1.Intracranial metastases of lung cancer -CT and histopathologic correlation-.
Hyun Ju PARK ; Myung Soon KIM ; Myung Jae KANG
Journal of the Korean Radiological Society 1991;27(3):329-336
No abstract available.
Lung Neoplasms*
;
Lung*
;
Neoplasm Metastasis*
2.Clinical review and evaluation of the blunt traumatic diaphragmatic injury.
Sam Sik PARK ; Jae Gu KANG ; Jae Myung CHUNG
Journal of the Korean Society of Emergency Medicine 1997;8(2):217-227
OBJECTIVE: Sixteen cases of blunt diaphragmatic injury were clinically reviewed during 10 years from Oct.1987 to Jun.1996 at the Kangdong sacred heart hospital. The age and sex distribution were ranged from 3 to 67-old-years. The most common age range was between third decades to fifth decades in 10 cases(62.50%) and occurred predominantly in male, the sex ratio was 4.3 : 1.(M:F 4.3:1) The modes of blunt diaphragmatic injury were due to motor vehicle accidents(MVA), motor cycle accidents(MCA), fall down(FD) and others. Most common injuries were responsible for MVA. MVA were pedestrian traffic accidents 5 cases (41.7%), driver 4 cases(33.3%) passenger 3 cases(25.0%). In the blunt diaphragmatic injury sites, the left-sided diaphragmatic injury had predominant[left-sided cases 10(62.50%), right-sided cases 6(37.50%)]. Cost common symptoms and signs were chest pain or chest discomfort(81.25%) and dyspnea(68.75%), abdominal tenderness(50.00%), decreased bowel sound and breath sound(50.00%) and others. All of 16 cases in blunt diaphragmatic injury were associated with other injuries. The associated injuries were hemopneumothorax 14(87.50%), hemoperitoneum 7(43.759o), liver injury 7(43.75%), orthopedics fracture 14(87.50%), head injury 5(31.25%) and others. The diagnostic methods were used with simple x-ray, ultrasonogram and computed tomogram. The preoperative diagnosis of blunt diaphragmatic injury were suggested in 10 cases(62.509o) and others were confirmed during operation. The thirteen cases of all of sixteen cases were performed emergency operation within eight hours. The herniated intraabdominal organs through ruptured diaphragm were presented in 10cases(62.5%) [stomach 7 cases(43.75%), spleen 6 cases(37.50%), colon 3 cases(18.75%), liver 3 cases(18.75%), small bowel and omentum 2 cases(12.50%), respectively]. The mean size of blunt diaphragmatic injury were 7.7cm, right-sided mean size were 9cm, left-sided mean size were 6.9cm. The most common site of blunt diaphragm- atic injury were presented in anteromedial site 7 cases(43.75%). Simple chest x-ray revealed abnormal finding [hemothorax 10cases(62.50%), pneumothorax 4cases(25.00%), herniated organ into thorax8 cases(50.00%), diaphragm elevation 3 cases(18.75%) and others]. The postoperative complication were associated in 10 cases(62.50%) out of 16 cases. Common complications were pleural effusion 6 cases(37.50%) and atelectasis 3 cases(18.75%). Injury severity score(ISS) value of 16 cases in the blunt trauma ranged from 10 to 59. It was presented with mean value of ISS(35.5),mean value of ISS survivors(35) and nonsurvivors(55.5). Revised trauma score(RTS) value ranged also from 4 to 12. There were revealed with mean value of RTS(9.7),mean value of RTS survivors(10) and nonsurvivors(6.5). All of the blunt traumatic injury, mortality rate was related to the values of ISS and RTS.
