Sparganum is parasite infesting principally in the cats or dogs, but many human reported. In Korea, the reported cases of human sparganosis are over 20 cases. However the urogenital infestation of sparganum is relatively rare, and none of any report of infestation in the epididymis is available. We experienced a case of the sparganum infesting on the epididymis which vas confused with the epididymitis on palpation.
Animals ; Cats ; Dogs ; Epididymis* ; Epididymitis ; Humans* ; Korea ; Male ; Palpation ; Parasites ; Sparganosis* ; Sparganum

A statistical observation ryas made on Genito-Urinary-Tract injuries of Korean Army Personnel in Vietnam War during the period of November, 1965 to November, 1966. and the following results were obtained. 1. The Genito-Urinary-Tract injuries were 15 cases(5.3 per cent) among 825 war causalities. 2. As for the causes of injuries, 25 cases (55.5 per cent) were caused by gunshot, 9(20.O per cent) by booby trap, 5(11. O per cent) by mortar, 3(6.6 per cent) each by crush and grenade. 3. Concerning the frequency of injuries in each organ, 12 cases (6. 6 per cent) each were observed in urethra, in scrotum and testis, 10 (22.2 per cent) in kidney, 8 (17.7 per cent) in bladder, and 3 {6. 6 per cent) in penis. 4.The incidence of Genito-Urinary-Tract injuries associated with the other organs was as follows. In kidney injuries, Z cases were associated with intestine, 4 with liver, 3 with spleen and one each with radial nerve and iliac vessel. In bladder injuries. 2 cases were associated with pelvic bone, and one with spleen. In urethra injuries, 6 cases were associated with pelvic bone and 2 with intestine. 5. As for the multiplicity of Genito-Urinary-injuries, 4 cases were observed in scrotum, testis and urethra, and 3 each in urethra and bladder, and scrotum and testis. 6. The evacuation time from battle fields to the evacuation hospital was one hour in average by helicopter
Aircraft ; Humans ; Incidence ; Intestines ; Kidney ; Liver ; Male ; Military Personnel ; Pelvic Bones ; Penis ; Radial Nerve ; Scrotum ; Spleen ; Testis ; Urethra ; Urinary Bladder ; Vietnam*

The spermatic granuloma is a granulomatous inflammation which is the tissue reaction due to extravasated sperm. Its exact causes and mechanism are not clearly evaluated. Its clinical interest is that it often confused with tuberculous epididymitis and other epididymal conditions. We experienced a case of spermatic granuloma that was clinically confused with tuberculous epididymitis in 23-year old Korean male.
Epididymitis ; Granuloma* ; Humans ; Inflammation ; Male ; Spermatozoa ; Young Adult

BACKGROUND: Gallstones have been one of the most common gastrointestinal diseases to surgeons which open cholecystectomy has been the standard operation for the past one hundred years. Recently, operations with a laparoscope have become popular and are spreading worldwide. METHODS: A clinical analysis of 200 cases who had been treated by laparoscopic cholecystectomy for gallstone disease in Seoul Red Cross Hospital for 4 years from July 1993 to June 1997 was done according to age, sex, advantage, and complication. RESULTS: The results were as follows. 1) Among the 200 cases, there were 69 male patients and 131 female patients, with a female to male ratio of 1.9:1. The most prevalent age group was the 6th decade with 59 cases (29.5%) and the 7th decade with 43 cases (21.5%), the 5th decade with 41 cases (20.5%) and the 4th decade with 29 cases (14.5%) in order of frequency. 2) The associated diseases were hypertension with 25 cases (12.5%), diabetes mellitus with 12 cases (6.0%), cardiopulmonary disease with 11 cases (5.5%), and hepatitis with 10 cases (5.0%) in order of frequency. 3) The cases of previous abdominal operations were 75 cases (37.5%). The most frequent operations were appendectomy with 33 cases (16.5%), C-section with 12 cases (6.0%), laparoscopic tubal ligation with 11 cases (5.5%), salphingo- oophorectomy with 8 cases (4.0%) and T.A.H with 8 cases (4.0%) in order of frequency. 4) The most frequent pathologic diagnosis was chronic cholecystitis with 187 cases (93.5%). 5) The operation time ranged from 30-180 minutes with an average of 81 minutes. The operation time for the first 10 cases was 77 minutes, but it was been reduced to 58 minutes in the last 10 cases. 6) Conversion to an open cholecystectomy during the operation was done in 6 cases (3.0%), and the cause of conversion were uncontrolled bleeding with 2 cases (1.0%), severe adhesion with 2 cases (1.0%) and GB empyema with 2 cases (1.0%). 7) Postoperative analgesics were needed in 81 cases (40.5%) on the operative day, 71 cases (35.5%) on the 1st postoperative day, 26 cases (12.5%) on the 2nd postoperative day, 6 cases (3.0%) on the 3rd postoperative day, and 3 cases (1.5%) on the 4th postoperative day, and the use of analgesics was reduced as times went by. 8) The length of hospital stay ranged from 2 to 10 day with an average of 4.13 day, and 74 cases (37.0%) experienced a 3 to 6 day hospitalization, which was the most common hospital stay. 9) The total postoperative complication rate was 5.0% (n=10) with 2 cases (1.0%) of wound infection and 2 cases (1.0%) of ileus, and there was no postoperative mortality.
Analgesics ; Appendectomy ; Cholecystectomy ; Cholecystectomy, Laparoscopic* ; Cholecystitis ; Diabetes Mellitus ; Diagnosis ; Empyema ; Female ; Gallstones ; Gastrointestinal Diseases ; Hemorrhage ; Hepatitis ; Hospitalization ; Humans ; Hypertension ; Ileus ; Laparoscopes ; Length of Stay ; Male ; Mortality ; Ovariectomy ; Postoperative Complications ; Red Cross ; Seoul ; Sterilization, Tubal ; Wound Infection

