A characteristic sonographic pattern that suggest a bowel lesion, called "Pseudokidney Sign" because itresembles the ultrasonic appearance of the kidney
Barium ; Gastrointestinal Diseases ; Kidney ; Mucous Membrane ; Mucus ; Neoplasm Metastasis ; Ultrasonics ; Ultrasonography

Primary carcinoma of the bile duct is uncommon but not rare and its prognosis is poor even though long-termsurvival had been reported. The authors presented 62 cases of bile duct cancer, which were confirmed at YUMC fromJan. 1971 to Dec. 1981. The results were as follows; 1. The most prevalent age group was 6th decade and a male-tofemale ratio was 1.9:1. 2. Jaundice was the most common clinical manifestations(84%), and followed by right
Bile Duct Neoplasms ; Bile Ducts ; Bile ; Cholangiopancreatography, Endoscopic Retrograde ; Common Bile Duct ; Diagnosis ; Dilatation ; Hepatomegaly ; Humans ; Jaundice ; Prognosis ; Ultrasonography

The pseudolymphoma of the stomach is known to be a benign porliferation of lymphoid tissue, which can bemistaken hostoloigcally for malignant lymphoma. The etiology of pseudolymphoma is controversial, but it B believedto be a manifestation of chronic inflammatory process. Authors present 3 cases of gastric lymphoma. Impresssionsof upper gastrointestual series were as follows; lymphoma or chronic gastritis in one case, ulcerative carcinomain another case and early gastric carcinoma in the other case. Initial endoscopic findings suggested infiltratingcarcinoma, ulcerative carcinoma and two benign gastric ulcers, respectively. One case was associated wtih earlygastric carcinoma.
Gastritis ; Lymphoid Tissue ; Lymphoma ; Pseudolymphoma ; Stomach ; Stomach Ulcer ; Ulcer

Twenty cases of polypoid lesions of the gallbladder were reviewed. Seven were benign lesions. Among them, there were 4 (20%) adenomas and 3 (15%) adenomatous hyperplasias. All of the benign lesions were less than 1 cm in diameter. Thirteen cases involved a carcinoma of the gallbladder, of which 92% were more than 1 cm in diameter, 76.9% were over 60 years of age, and 38.5% were associated with gallstones. The accuracy of the preoperative ultrasonographic diagnosis of the polypoid lesions of the gallbladder was 80%. The spread and the size of the tumor showed a close correlation. Therefore, the size of the tumor is a vital indicator for the treatment of polypoid lesions of the gallbladder; lesions between 0.6~1 cm in diameter should be followed up by ultrasonography. An operation may be considered if stones are present. Lesions bigger than 1 cm should be resected since malignancy can not be excluded.
Adenoma ; Diagnosis ; Gallbladder Neoplasms ; Gallbladder* ; Gallstones ; Hyperplasia ; Polyps ; Ultrasonography

No abstract available.
Hysterectomy*

We experienced a case of late infantile Batten's disease in a 4-year-7-month-old boy who was admitted to child neurology service of Kangnam St. Mary's hospital for evaluation of progressive psychomotor deterioration. He was in quite normal state of development until 3 years of age when his mother first became concerned because he showed such emotional change as crying and fear, Since then he acted strange and major motor milestones were progressively deteriorated, and eventually he was unable to walk and run at 4 years of age. At that time the patient began to have seizure and it was described as jerking movements of both arms simultaneously and generalized tonic clonic movements of upper and lower extremities. Denver developmental examination revealed a severe retardation in all his developmental milestones. On admission he has definitely mentally retarded, he had no speech and his vision was impaired. He had noted bilateral nystagmus. Fundi revealed pale sharp disc, dark degeneration of macula and marked attenuated retinal arterioles. Brain CT showed mild cortical atrophy. EEG showed paroxysmal burst spikes and slow waves which was compatible with myoclonic seizures. AEP and needle EMG studies were normal. A diagnosis of Batten's disease was made on the basis of brain biopsy which showed ballooning of the large neurons, granular lipopigment bodies in cytoplasm, bright fluorescence cytoplasmic granules under UV light and numerous dense bodies on EM finding. He died at the age of 12 years due to pneumonia.
Arm ; Arterioles ; Atrophy ; Biopsy ; Brain ; Child ; Crying ; Cytoplasm ; Cytoplasmic Granules ; Diagnosis ; Electroencephalography ; Fluorescence ; Humans ; Lower Extremity ; Male ; Mentally Disabled Persons ; Mothers ; Needles ; Neurology ; Neurons ; Pneumonia ; Retinaldehyde ; Seizures ; Ultraviolet Rays

