; Chang Rae RHO ; Sang Hee DOH ; Gyeong Sin PARK ; Suk Woo YANG
Journal of the Korean Ophthalmological Society 2007;48(1):150-156
PURPOSE: We report a case of orbital B-cell lymphoblastic lymphoma in a 7-year-old boy. METHODS: A 7-year-old boy presented with proptosis and periorbital swelling of his left eye following a periorbital blunt trauma 1-month prior. During the course of routine ophthalmologic and radiologic examinatinos, the swelling spontaneously subsided without specific treatment. An outpatient follow-up was planned, but the swelling recurred 6 months later. An orbital CT and MRI showed an irregular mass with an indistinct margin in the left orbit, for which an incisional biopsy was performed. RESULTS: The orbital mass consisited of monotonous small to medium sized lymphoid cells with evenly dispersed open chromatin, thin nuclear membrane and inconspicuous nucleoli. Immunohistochemistry revealed that the cells were positive for CD79a and TdT, but negative for CD3 and CD5. These findings were compatible with a diagnosis of B cell lymphoblastic lymphoma. CONCLUSIONS: Lymphoblastic lymphoma of the orbit should be suspected and considered in the differential diagnosis for children with acutely progressing orbital mass.
B-Lymphocytes*
;
Biopsy
;
Child
;
Chromatin
;
Diagnosis
;
Diagnosis, Differential
;
Exophthalmos
;
Follow-Up Studies
;
Humans
;
Immunohistochemistry
;
Lymphocytes
;
Magnetic Resonance Imaging
;
Male
;
Nuclear Envelope
;
Orbit*
;
Outpatients
;
Precursor Cell Lymphoblastic Leukemia-Lymphoma*
9.A Case of Uhls Anomaly.
Jun Hee SUL ; Ki Chun KIM ; Ki Sub CHUNG ; Sung Kyu LEE ; Chang Jin KIM ; Jae Yun RHO
Journal of the Korean Pediatric Society 1979;22(6):476-480
Congenital hypoplasia of the right ventricular myocardium, also known as parchment heart or Uhl's anomaly, is a rare congenital heart defect. It was first described in Oslers principles and Practice of Medicine in 1905 and reviewed by Segall We found 29 reported cases, but there was no reported case in Korea. Recently, we experienced a case of Uhls anomaly associated with patent ductus arteriosus, atrial septal defect, pulmonary atresia and tricuspid abnormality in a 3 month-old infant, which was confirmed by autopsy. We present a case with a brief review of litteratures.
Autopsy
;
Ductus Arteriosus, Patent
;
Heart
;
Heart Defects, Congenital
;
Heart Septal Defects, Atrial
;
Humans
;
Infant
;
Korea
;
Myocardium
;
Pulmonary Atresia
10.Similar Degree in Mechanical Left Ventricular Dyssynchrony Between Right Ventricular Outflow Tract and Right Ventricular Apical Pacing: A Strain Doppler Imaging Study.
Young Soo LEE ; Seong Wook HAN ; Yoon Nyun KIM ; Chang Wook NAM ; Hyung Sub KIM ; Kee Sik KIM ; Robert W RHO
Korean Circulation Journal 2008;38(11):590-595
BACKGROUND AND OBJECTIVES: Long-term right ventricular (RV) apex pacing has been associated with left ventricular (LV) systolic dysfunction. However, pacing in the RV outflow tract (RVOT) is associated with a narrower QRS duration and may have a more normal LV activation in comparison to RV apical (RVA) pacing. We hypothesized that RVOT pacing is associated with less mechanical dyssynchrony compared to RVA pacing and that it also more closely resembles mechanical activation in normal controls with a narrow QRS. SUBJECTS AND METHODS: We studied 9 patients with RV pacing, 9 with left bundle branch block (LBBB), and 15 normal controls with a narrow QRS. In the RV pacing group, we paced from the RVA and RVOT. At the end of each pacing train, we obtained echocardiographic images in the apical 4- and 2-chamber views and obtained the following parameters: the compression/expansion crossover point (CEP) for myocardial strain and the time from QRS onset to the CEP in the strain image. The degree of dyssynchrony was evaluated using the dispersion and standard deviation of CEP times in 12 segments of the LV. RESULTS: Significant dyssynchrony was observed in the RVOT pacing group compared to the group with normal QRS. No significant difference was observed in LV mechanical dyssynchrony among the RVOT pacing, RVA pacing, and LBBB groups. CONCLUSION: RVOT pacing is associated with significant LV dyssynchrony. Although the RVOT has been recommended as an alternative site for pacing, this approach may have adverse effects on long-term LV function.
Bundle-Branch Block
;
Heart Ventricles
;
Humans
;
Sprains and Strains