It is well known that there always exists danger of injury to the urinary tract associated with gynecologic disorders and treatments. Herein the authors describe two different rare cases: bilateral complete ligations of the lower ureters following total hysterectomy and herniated urinary bladder as exstrophy of the bladder through vesico-vaginal fistula caused by cauterization of the uterine prolapse for treatment.
Bladder Exstrophy ; Cautery ; Fistula ; Hysterectomy ; Ligation ; Ureter ; Urinary Bladder ; Urinary Tract ; Uterine Prolapse

In Korea, the incidence and modality of gallstones have changed, since meal have become westernized and the socioeconomic state has improved. Choledocholithiasis, which has a high incidence rate in Koreans is difficulty to treat as a result of retained stones. This report deals with a clinical analysis of recent trends in gallstone disease and approaches to ideal method of treatment. A retrospective analysis was done on 192 gallstone patients who had undergone an operations at the Department of Surgery, Seoul Red Cross Hospital, from January 1992 to December 1996. The results are as follows: 1) The male to female ratio was 1:1.7, and the most common age group was the 6th and 7th decade (50.0%). 2) The most common symptom and physical finding were RUQ pain (83.9%) and RUQ tenderness (73.3%). 3) The most common positive laboratory finding was leukocytosis (40.4%). 4) Bile culture tests were done in 117 cases and were positive in 55 cases (47.0%). The most common bacteria was E.coli in 35 cases (29.9%). 5) The locations of stone were the GB in 146 cases (76.0%), the GB and CBD in 26 cases (13.5%), the GB and CBD and IHD in 14 cases (7.3%), the CBD only in 5 cases (2.6%), and the GB and IHD in 1 case (1.3%). 6) The incidence of retained stones was 15.1% (29 out of 192 cases) and the prevalent site was the CBD in 11 out of 29 cases (37.9%). 7) A complete choledochoscopic stone removal of retained stones was possible in 19 out of 25 cases, showing a 76.0% success rate. 8) The most common postoperative complication was wound infection (13.5%), and the postoperative mortality rate was 1.0%.
Bacteria ; Bile ; Biliary Tract* ; Choledocholithiasis ; Female ; Gallbladder* ; Gallstones ; Humans ; Incidence ; Korea ; Leukocytosis ; Male ; Meals ; Mortality ; Postoperative Complications ; Red Cross ; Retrospective Studies ; Seoul ; Wound Infection

The Klinefelter's syndrome is characterized by azoospermia, gynecomastia, a variable degree of eunuchoidism elevated urinary gonadotropins, atrophic testis and hyalinization of the seminiferous tubules in which Leydig cells were preserved. Reviewing some world literatures, we have reported a case of Klinefelter's syndrome associated with right inguinal hernia in 22 year-old Korean male.
Azoospermia ; Eunuchism ; Gonadotropins ; Gynecomastia ; Hernia, Inguinal ; Humans ; Hyalin ; Klinefelter Syndrome* ; Leydig Cells ; Male ; Seminiferous Tubules ; Testis ; Young Adult

No abstract available.
Ankle Fractures* ; Ankle*

No abstract available.
Cysticercosis* ; Spine*

No abstract available.
Epidural Abscess*