PURPOSE : Developmental screening tests are in widespread use, but few reliable and valid tests are available. One of the oldest and best known developmental screening test was recently restandardized and revised as Denver II. Because the Denver II was published without evidence of its accuracy in developmental screening, we evaluate its accuracy in chidren with developmental delay to see whether it can be used on Korean children. METHODS : The Denver II was translated and was administered to 244 children attending the child development clinic in Kangnam St. Mary's Hospital to evaluated motor delay(Group I, n=68), language delay(Group II, n=84) or other problem(Group III, n=92). RESULTS : 1) The ratio of male to female and the mean age of the subject were 2.4:1 and 25.1 months overall, 1.6:1 and 11.8 months in Group I, 4.6:1 and 35.6 months in Group II, and 1.3:1 and 25.4 months in Group III. 2) The distribution of results(abnormal, normal and questionable) were 76%, 13% and 10% in Group I, 76%, 10% and 14% in Group II, and 38%, 53% and 9% in Group III. 3) The neurologic problems were determined 75%(cerebral palsy, central hypotonia, infantile spasm, myopathy etc.) in Group I, 74%(mental retardation, developmental language disorder, epilepsy, cerebral palsy etc.) Group II and 39%(mental retardation, epilepsy, cerebral palsy etc.) in Group III. 4) The sensitivity and the specificity of Denver II were 0.88 and 0.41 in Group 1, 0.90 and 0.27 in Group II, 0.81 and 0.77 in Group III, and 0.85 and 0.59 overall. CONCLUSION: Although the Denver II in identifying children at risk for developmental delay has a excellent sensitivity, it has a poor specificity, especially in identifying children at risk for language delay. These results demonstrate that the Denver fail to reliably identify children in need of developmental delay evaluation. So the Denver II should be standardized and modified to be used on Korean children with developmental delay.
Cerebral Palsy ; Child ; Child Development ; Epilepsy ; Female ; Humans ; Infant ; Infant, Newborn ; Language Development Disorders ; Male ; Mass Screening* ; Muscle Hypotonia ; Muscular Diseases ; Paralysis ; Sensitivity and Specificity ; Spasms, Infantile

Ultrasonograms of proven liver abscesses in 44 patients were analysed. In ulltrasonography prior to otherdiagnostic approach, 38 patients(86.4%) were accurately diagnosed as liver abscess with correlation of clinicalsymptoms. The outline of abscess is smoothly defined. oval and round in 19 patients, irregularly and ill-definedin 25 patients. Only in 5 patients echogenic capsules are demonstrated. The internal echogenecity is variable;they are predominantly echo-free in 14, predominantly low-echo in 25 and predominantly echogenic, similar to solidtumor in 2 patients . 36 patients who were treated by medication only and combined needle aspiration had follow-up ultrasonography within 3 weeks since initial treatment. 33 patients were ultrasonically and clinically improved.Only one patients died of sepsis after needle aspiration and 2 patients were discharged without any sign ofimprovement.
Abscess ; Capsules ; Follow-Up Studies ; Humans ; Liver Abscess ; Liver ; Needles ; Sepsis ; Ultrasonography

PURPOSE: The aim of this study was to investigate the incidence and contributing factors of failure to thrive (FTT) up to corrected 18 months of age in very low birth weight (VLBW) infants. METHODS: Medical records of 98 VLBW infants admitted to NICU of Samsung Medical Center from January 1996 to December 2000, were reviewed retrospectively whose follow-up's were possible up to corrected 18 months of age. We defined FTT as failure to achieve body weight below 10th percentile of standard Korean infant's growth curve for appropriate corrected age. We investigated maternal, neonatal risk factors for FTT and changing pattern of growth parameters. RESULTS: The risk factors of FTT in VLBW infants were birth weight, gestational age, RDS, BPD, durations of ventilator care, TPN and hospitalization. When corrected for birth weight and gestational age, only duration of hospitalization remained to be a significant risk factor. Unlike body weight, height attained 10th percentile at corrected 15 months for VLBW infants, 18 months for extremely low birth weight (ELBW) infants. Head circumference attained 10th percentile more earlier at corrected 5 months for VLBW infants, 12 months for ELBW infants, respectively. Catch up growth occurred in the order of head circumference followed by height. CONCLUSION: Risk factors for FTT in VLBW infants and ELBW infants is multifactorial. To enhance optimal growth and development of VLBW infants, further studies on nutritional management related to enteral feeding is needed.
Birth Weight ; Body Weight ; Enteral Nutrition ; Failure to Thrive* ; Gestational Age ; Growth and Development ; Head ; Hospitalization ; Humans ; Incidence ; Infant* ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Very Low Birth Weight* ; Medical Records ; Retrospective Studies ; Risk Factors ; Ventilators, Mechanical

Pyoderma gangrenosum is a rare destructive inflammatory skin disease. The lower extremities are most commonly affected, but the head and neck are rarely affected. We call the cases in which the head and neck are involved malignant pyoderma, which could be lethal. We report here on a case of malignant pyoderma in a 66-year-old man. His condition was markedly aggravatedin spite of the medical treatment. The lesions were improved by adjuvant surgery, including aggressive ulcer excision and grafting of autologous skin.
Aged ; Head ; Humans ; Lower Extremity ; Neck ; Pyoderma ; Pyoderma Gangrenosum ; Skin Diseases ; Transplants ; Ulcer