Accidents, Traffic
;
Chest Pain
;
Colon
;
Craniocerebral Trauma
;
Diagnosis
;
Diaphragm
;
Emergencies
;
Heart
;
Hemoperitoneum
;
Hemopneumothorax
;
Humans
;
Liver
;
Male
;
Mortality
;
Motor Vehicles
;
Omentum
;
Orthopedics
;
Pleural Effusion
;
Pneumothorax
;
Postoperative Complications
;
Pulmonary Atelectasis
;
Sex Distribution
;
Sex Ratio
;
Spleen
;
Thorax
;
Ultrasonography
3.CT menifestations of cervical tuberculous lymphadenitis.
Young Joo KIM ; Ki June SUNG ; Myung Jae KANG ; Myung Soon KIM
Journal of the Korean Radiological Society 1992;28(2):182-187
Cervical tuberculous lymphadenitis is a commonly encountered disease, expecially in adults, Differentiation from other lymphadenopathy and benign conditions such as cystic neck masses is important. CT findings of tuberculous lymphadenopathy in the abdomen and thorax are reported in many literatures. But there are only a few articles concerning cervical tuberculous lymphadenopathy. The authors retrospectively analyzed CT findings of 33 cases with cervical tuberculous lymphadenitis regarding distribution, contour, enhancing pattern, changes of adjacent fascial plane, and dermal and subcutaneous manifestations. We concluded that the presence of conglomerated nodal masses with central lucency, thick irregular rim of contrast enhancement and inner nodularity, varying degree of homogenous enhancement in smaller nodes, dermal and subcutaneous manifestations of inflammation such as thickening of overlying skin, engorgement of the lymphatic and thickening of adjacent muscles, and diffusely effaced fascial plane are suggestive of tuberculous lymphadenitis. However, some CT patterns of tuberculous adenitis may be seen in other disease; for example, enhancement can occur in hyperplastic nodes, vascular metastasis(thyroid, melanoma, and hypernephroma), lymphoma, granulomatous disease, and Castleman's disease.
Abdomen
;
Adult
;
Giant Lymph Node Hyperplasia
;
Humans
;
Inflammation
;
Lymphadenitis
;
Lymphatic Diseases
;
Lymphoma
;
Melanoma
;
Muscles
;
Neck
;
Retrospective Studies
;
Skin
;
Thorax
;
Tuberculosis, Lymph Node*
;
Yemen
4.Cyclosporine in the adult minimal change nephrotic syndrome.
Chong Myung KANG ; Suhnggwon KIM ; Ho Yung LEE ; Jung Sang LEE ; Myung Jae KIM
Korean Journal of Nephrology 1992;11(4):359-369
No abstract available.
Adult*
;
Cyclosporine*
;
Humans
;
Nephrosis, Lipoid*
5.A Clinical Review of Intussusception of Infancy and Childhood in Emergency Department.
Jae Gu KANG ; Sam Sik PARK ; Soon Joo WANG ; Jae Myung JUNG
Journal of the Korean Society of Emergency Medicine 1998;9(1):154-160
Intussusception is a condition of invagination of the proximal segment of bowel into the more distal receiving bowel. Intussusception is one of the common pediatric and surgical emergencies of infancy and childhood in Korea. Intussusception is the most common cause of acquired intestinal obstruction in infancy and childhood, and it needs emergency treatment. 1) On the age and sex distribution, the age under 15 month was the most common(70.6%), and the peak incidence was 3-12 months of age(60.1%). In sex distribution, male to female ratio was 1.25:1. 2) The seasonal distribution was summer(27.4%), spring, autumn and winter in order of frequency. 3) As to the etiology of Intussusception treated by surgery, idiopathic was the most common(75%). 4) The cardinal symptoms and signs were vomiting(72.5%), bloody or bloody mucoid stool(57.5%), abdominal pain(49.7%), abdominal distention(20.9%), abdominal mass(19.6%) and others in order of frequency. 5) On the hematologic finding, 60.8% revealed leukocytosis above 10,000/mm3. 6) As to the duration from the onset of the symptom to admission, 84.2% was within 24 hours, 9.8% was from 24 hours to 48 hours, and 5% was over 48 hours. 7) The common anatomical types were ileocolic(73.2%), and ileocecal(17.0%). 8) The success rate of air reduction was 84.3%. 9) In the method of operation, manual reduction was performed in 91.7% and intestinal resection in 8.3%. 10) The recurrence rate after air reduction was 12.4% and after operative manual reduction was 8.3%.
