A giant hydronephrosis caused by ureteropelvic junction stricture in a 16-month-old male infant was presented. After the size and volume of giant hydronephrosis were estimated by retrograde pyelography, nephrectomy was performed. We report this case with review of literatures.
Constriction, Pathologic ; Humans ; Hydronephrosis* ; Infant ; Male ; Nephrectomy ; Urography

Renal agenesis is a relatively rare congenital anomaly. The frequent difficulty in establishing a definite diagnosis of renal agenesis is emphasized. Recently we experienced 2 cases of renal agenesis in 24-year-old male patients, so we report these 2 cases of renal agenesis with review of literatures.
Diagnosis ; Humans ; Male ; Young Adult

We have performed experimental bilateral partial nephrectomy in 7 mongrel dogs. The technique of procedure was as follows. Renal capsule in lower renal pole was stripped and then 2-O chromic catgut suture was placed in circumferential manner around the lower pole of the kidney and guillotine amputation(Williams et al., 1967) was performed. Mattress suture, 4-5 stitches, was done on the renal parenchyme 0.2-0.3cm above edge of the guillotine ampution of the lower pole of the kidney. The gross finding of the kidney and possible complications have been observed for 3 weeks after bilateral partial nephrectomy. For microscopic observation, the tissues from the lower pole of the kidney (1x1cm) were fixed in 10% neutral formalin solution. Blood urea nitrogen level was examined on the 3rd, 7th, 14th and 21th days after bilateral partial nephrectomy. 1. The technique was relatively easy, bleeding during operation was scanty and postoperative hemorrhage was not found. 2. Major gross finding of kidney for 3 weeks after the operation was necrosis. 9 out of 14 kidneys were normal but necrosis had occurred in 5 cases. 2cases were locali2ed and minimal but S cases showed wide necrosis in the lower portion of the kidney. Urinary fistula and hemorrhage were not found. 3. Microscopic changes 3 weeks after the operation, showed necrosis, calcification. hemorrhage and fibrosis in the lower portion of the kidney. 4. BUN level was elevated maximally in 3rd or 7th day after the operation but it was decreased end had returned to nearly normal range it 3 weeks after the operation. One case showed finding of uremia by BUN elevation but this had recovered 3 weeks after operation.
Animals ; Blood Urea Nitrogen ; Catgut ; Dogs* ; Fibrosis ; Formaldehyde ; Hemorrhage ; Kidney ; Necrosis ; Nephrectomy* ; Postoperative Hemorrhage ; Reference Values ; Sutures ; Uremia ; Urinary Fistula

A clinical observation was made on 38 patients with the suspicion of prostatic cancer in the department of urology, St. Mary's Hospital during the period from January, 1969 to December, 1978. The results are as follows. 1. The most prevalent age was from 60 to 69 (44.7%) 2. Among 38 cases of the transrectal needle biopsy, the adequate tissues for the histologic diagnosis were obtained in 34 cases. 3. Of 34 cases whose tissue were obtained adequately by the needle biopsy, 22 cases were diagnosed the malignancy of prostate. 4. Among 38 cases of the transrectal needle biopsy, the fever were developed in 4 cases and the rectal bleeding in one case.
Biopsy, Needle* ; Diagnosis ; Fever ; Hemorrhage ; Humans ; Needles* ; Prostate ; Prostatic Neoplasms ; Urology

A clinical observation was made on 74 cases of the renal transplantation in the Department of Urology, Catholic Medical College from March 1969 to February 1980. The following results were obtained. 1. Of 74 cases of the recipient 67 cases were male and 7 cases female, 3 decade was most common among them 2. The ureteroneocystostomy was performed as the method of the modified Politano-Leedbetter in 66 cases and extravesical Macliinnon in 8 cases. Our incidence of urological complications in the 74 renal transplants was 13.5% (10 cases). 3. The details of the complications were as follows: 1 was bladder leakage, 3 ureteral necrosis, 3 ureteral obstruction. 1 disruption of ureterovesical junction, 1 bleeding from ureterovesical junction and 1 was urine leakage from ureter. 4. Reconstruction of the bladder in the cases of bladder leakage was failed. Among the 9 ureteral complications, we acquired successful secondary 6 ureteroureterostomy and 3 ureteroneocystomy.
Female ; Hemorrhage ; Humans ; Incidence ; Kidney Transplantation* ; Male ; Necrosis ; Ureter ; Ureteral Obstruction ; Urinary Bladder ; Urology

No abstract available.
Xanthomatosis*

PURPOSE: To determine whether acute or subacute attack influences the peripapillary atrophy in patients with primary angle-closure glaucoma (PACG). METHODS: Thirty-three eyes with PACG that had an acute or subacute attack (symptomatic PACG group) and 30 eyes with chronic PACG that had no attack (asymptomatic chronic PACG group) were studied. The rim/disc area ratio were matched in both groups. There were no statistically significant differences in the age, sex, refractive error, optic disc area, and visual field mean deviation between the two groups. RESULTS: Nineteen of 33 eyes (57.6%) with symptomatic PACG group and 20 of 30 eyes (66.7%) with asymptomatic chronic PACG group had zone beta. The mean zone beta/disc area ratio was 0.31 in symptomatic PACG group and was 0.52 in asymptomatic chronic PACG group. There were no statistically significant differences regarding the prevalence of zone beta (P=0.63) and the zone beta/disc area ratio (P=0.09) between the two groups. CONCLUSIONS: These findings suggest that the peripapillary atrophy in PACG is almost independent of acute or subacute attack.
Atrophy* ; Glaucoma, Angle-Closure* ; Humans ; Prevalence ; Refractive Errors ; Visual Fields

Renal injury inflicted by high-velocity missiles is serious because of the wide spread blast injury to tissue. Blast effect may lead to a secondary tissue necrosis with hemorrhage, fistula and infection. Recently we experienced one case of bilateral injury by gunshot complicated by renocolic fistula and intrarenal aneurysm. Management of delayed sequale of renal injury was presentedand discussed.
Aneurysm* ; Blast Injuries ; Fistula* ; Hemorrhage ; Necrosis ; Wounds, Gunshot*

No abstract available.
Carcinoma, Hepatocellular* ; Spleen*

ERCP was performed in 34 cases of obstructive janndice at Busan National University Hospital between June 1981 and October 1982, and those findings were compared with the final surgical operative diagnoses. The results were as follows: 1) The ratio of male to female was about l. 6: 1 and most of them were in the 5th decade to 7th decade, 2) Upper abdominal pain and tenderness were the cardinal symptom and sign, 3) Successful ERCP was obtained in 32 cases among the total of 34 cases(94.1%)Selective success rates by indications were 77.8%(21/27) in suspected biliary lesions and 85.7%(6/7) in suspected panceatic lesions. 4) ERCP diagnoses were biliary stone(11 cases), eholangiocarcinoma(6 cases), pancreatic head ca. (4 cases), Ampulla of Vater ca. (2 cases), normal cholangiogram(2 cases), and normal parcreatogram(2 cases). 5) Eighteen cases out of 24 surgical operative cases were diagnosed by ERCP alone, The diagnostic rates of ERCP by surgical operation in obstructive jaundce was 75%. Complications of ERCP were not clinically significant. It suggests that ERCP is a very useful diagnostic method in the differential diagnosis of obstructive jaundice.
Abdominal Pain ; Ampulla of Vater ; Busan ; Cholangiopancreatography, Endoscopic Retrograde ; Diagnosis ; Diagnosis, Differential ; Female ; Head ; Humans ; Jaundice, Obstructive* ; Male