The Gerbode shunt, known as the left ventricle to the right atrial communication, is a rather rare finding, following surgical closure of septal defects. Even though the surgical closure is accepted as a treatment of choice, we report a successful percutaneous transcatheter closure of the Gerbode shunt in a 3-months old baby who weighed 3 kilograms.
Heart Septal Defects ; Heart Ventricles ; Humans ; Septal Occluder Device

PURPOSE: Colonoscopy is a safe and commonly used method for the screening of colon cancer, but sometimes major complications, such as, colonic perforation or hemorrhage occur during the procedure. The aim of this study was to compare the surgical outcomes of laparoscopic and open surgery for colon perforation after colonoscopy. METHODS: A retrospective review of patient records was performed on 25 patients with iatrogenic colon perforation during colonoscopy during the 7-year period from January 2005 to June 2012. Demographic data, operative procedures, operation times, postoperative complications, hospital course, and morbidities in the laparoscopic surgery group (LG) and open surgery group (OG) were compared. RESULTS: Seventeen of the 25 patients underwent laparoscopic surgery (68%) and 8 patients open surgery (32%). The most common surgical methods were primary repair in the LG, and Hartmann's operation in the OG. Average time to first flatus was 2.9 days in the LG and 4.5 days in the OG, and average times to first meals were 4.5 days and 5 days, respectively. Mean hospital stays were 10.8 days in the LG and 17 days in the OG. After surgery, complications occurred in two patients in the LG, but no complication occurred in the OG. CONCLUSION: Laparoscopic repair for iatrogenic colonic perforation during colonoscopy seems to be useful and safe surgical method in early period after perforation. However, open surgery is also needed for the delayed cases after perforation.
Colon* ; Colonic Neoplasms ; Colonoscopy* ; Flatulence ; Hemorrhage ; Humans ; Intestinal Perforation ; Laparoscopy ; Length of Stay ; Mass Screening ; Meals ; Postoperative Complications ; Retrospective Studies ; Surgical Procedures, Operative

Although the proportion of edentulous patients is declining, the aging population has resulted in an increase in their absolute numbers. Conventional complete dentures can partially restore oral function but have significant limitations such as low retention and relatively poor masticatory ability. Therefore, implant overdentures have been proposed as an alternative, offering enhanced functionality, higher patient satisfaction, and cost-effectiveness compared to fixed implants. In this case, a 74-year-old female patient presented with complaints about her existing implant overdenture, fabricated in 2010, which frequently dislodged and was aesthetically unpleasing. Clinical examination revealed worn attachments and artificial teeth, as well as insufficient upper lip support. It was decided to remake the implant overdentures utilizing the existing implants. During the fabrication, the patient continued to use her previous denture. After evaluating the occlusal relationships, facial form, and vertical dimension, the new overdentures were fabricated. The newly created implant overdentures showed satisfactory aesthetic and functional results, and the patient was satisfied.

Although the proportion of edentulous patients is declining, the aging population has resulted in an increase in their absolute numbers. Conventional complete dentures can partially restore oral function but have significant limitations such as low retention and relatively poor masticatory ability. Therefore, implant overdentures have been proposed as an alternative, offering enhanced functionality, higher patient satisfaction, and cost-effectiveness compared to fixed implants. In this case, a 74-year-old female patient presented with complaints about her existing implant overdenture, fabricated in 2010, which frequently dislodged and was aesthetically unpleasing. Clinical examination revealed worn attachments and artificial teeth, as well as insufficient upper lip support. It was decided to remake the implant overdentures utilizing the existing implants. During the fabrication, the patient continued to use her previous denture. After evaluating the occlusal relationships, facial form, and vertical dimension, the new overdentures were fabricated. The newly created implant overdentures showed satisfactory aesthetic and functional results, and the patient was satisfied.

Although the proportion of edentulous patients is declining, the aging population has resulted in an increase in their absolute numbers. Conventional complete dentures can partially restore oral function but have significant limitations such as low retention and relatively poor masticatory ability. Therefore, implant overdentures have been proposed as an alternative, offering enhanced functionality, higher patient satisfaction, and cost-effectiveness compared to fixed implants. In this case, a 74-year-old female patient presented with complaints about her existing implant overdenture, fabricated in 2010, which frequently dislodged and was aesthetically unpleasing. Clinical examination revealed worn attachments and artificial teeth, as well as insufficient upper lip support. It was decided to remake the implant overdentures utilizing the existing implants. During the fabrication, the patient continued to use her previous denture. After evaluating the occlusal relationships, facial form, and vertical dimension, the new overdentures were fabricated. The newly created implant overdentures showed satisfactory aesthetic and functional results, and the patient was satisfied.

Although the proportion of edentulous patients is declining, the aging population has resulted in an increase in their absolute numbers. Conventional complete dentures can partially restore oral function but have significant limitations such as low retention and relatively poor masticatory ability. Therefore, implant overdentures have been proposed as an alternative, offering enhanced functionality, higher patient satisfaction, and cost-effectiveness compared to fixed implants. In this case, a 74-year-old female patient presented with complaints about her existing implant overdenture, fabricated in 2010, which frequently dislodged and was aesthetically unpleasing. Clinical examination revealed worn attachments and artificial teeth, as well as insufficient upper lip support. It was decided to remake the implant overdentures utilizing the existing implants. During the fabrication, the patient continued to use her previous denture. After evaluating the occlusal relationships, facial form, and vertical dimension, the new overdentures were fabricated. The newly created implant overdentures showed satisfactory aesthetic and functional results, and the patient was satisfied.