Emergencies*
;
Emergency Service, Hospital*
;
Emergency Treatment
;
Female
;
Humans
;
Incidence
;
Intestinal Obstruction
;
Intussusception*
;
Korea
;
Leukocytosis
;
Male
;
Recurrence
;
Seasons
;
Sex Distribution
6.An Experimental Study of Pathogenesis of Duodenal Ulceration Produced by Mepirizole.
Myung Jae KANG ; Jae Ryong JUNG ; Hye Soo LEE ; Sang Ho KIM
Korean Journal of Pathology 1988;22(4):383-392
To investigate the pathogenesis of the duodenal ulceration produced by mepirizole (1-(4-methoxy-6-methyl-2-pyrimidinyl)-3-methyl-5-methoxypyrazole) in rat, the effects of various concentraion and sorts of antiulcer drugs and truncal vagotomy on the mepirizole (200 mg/kg of body weight) induced duodenal ulcers were observed morphologically, and after mepirizole administration (200 mg/kg), amount and acidity of gastric jucie were measured sequently. The results were as follows: 1) In the control group of fasting for 24 hours after mepirizole administration only, duodenal ulcers were developed in all animals with 21.5+/-5.8 mm2 of ulcer index, perforation rate was 15%, and mortality rate was 0%. But lesions of the stomach were hemorrhagic and erosive with erosion index of 3.8+/-1.6 mm2. 2) The antiulcer drugs were significantly inhibited duodenal ulceration and gastric erosion produced by mepirizole although the inhibition effects were different. 3) After truncal vagotomy, duodenal ulcer and gastric erosion induced by mepirizole were also significantly inhibited. 4) On the gastric analysis, decrease of amount, increase of acidity, and decrease of concentration of gastric juice were observed after administration of mepirizole compared with nontreated normal group. Above findings suggest that the pathogenesis of the duodenal ulceration by mepirizole is the action of gastric acid on the duodenal mucosa with breakdown of defence mechanisms of the duodenum.
Animals
;
Mortality
7.A Clinico-Epidemilological Study of 55 Cases of Chidhood Idiopathic Thrombocytopenic Purpura.
Won Ho KANG ; Myung Hee KOOK ; Yong Sang YOO ; Jae Suk MA ; Tai Ju HWANG
Journal of the Korean Pediatric Society 1987;30(11):1207-1212
No abstract available.
Purpura, Thrombocytopenic, Idiopathic*
8.Histochemical and Immunohistochemical Stain of Helicobacter pylori from the Gastric Mucosa.
Jong Cheul BAEK ; Heon Seok KANG ; Soong LEE ; Jae Il MYUNG ; Wan KIM ; Chang Soo PARK
Korean Journal of Medicine 1997;53(5):645-653
No abstract available.
Gastric Mucosa*
;
Helicobacter pylori*
;
Helicobacter*
9.Two Cases of Wilson's Disease.
Myung Ho KANG ; Byoung Tae KIM ; Jae Ock PARK ; Sang Jhoo LEE
Journal of the Korean Pediatric Society 1986;29(3):104-109
No abstract available.
Hepatolenticular Degeneration*
10.Analysis of platelet glycoprotein IIIa by flow cytometry and diagnosis of Glanzmann's thrombasthenia.
Myung Seo KANG ; Jae Yoon CHANG ; Kap Jun YOON ; Hwang Min KIM
Korean Journal of Clinical Pathology 1992;12(3):305-309
No abstract available.
Blood Platelets*
;
Diagnosis*
;
Flow Cytometry*
;
Integrin beta3*
;
Thrombasthenia*