Although the proportion of edentulous patients is declining, the aging population has resulted in an increase in their absolute numbers. Conventional complete dentures can partially restore oral function but have significant limitations such as low retention and relatively poor masticatory ability. Therefore, implant overdentures have been proposed as an alternative, offering enhanced functionality, higher patient satisfaction, and cost-effectiveness compared to fixed implants. In this case, a 74-year-old female patient presented with complaints about her existing implant overdenture, fabricated in 2010, which frequently dislodged and was aesthetically unpleasing. Clinical examination revealed worn attachments and artificial teeth, as well as insufficient upper lip support. It was decided to remake the implant overdentures utilizing the existing implants. During the fabrication, the patient continued to use her previous denture. After evaluating the occlusal relationships, facial form, and vertical dimension, the new overdentures were fabricated. The newly created implant overdentures showed satisfactory aesthetic and functional results, and the patient was satisfied.

Intrabronchial nerilemmoma is very rare disease. Neurilemmoma has been thought to arise from schwann cell, has been reported to occur in almost any anatomic location. The incidence of primary neurogenic tumors of the lung has been estimated to be 0 to 2 percent of all lung tumors. These tumors are predominantly(75%) associated with neurofibromatosis of von Recklinghausen's disease. To our knowledge, no case of benign solitary endobronchial neurilemmoma has been reported in Korea. This paper presents a case of benign solitary endobronchial neurilemmoma with a brief review of the pertinent literature. A 19 year old female visited our medical hospital with the symptoms of chest discomfort and pain. Bronchoscopy and chest CT scan revealed a mass on the left upper 1obar bronchus. Left upper lobectomy was performed successfully and histological section revealed a neurilemmoma.
Bronchi ; Bronchoscopy ; Female ; Humans ; Incidence ; Korea ; Lung ; Neurilemmoma* ; Neurofibromatoses ; Neurofibromatosis 1 ; Rare Diseases ; Thorax ; Tomography, X-Ray Computed ; Young Adult

PURPOSE: This study was done to know the usefulness of fractal analysis when evaluating the radiologic changes after decompression on jaw bone cystic lesions using fractal analysis. MATERIALS AND METHODS: 30cases of cystic lesions were followed up after decompression. Panoramic image was used to observe radiologic changes around the cystic lesion. The part of the panoramic image which showed radiologic change was defined as region of interest(ROI); The fractal dimension of the ROI was calculated using box-counting method. RESULTS: Using sign-rank test, there was a statistically significant difference in fractal dimensions after decompression therapy(P<;0.0001). The fractal dimensions statistically increased after decompression(the median of D:0.12). CONCLUSIONS: The ROI after decompression showed higher fractal dimensions which offer the objective proof of the bone healing around cystic lesions after decompression treatment.
Bone Cysts* ; Decompression* ; Fractals* ; Jaw*

PURPOSE: We performed this study to evaluate the incidence and clinical significance of antiphospholipid antibodies (aPL Ab) in Korean children with Henoch-Schonlein purpura (HSP). METHODS: The medical records of 62 patients (31 boys and 31 girls) aged 6.0+/-3.1 (1-16) years with a clinical diagnosis of HSP based on the EULAR/PReS criteria were reviewed retrospectively. From the years 2007 to 2009, the sera from children with acute HSP were tested for aPL Ab such as LA, anti-cardiolipin antibody and anti-beta2 glycoprotein I antibody. RESULTS: LA was positive in 18 (29%) of the 62 patients with HSP and We divided the patients into the two groups LA positive group (N=18) and LA negative group (N=44). There were no significant differences between the two groups with regard to abdominal pain, arthralgia and renal involvement, but LA positive group had significantly higher C-reactive protein (4.3+/-7.2 mg/dL vs. 1.3+/-1.8 mg/dL, P=0.035), erythrocyte sedimentation rate (37.5+/-26.2 mm/hr vs. 25.1+/-22.6 mm/hr, P= 0.039), IgM (148.1+/-48.4 mg/dL vs. 114.9+/-41.5 mg/dL, P=0.024), C3 (143.1+/-21.9 mg/dL vs. 129.7+/-24.5 mg/dL, P=0.048) and C4 levels (30.9+/-6.3 mg/dL vs. 24.9+/-7.8 mg/dL, P=0.002) compared with LA negative group. CONCLUSION: We found that the incidence of positive aPL Ab tests was relatively higher in Korean children with HSP and the presence of aPL Ab was associated with acute inflammatory process of HSP. These results suggest that the aPL Ab are involved in the pathogenesis of HSP in children.
Abdominal Pain ; Aged ; Antibodies, Antiphospholipid ; Arthralgia ; Blood Sedimentation ; C-Reactive Protein ; Child ; Glycoproteins ; Humans ; Immunoglobulin M ; Incidence ; Lupus Coagulation Inhibitor ; Medical Records ; Purpura, Schoenlein-Henoch ; Retrospective Studies